What should be done with Chinese medicine interventions for obesity

  Modern society has seen a significant increase in the prevalence of obesity, a disease of relative nutritional excess, due to changes in diet structure and lifestyle habits. Why is it relative? That is, with the same diet, some people gain weight, while others do not change their shape very significantly. Why is this so?  Traditional medicine believes that the fat of obesity is the invisible phlegm. Phlegm, drink, water, moisture is originally a family, but the state is different, phlegm for gel, water drink liquid, moisture diffuse. Phlegm drink for yin evil, its transport must be yang push (metabolic meaning), only yang sufficient phlegm drink will be transported, into urine, sweat out of the body. Now, if there is phlegm and drinks inside, there must be a deficiency of Yang Qi.  So where is the Yang Qi deficiency? The body transport water and dampness mainly depends on the spleen, and Yang is rooted in the kidney, so phlegm and drink within the stop if the yang deficiency and its organs are in the spleen and kidney, if the Qi deficiency and the organs are in the spleen. It can be seen that Spleen-Qi deficiency and Spleen-Kidney-Yang deficiency are the common types of evidence.  Spleen qi deficiency is characterized by weakness of the muscles of the extremities, fatigue and weakness with slight movement, sweating, loose stools, tooth mark tongue, and weak pulse.  The selected formula is Ginseng Ling Bai Zhu San, Tonifying Zhong Yi Qi Tang, Xiang Sha Liu Jun Zi Tang, etc.  The key to treatment is to strengthen the spleen and resolve dampness. In case of spleen-kidney yang deficiency, the patient has cold extremities, soreness and weakness of the waist and knees, low sexual function, fatigue and sleepiness, pale white fat tongue and weak/slow pulse.  The selected formula is Zhen Wu Tang combined with Ling Gui Zhu Gan Tang.  The key to treatment is to warm Yang and resolve Dampness. Or there are people who are fat but easily get angry, or some people eat a lot after getting angry (losing love) and suddenly gain weight. This type is again closely related to Qi stagnation. Why is this? Because water dampness is a tangible evil, its presence can easily lead to qi stagnation, and qi stagnation will aggravate water dampness within the stop, mutual influence, disgusting cycle. The location should be based on the above, adding the liver and qi products. Such as Chai Hu Dredging Liver San, Si Wei San, Free and Clear San, etc.  The key to treatment is to move the qi and transform the dampness There is another category of obesity, that is, the long treatment is not effective. All kinds of weight loss methods are used but ineffective, and there are purple and black menstruation, the tongue is dark/green, you need to consider blood stasis evidence. And we should add the products to invigorate the blood and remove blood stasis, peach red four-item soup, blood house expelling stasis soup can be considered.  The key to treatment is to move the blood and resolve dampness. Those who are interested may see that the key is to resolve dampness, so the daily diet is made up of dampness-reducing drugs as tea or dietary therapy. For example, lotus leaf, winter melon skin, psyllium, etc.  Weight loss is a system project, must have strong perseverance and good compliance. In addition to taking drugs, but also food therapy, acupuncture, dieting, physical exercise five carriage. The course of treatment to 1-3 months to see results.