First, obesity disease profile
According to statistics, the global 250 million people BMI> 30%, about 1 billion people overweight; China’s obese patients over 20 years of age reached 20 million people, overweight people not less than 150 million, in the more economically developed regions, the incidence of obesity is higher, such as Beijing overweight about 32% of the total population, Harbin and other large cities in the north overweight people up to 40% or more, obesity has become an increasingly common global Phenomenon. Recent research shows that: obesity is caused by a specific biochemical factors of a series of eating regulation and energy metabolism disorder and lead to disease, and genetic, environmental, dietary structure and other factors, of which genes are the main determinants. Obesity and diabetes, cardiovascular disease, hypertension, hyperlipidemia, certain tumors and sleep – respiratory disorders and other diseases are known to have a significant correlation, it can be seen that obesity is not only a problem affecting the image of the individual, but become a serious threat to human health.
Second, the definition of obesity
Because the human body lipid metabolism disorder, or eat nutrients more than the consumption, so that the body lipid storage increase, weight more than 20% of the normal value, that is, excess nutrition, the body’s calorie intake than consumption become obesity disease. Excess body fat (body fat), pathological damage, and the proportion of fat distribution are directly related. Affect the pathology is mainly the abdomen, chest obesity, so the abdomen obesity is the main goal of weight loss.
Third, the cause of obesity
The causes of obesity are related to genetics, behavioral factors – insufficient exercise, lifestyle, education level and socio-economic status.
Obesity when the metabolic and endocrine changes: with the growth of age, metabolic rate is generally declining trend, the same age female lower than male, traditional researchers believe that obese people low basal metabolic rate, in fact, most obese people basal metabolic rate unchanged, a few can be slightly low, but no signs of hypothyroidism, these people whether sitting, standing or walking when consuming less energy, so the calories required is also less, eat less, which may be related to This may be related to genetic factors. Obese people who exercise have less growth hormone increase than lean people and therefore use less fat.
The normal range of energy consumption: adults about 6270-25080KJ per day. middle-aged people after 30 years old reduce the basal metabolic rate by 1-2% per year on average, such as the original basal metabolic rate (BMI) of 2800 units of men to 35 years old to reduce to about 140-280 units, by this calculation, if he maintains the same amount of activity, about To eat less than half a bowl of rice to maintain weight, otherwise the weight will increase.
Fourth, the diagnosis standard of obesity
1, obesity measurement method
(1) height discount algorithm: height (cm) – 105 = (weight) kg > 20% obese
(standard weight)
(2) chest waist index method
Bust (nipple on 2cm circumference) Waist (navel circumference)
Bust – waist = bust index
Chest index ≥ 5cm for heavy obesity
Bust index ≤10cm is moderate obesity
bust index ≤ 15cm for mild obesity.
(3) body mass index (BMI) method (most commonly used)
Our BMI>24 is overweight.
BMI>28 for obese.
Male waist circumference ≤ 85cm (two feet six)
Female waist circumference ≤ 80cm (two feet four)
(4) Instrument analysis
a, human body fat analyzer: through the instrument (prepared according to the principle of bio-resistance resistance method) to test the weight of human body fat and the ratio of body fat to body composition to diagnose obesity.
B ultrasound to measure the thickness of fat.
Skin fold thickness method.
Microscopic direct observation to record the size of fat cells.
(5) Waist-hip ratio method
Waist / hip ≥ 0.72 when obese.
Male ≥ 0.9, female ≥ 0.8 as obese.
Clinical performance
Obesity: face, abdomen, thighs and other fat, simple obesity without accompanying symptoms, deficiency obesity: more with fear of heat and sweating, easy fatigue, can not bear physical labor, headache and dizziness, panic and shortness of breath, abdominal distension, swelling of the lower limbs.
Six, obesity of the needle knife treatment
(1) Identification and classification
(1) gastrointestinal internal heat: obese and robust body, good hunger, dry mouth and drink, constipation, fear of heat and sweating, more irritable, short urine, red tongue, yellow greasy coating, smooth and strong pulse or slippery number.
(2) Phlegm and dampness: enlarged body, abdominal distension, less food, phlegm, chest tightness and shortness of breath, or swelling, tooth marks on the edge of the tongue, greasy moss, slippery pulse.
(3) Spleen and stomach Qi deficiency: obesity, less facial lips, poor appetite, little food, abdominal distension after eating, loose stools, fatigue, palpitation and shortness of breath, drowsiness and laziness, normal urination or swelling with little urine, light tongue with tooth marks, thin moss, thin and weak pulse.
(4) Kidney deficiency type: obesity, normal or low appetite, irregular menstruation or amenorrhea, even infertility in women, impotence in men. Preferring quietness to movement, shortness of breath and panting, sweating when moving.
(5) Liver depression and qi stagnation: obesity, depression, irritability, pain in the chest and ribs, irregular menstruation or amenorrhea in women, pale white tongue with teeth marks or green tongue with bruises.
(B) Treatment principles.
Identify and take acupuncture points or take acupuncture points on the evidence, and take the foot Yangming Stomach meridian, foot Taiyin Spleen meridian, and the Ren Vessel Bladder meridian as the main treatment
(C) Prescription.
primary points: 8 points around the umbilicus with moisture, yinjiao, wailings, tianshu, and slippery meat door.
(d) Supporting points: heat in the internal organs of the stomach and intestines: Quchi, He Gu, Shang Ju Xu, Liang Men, Nei Ting.
internal phlegm-dampness: foot sanli, fenglong, zhongbei, yinlingquan, water channel.
Spleen and stomach Qi deficiency: Spleen Yu, Stomach Yu, Foot San Li, Qi Hai, Guan Yuan, Yin Ling Quan.
deficiency of the kidney: Guan Yuan, Kidney Yu, Sanyinjiao, Tai Xi.
Liver depression and qi stagnation: Tai Chong, Yanglingquan.
constipation: Tianshu, Zhigou, Zhaohai, Chengshan.
profuse sweating: lung Yu, stomach Yu.
drowsiness: shining sea, shen chakra.
abdominal distention: small intestine Yu, lower Ju Xu.
palpitations and shortness of breath: Shen Men, Neiguan.
menstrual disorders: Ququan, Blood Sea, Diji.
impotence: kidney yu, vital gate, guan yuan.
Local acupuncture points: areas with high fat accumulation or formation of granular hard knots.
(iv) Treatment.
1. Use gentian violet to fix the points, disinfect the points with 2% iodine, and then deiodize with 75% alcohol; put on the disposable sterile gloves, hold the No. 4 needle knife, the direction of the needle knife is the same as the direction of the nerves, muscles and blood vessels, and enter the needle vertically in the skin; after piercing the points, swing longitudinally in the fat layer and muscle layer, quickly exit the needle, press the needle hole and prevent bleeding. In the fat accumulation of more abdomen, thighs and other parts of the body, with No. 3 needle knife along the meridian direction into the skin vertically, in the fat layer forward push cut 2-3 knife, or local 1cm or so row of a needle line intensive stab; fat particles or local hard knots, strip bundle feasible longitudinal cutting, horizontal swing into the loosening and loosening. Out of the needle after pressing the needle hole, put on a band-aid can be.
2, 2-3 days after the needle knife treatment to avoid acupuncture points soaked in water, pushing the cut site some people can appear subcutaneous bruising, generally about half a month fade, the fourth day after the needle knife treatment for the next treatment, 5 times for a course of treatment, generally about 2 courses into the weight loss flattening period, at this time to stop treatment, rest a month into the next course of treatment.
(V) advantages.
1, the amount of stimulation is large: the amount of stimulation of needle knife weight loss is 20-30 times more than the needle prick.
2, direct destruction of fat cells: intensive pricking, fat layer push cut, swing can directly destroy fat cells.
3, time-saving: general needle knife stimulation once every 4 days, each time only takes about 3 minutes.
4, good efficacy: after clinical verification, for some muscle-type obesity or acupuncture weight loss is not effective, acupuncture knife weight loss also has a certain effect.
5, fast results: acupuncture treatment once that appetite suppression or abdominal relaxation or weight loss, especially for appetite suppression and menstrual regulation faster.