Obesity Flashcards
underweight BMI
less than 18.5
healthy waist measurements
men- less than 40 inches
women- less than 35 inches
cause of obesity
energy imbalance, leptin gone, genetic (40-60%), eating too much, imbalanced diet, lack exercise, psychosocial factors (depression/stress), hormone imbalance
western TX
diet, exercise, behaviour, pharmacotherapy, hypnosis, surgery, weightloss programs
Organs
SP
KID
LIV
SJ
general acupuncture TX goals
stim brain to balance neuropeptides, assessment BMI+ waist ratio
general POT
transform PH, tonify Qi, move Qi/blood, strengthen SP
etiology
1) mental injury
2) diet
3) constitution
4) illness
what is the normal BMI
18.5-24.9
What are normal waist measurements?
men- less than 40 inches
women- less than 35 inches
patterns
1) accum of PH/D
2) hyperactivity of ST fire
3) XU SP/ST
4) XU Yuan Qi
unevenly distributed fat, obesity in butt/thighs, flaccid mm, sore weak lumbar/knees, listnessness, quiet, inactivity, pale/puffy complexion, normal/poor appetite, intolerance to cold, scanty pale urine, edema
XU Yuan Qi
XU Yuan Qi pp
RN-4/6, UB-23, DU-4
uneve or even fat deposits, dizziness, chest tightness, nausea, vomit, sweat/greasy feeling in mouth, SHI PH
Accumulation PH/D
accumulation PH/D pp
ST-40, RN-12
evenly distributed fat, strong mm, SHI appetite, flushed face, aversion to heat, profuse sweating, ab distension, constipation
hyperactivity of ST fire
hyperactivity of ST fire pp
LI=11, SJ-6, ST-44, RN-3
uneve distributed fat, obesity in face/neck, flaccid mm, poor appetite, ab distension, pale complexion, lassitude, drowsiness, aversion to cold, spontaneous sweat increasing with activity, hard or loose stool, scanty urine, edema
XU SP/ST
XU SP/ST pp
UB-20/21, ST-36, RN-12
BP
RN-12, ST-25/34/36, SP-6/9
ALT remedies
1) auricular (SP/ST/LI/LU, mouth, thalamus, hunger, shenmen, endocrine, pituitary)
2) tea (shan zha)- overweight/constipation
3) Qi gong
4) tuina
5) plumblossom
6) electro (SP-4, ST-34)
What is the first step of prevention
1) reg. diet (male= 4000 cal, female= 3200 cal), set eating times, reg. exercise, educate BMI/nutritional values
What are normal waist measurements?
men- less than 40 inches
women- less than 35 inches
patterns
1) accum of PH/D
2) hyperactivity of ST fire
3) XU SP/ST
4) XU Yuan Qi
unevenly distributed fat, obesity in butt/thighs, flaccid mm, sore weak lumbar/knees, listnessness, quiet, inactivity, pale/puffy complexion, normal/poor appetite, intolerance to cold, scanty pale urine, edema
XU Yuan Qi
XU Yuan Qi pp
RN-4/6, UB-23, DU-4
uneve or even fat deposits, dizziness, chest tightness, nausea, vomit, sweat/greasy feeling in mouth, SHI PH
Accumulation PH/D
accumulation PH/D pp
ST-40, RN-12
evenly distributed fat, strong mm, SHI appetite, flushed face, aversion to heat, profuse sweating, ab distension, constipation
hyperactivity of ST fire
hyperactivity of ST fire pp
LI=11, SJ-6, ST-44, RN-3
uneve distributed fat, obesity in face/neck, flaccid mm, poor appetite, ab distension, pale complexion, lassitude, drowsiness, aversion to cold, spontaneous sweat increasing with activity, hard or loose stool, scanty urine, edema
XU SP/ST
XU SP/ST pp
UB-20/21, ST-36, RN-12
BP
RN-12, ST-25/34/36, SP-6/9
ALT remedies
1) auricular (SP/ST/LI/LU, mouth, thalamus, hunger, shenmen, endocrine, pituitary)
2) tea (shan zha)- overweight/constipation
3) Qi gong
4) tuina
5) plumblossom
6) electro (SP-4, ST-34)
EDU
1) reg. diet (male= 4000 cal, female= 3200 cal), set eating times
2) reg. exercise
3) educate BMI/nutritional values
4) set goals **be persistent
5) reduce sugar/caffeine
Which points reduce appetite
SP-9
ST-44
Which point increases appetite
ST-36
What is the second step of prevention?
already obese: must prevent complication: set goals, increase exercise, lose weight
what is the third step of prevention
treat obesity, prevent/tx further complications (injured knee/injured back): surgery, increase exercise, strict diet (12000cal)