With the improvement of people’s living standards, the incidence of obesity has been on the rise in recent years, and a series of diseases related to obesity such as diabetes, hypertension and cerebrovascular diseases have also gradually increased, therefore, how to prevent and treat obesity has become a common concern of the whole society. Food therapy for weight loss is playing an increasingly important role in the treatment of simple obesity because of its safe, nutritious and rapid characteristics. Chinese medicine is based on evidence-based treatment, which is applied to food therapy and called “evidence-based food administration”. First of all, according to the theory of Chinese medicine to identify the patient’s type, and then according to the nature of food and the patient’s objective situation, according to the results of the identification to make the corresponding adjustments, for the obese to select the appropriate food. Where is the qi deficiency, when the qi food; Where is the blood deficiency, when the blood food. Hot disease choose cold nature of food; and cold disease choose with warm nature of food. Obesity is mainly related to diet, physical fitness, labor and leisure and emotional and other factors. Obesity can be divided into five types according to the Chinese medicine identification type. Its clinical manifestations, food therapy principles and evidence-based food administration situation is as follows. 1, spleen deficiency damp obstruction type Clinical manifestations: obesity, heavy limbs, tiredness and weakness, abdominal distension, poor food, loose stools, light tongue, thin and greasy moss, slow or moist pulse. This type is the most common in clinical practice. Food therapy principle: strengthen the spleen and resolve dampness. Food choices: lentils, broad beans, peas, adzuki beans, mung beans, soybean sprouts, mung bean sprouts, corn, winter melon, winter melon skin, cucumber, cucumber skin, watermelon, watermelon skin, cabbage, carp, etc. Food choices: mixed bean porridge, cold three skins, adzuki bean and carp soup, winter melon flesh soup, cabbage vermicelli soup, etc. 2, the spleen and kidney two deficiency type clinical manifestations: physical obesity, false floating swelling, fatigue and weakness, less breath and lazy speech, moving then wheezing, dizziness and cold, less food and poor, waist and knee cold pain, loose stools or five diarrhea, male impotence, light tongue, thin white coating, sunken pulse. Patients with severe obesity mostly have this type. Food therapy principle: warming Yang, transforming Qi and promoting water. Food selection:cowpeas, knife beans, wolfberry, goat’s milk, cow’s milk, lean lamb meat, lean dog meat, bird meat, pecan nuts, etc. Food choices:wolfberry drink, bird meat porridge, goat milk soup, ginseng and walnut soup, vegetarian mixed cowpeas, pepper and lamb soup, etc. 3, stomach heat damp obstruction type Clinical manifestations: obesity, wantonly eat fat and sweet or elimination of grain and good hunger, bad breath and dry mouth, constipation, red tongue, tongue coating yellow greasy, smooth pulse. This type is mostly for young and middle-aged obese people who are physically strong. Food therapy principles: clear heat, dampness and clear the internal organs. Food selection: cabbage, cabbage, celery, lettuce, bamboo shoots, Ulva, lotus root, bitter melon, amaranth, marjoram, water chestnut, duck pear, etc. Food choices: cold intercept lettuce, cabbage and seaweed soup, five juice drink, cold shredded lotus root, canned bamboo shoots, fried amaranth with egg, fried bitter gourd with pork, etc. 4.Qi stagnation and blood stasis type Clinical manifestations: physical obesity, two drowsiness and fullness, stomach and epigastric fullness, irritability, dry mouth and tongue, dizziness, insomnia and dreaminess, irregular menstruation or amenorrhea, dark tongue with petechiae, pulse string or fine string. This type can be seen in people who have been obese for a long time. Food therapy principle: soothe the liver and regulate Qi, invigorate blood circulation and remove blood stasis. Food choices: citron, orange, orange peel, tangerine, Buddha’s hand, buckwheat, sorghum rice, knife beans, white radish, fennel, jasmine, hawthorn, eggplant, wine, vinegar, etc. Food choices: cold Buddha’s hand, garlic mashed eggplant, white radish soup, buckwheat noodles, jasmine tea, hawthorn drink, three flowers diet tea, fitness vinegar, etc. 5, kidney yin deficiency type Clinical manifestations: physical obesity, dizziness and headache, five heartburn, soreness and weakness of the waist and knees, red tongue with little coating, thin pulse or thin string. This type is rare in clinical practice. Food therapy principle: nourish Yin and tonify the kidney. Food choices: silver fungus, black fungus, black beans, mulberry, turtle, lean pork, duck, duck egg, sea cucumber, jellyfish, black sesame, pig kidney, etc. Food choices: cold jellyfish skin, double ear soup, turtle soup, black bean and pork porridge, mushroom and sea cucumber, black sesame porridge, fried lumbar flowers with dulcimer, etc. Because of the complex causes of obesity, clinical evidence of both types, treatment and health care should take into account both the symptoms and the root cause, supplementation and diarrhea with the same use, several methods and application, in order to achieve better results. Of course, the identification of food must also pay attention to the time, place and person according to the appropriate. 6, discussion Chinese medicine food therapy is under the guidance of the theory of Chinese medicine, the use of food flavor and the combination of nutrients or other ingredients, the effect on the body of certain organs, to achieve the purpose of reconciliation of qi and blood, balance yin and yang, prevention of disease, fitness and prolonged life. The “evidence-based food administration” is a major feature of Chinese medicine food therapy, is the specific application of the principles of Chinese medicine evidence-based treatment in food therapy clinical. It is different from Western medicine in that it is based on a holistic view, in which the organs and tissues of the human body are seen as a unified whole that is organically linked, and the human body and the surrounding environment are seen as an organic whole that is closely related to each other, and is adjusted as a whole. At the same time, we also pay attention to the specificity of the individual, as a clinical manifestation, but the nature of different, the treatment is different. In this way, the treatment is more targeted and more reasonable. Food therapy for weight loss, on the basis of modern nutrition knowledge, coupled with the treatment principles of Chinese medicine “identification of food”, so as to achieve better weight loss results.