Acupuncture and moxibustion for weight loss and operation standardization I. Operation standardization 1. Acupuncture points Stomach heat and dampness obstruction type: main point DD localized acupoints with DD Quchi, Hegu, Neiting, Ashigaru, Fenglong, Yinlingquan, diarrhea or flat tonic and diarrhea method. Phlegm-dampness accumulation: main point DD, localized acupoints, collaterals DD, Zhongkou, Yinlingquan, Sanyinjiao, Fenglong, diarrhoea or flat tonic and flat diarrhoea. Liver depression and stagnation: main point DD, localized access points, with points DD Ximen, Taichong, Liver Yu, diarrhoea or flat tonic and flat diarrhoea. Spleen and stomach qi deficiency: main point DD, localized collaterals DD, Foot Sanli, Spleen Yu, Gongsun, Qihai, tonic method. Spleen and kidney yang deficiency: main point DD, localized acupoints, collaterals DD, spleen yu, kidney yu, vital gate, guanyuan, qihai, tonic method. 2. Apparatus 0.35mm, 40mm long acupuncture needles, sterile alcohol cotton balls, sterile dry cotton balls, electro-acupuncture instrument 3. Precautions (1) Choose good needles: the needles used should be especially sharp and smooth, and new needles are preferred. (2) Strict disinfection: the use of autoclave sterilization method of the doctor’s fingers before the application of soap and water to scrub clean, or rubbed with alcohol cotton balls before holding the needle operation. Needle application site to use 75% alcohol cotton ball from the center to the outside of the circle wipe. (3)The twisting angle should not be too big or too fast, not to mention the unidirectional twisting, and the patient should not change the position when the needle is left in place, so as to avoid bending the needle or stalling the needle. (4) The needle should not be inserted after excessive mental tension or sweating, hunger, exertion, diarrhea, hemorrhage, and the needle should be used gently for the weak to avoid fainting. Fainting of the needle should be quickly out of the needle, so that the patient’s head is low and high lying, loosen the belt, pay attention to warmth, light lying for a few moments, give warm water or hot tea can be recovered, heavy in the above treatment based on acupressure water ditch, Neiguan, Yongquan and other acupuncture points, or warm moxibustion Guanyuan, qihai points can be awakened. Recumbent position generally will not be dizzy needles. (5) Skin infection, ulcers, scarring or tumor sites should not be needled, diabetic patients should not be needled to prevent infection. Patients with coagulation disorders should not be needled to prevent bleeding. (6) For infectious disfigurement diseases, such as flat wart or patients suffering from other infectious diseases, such as hepatitis, the needles used should be stored separately and strictly disinfected, and disposable needles should be used when necessary to prevent cross-infection. Second, the implementation of the measures two-handed into the needle method: two hands to cooperate, synergistic into the needle. The left hand thumb, index finger or index and middle fingers will acu-point part of the skin to the two sides, the right hand holding the needle from the index and middle fingers between the stabbing. Straight stabbing: the body of the needle is stabbed vertically at an angle of 90° to the skin surface. The length of time for which the needle is left in place is generally 20-30 minutes. Select 6-8 major acupoints, with the use of electro-acupuncture device to enhance the stimulation, each treatment can be changed appropriately. Discharge of the needle: first use the thumb and forefinger of the left hand to press around the needle hole with a sterilized dry cotton ball, and then hold the needle in the right hand to make a slight twist and slowly lift it to the subcutaneous area, and then withdraw it. Three consecutive treatments in the first three days, and then every other day, 15 times for a course of treatment. The interval between each course of treatment can be 10-15 days. The direct cause of simple obesity is mostly due to uncontrolled diet and low energy consumption, which leads to the accumulation of fat in the body and sodium and water retention. Chinese medicine believes that obesity occurs mostly due to the dysfunction of stomach, intestines, liver, spleen and other organs, and obesity is mostly due to the deficiency of this standard, this deficiency is mainly due to the deficiency of qi, and concurrently see the deficiency of yin and yang, the location of the spleen is mainly, the standard is mainly phlegm, which can be concurrently blood stasis, stagnation of qi. Acupuncture can be applied to the acupuncture points of Foot Yangming Stomach Meridian, Foot Taiyin Spleen Meridian, Foot Sun Bladder Meridian, Ren Vessel and other meridians in order to strengthen the spleen and remove dampness, regulate Ying and Wei, and facilitate the San Jiao, so that the water and dampness can be normally excreted, thus restoring the normal function of water and liquid metabolism and the conduction function of the large intestine, and obtaining a satisfactory therapeutic effect. Modern medicine at the same time research shows that the use of Chinese medicine acupuncture methods, can play a two-way regulation, adjust the endocrine disorders, and adjust the gastrointestinal tract peristalsis, promote metabolism: First, through the regulation of the vegetative nervous system, so that the level of gastric activity is reduced and delayed gastric emptying after meals, and can inhibit excessive secretion of gastric acid, and at the same time, regulate the hypothalamus “satiety – hunger” center balance. At the same time, it can regulate the balance of the hypothalamus “satiety-hunger” center and correct the abnormal appetite; secondly, it can regulate the endocrine system and correct the endocrine disorders through the regulation of the functions of “hypothalamus, pituitary, adrenal cortex” and “sympathetic adrenal cortex”; and thirdly, the body’s central nervous system in patients with obesity can be adjusted. Thirdly, the lipid peroxide in the body of obese patients is higher than the normal value, and by regulating the lipid metabolism process through acupuncture, the content of lipid peroxide in the human body can be reduced, and accelerate the decomposition of fat. Therefore, the use of acupuncture therapy is currently the most effective way to lose weight.