With regard to weight loss, I have listed 10 ways in which I talk about acupuncture as one of the good ways to lose weight, but in that article it is not explained why it is good. Here, I would like to talk about my understanding of the mechanism of acupuncture for weight loss. It can be said that in the vast ancient texts of Chinese medicine, there is no discourse or specific treatment about weight loss, but the treatments we use today about weight loss have long existed in the experience of Chinese medicine in treating miscellaneous diseases. The reason why acupuncture therapy for obesity can achieve remarkable efficacy is precisely because of the application of the basic theory of Chinese medicine and the result of the identification and treatment of the cause, pathogenesis, location and the resulting imbalance of the internal organs of the disease. The cause of obesity is usually due to the uncontrolled diet, eating more energy than the body needs, water and grain through the spleen and stomach transport and transformation, its essence (has been absorbed nutrition) upward transmission in the lungs, and then through the lungs of the propagation and descent, spread in the surrounding body. Some of these essence substances are used as energy by various organs, but more than some of them are transformed into lipid paste, which is run by the veins and stored under the skin and in the abdomen. Often over-eating, fat and cream will slowly accumulate more, people also become fat. Obesity (three highs) is a kind of disease with a mixture of deficiency and reality. Acupuncture weight loss is the use of meridians and acupuncture points of the near treatment effect, distant treatment effect and special effect, adjusting the relationship between the internal organs, replenish the qi and strengthen the spleen, blood circulation, eliminate dampness and eliminate phlegm, so that the internal organs, tissues and organs back to the best state. Since there is deficiency, we must “the deficiency of the tonic” – some obese patients in the treatment before, moving then shortness of breath, intolerant of hunger and thirst, eating a little late then pale, all over the cold sweat, nausea, cold limbs, hand trembling, claw nail pit uneven. These are all deficiency symptoms. For these symptoms, acupuncture treatment can be used in the tonic method, so that these symptoms gradually disappear. There are also real symptoms, is “real diarrhea” – many obese patients, also suffering from fatty liver, in fact, too much body fat accumulation in the subcutaneous abdominal cavity or attached to the liver. These are all real symptoms. For these diseases, the diarrhea method of acupuncture can make the above pathological body fat accumulation disappear, and the excess body fat is reasonably used by the body. Unblocking the vasculature is also one of the important roles of acupuncture therapy. Obese patients often have higher blood lipids, cholesterol, triglycerides, blood sugar and other indicators, blood viscosity has also increased, some patients have large dark brown skin spots on the lower extremities, in order to ensure the blood supply of the body’s tissues and organs, the heart has to raise the beat pressure to maintain the flow of the sickly viscous blood, so blood pressure also increased. After acupuncture, the blood vessels were cleared, thus the patient’s blood lipids and other biochemical indicators became normal, the blood viscosity was reduced, the skin discoloration of the lower extremities disappeared, and the blood pressure dropped to normal. The above is my experience after years of acupuncture treatment for weight loss, and it is also an answer to some patients’ questions.