Obesity is divided into physiological and pathological. Physiological obesity caused by heredity, old age and other reasons generally do not need to blindly reduce weight, pathological obesity needs to be treated under the guidance of the doctor’s diagnosis, and traditional Chinese medicine treatment may achieve certain results. Clinically, obesity is often divided into phlegm-dampness, spleen deficiency, spleen and kidney yang deficiency (deficiency of yang qi in the spleen and kidney), etc. It can be treated with TCM such as phlegm-guiding soup combined with Siling-san, Fangji Huangqi soup combined with Senling Baijushu, Linggui Juguangan soup combined with Zhenwu Tang, etc. 1. The patient manifests the symptoms of obesity and heaviness, dizziness, dry mouth without desire to drink, sticky and greasy stools, fond of eating fatty, sweet, thick and greasy food, which belongs to the evidence of phlegm-dampness; the use of phlegm-guiding soup combined with Si Ling San, which can regulate qi and eliminate fat, dissolve phlegm and benefit the dampness; however, it should be used cautiously for patients who have suffered from injury to the fluids. 2. The patient has a history of overeating and overeating, manifesting as obesity and bloating, fatigue (mental fatigue, physical fatigue), mild swelling of limbs, loose stools, etc., which belongs to the evidence of deficiency of the spleen and non-transportation; use of Fangji Astragalus Soup combined with Ginseng Ling and Atractylodis Macrocephalae, which strengthens the spleen and benefits the qi, seeps water to promote the efficacy of dampness; it should not be used by patients with colds. 3. Patients may have symptoms such as obesity, easy fatigue, warm limbs, and long and clear urine, which belongs to spleen and kidney yang deficiency; the treatment of Ling Gui Zhu Gan Tang with Zhen Wu Tang can warm the spleen and kidney and warm yang (yang qi in the body); it is not suitable for patients with internal heat. The use of traditional Chinese medicine to lose weight, do not overeat during the medication, do not eat fat, sweet, thick and greasy food, to carry out appropriate exercise; the use of traditional Chinese medicine, you need to consult a Chinese medicine practitioner’s identification of the evidence to guide, follow the doctor’s instructions to use the medication, can not be used blindly.