Obesity

Question 1

List the patterns for obesity

Answer 1

Accumulation of dampness and phlegm
Hyperactivity of the ST fire
Deficiency of Sp and St
Deficiency of Yuan Qi

Question 2

How would you differentiate the main sx’s of obesity?

Answer 2

Accumulation of Dampness and phlegm - Evenly/Uneven distribution of fat deposit ( usually combine with Sp Qi Deficiency)

Hyperactivity of ST fire
Even distribution of fat deposit, strong muscles ( can be seen in athletes)

Yuan Qi Deficiency
Uneven distribution of fat deposits, obesity marked in buttocks and thigh, flaccid muscles

Deficiency of Sp and St
Unevenly distributed fat deposits, obesity marked in face and neck, flaccid muscles.

Question 3

What kind of constitution/age group would be more prone to obesity?

Answer 3

Water and earth

menopause

Question 4

What is the Ben and Biao Obesity?

Answer 4

Ben - Qi Deficiency (usually Sp/Kid Qi Deficiency)

Biao - QI Stag, with phlegm damp/ damp- heat or blood stasis

Question 5

What are some causes of obesity in western medicine?

Answer 5

Slow metabolism
Medicine - antidepressants, birth control, steroids
Lifestyle, overeating 
endocrine system dysfunction
postpartum, menopause
nervous system disorder
Infection/trauma

Question 6

Basic points for obesity

Answer 6

Rn 12, St 25
ST 34, 36
Sp 9
Sp 6

Question 7

Points to include in the patterns

Answer 7

accumulations of phlegm and dampness - ST 40, Rn 12
Hyperactivity of St fire - LI 11, SJ 6, St44, Rn 3
Deficiency of Sp and St - UB 20, 21, St 36, Rn 12
Yuan Qi Deficiency - Rn 6, 4, UB 23, Du 4

Question 8

What are some Auricular points to include in treatment

Answer 8

Shen men, mouth, hunger, endocrine, sympathetic, Liv, Kid and ST

Question 9

What are some dietary recommendation

Answer 9

Low calories diet
Good quality breakfast, and have less food for dinner - suggest to have an apple before each meal
Eat slowly, chew fully at least 20x before swallowing
Avoid overeating, and sugary foods at night
Avoid alcohol and limit coffee, tea and salt

*carbohyrate is the primary cause of obesity not fat,.

Question 10

What other therapies can we use to treat obesity?

Answer 10

1. acupressure - Pnts: LI11, ST 36, Rn 4, Kid 3
2. EA: Sp 4 and ST 34 (20 mins) on 2-4 Hz
3. Plum blossom - Target on fat areas, spinal column, reactive knots/pnts - moderate to heavy stimulation
4. Stick/coin moxa - Deficiency of Qi/Yang will help increase metabolism: BS of UB 20, St 36, UB 23, Rn 4
5. Using salt to massage the area where there is excessive fat - mx for 10 to 15 mins

10 treatment - 1 course

Question 11

which meridians would you chose primary points from

Answer 11

St, UB and Sp

Question 12

List the etiology for Obesity?

Answer 12

Mental injury
Improper diet
Constitutional weaknesss
Long term illness