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OBESITY

NESA Int Med OBESITY

QuestionAnswer
What are the common symptoms of obesity? Overweight accompanied by sob, dizziness, vertigo, palpitations, fatigue, spontaneous sweating, aversion to heat or cold, overeating, abdominal distension, loose stools, edema, irregular menstruation, pain in the lower legs, etc.
Obesity increases illness and death from what associated diseases? Diabetes mellitus, hypertension, stroke, coronary artery disease and kidney and gall bladder disorders
What are the TCM roots of obesity? Qi xu, primarily Spleen and Kidney with Heart and Lung xu
What are the TCM manifestations of obesity? Turbid phlegm, dampness, water retention, blood stasis and qi stagnation
What are the crucial points in diagnosing obesity? 1.Differentiate between root and manifestations, xu and shi: Qi xu, damp-phlegm, heat-phlegm 2.Identify the site of the disorder (organs) 3.Identify the tongue qualities
What are the general treatment principles for deficient obesity patterns? Tonify deficiency: Tonify the Spleen qi in order to transform and transport dampness and phlegm. Tonify the Kidney qi in order to transform water.
What are the general treatment principles for excess obesity patterns? Eliminate evil qi: Resolve dampness, promote urination, open the bowels, reduce stagnation
What are the five main patterns of obesity? Stomach heat; Spleen qi xu; Accumulation of damp-phlegm; Spleen and Kidney yang xu; Qi stagnation and blood stasis
What are the signs and symptoms of obesity due to Stomach heat? Very strong appetite, overeating, eating quickly, recurrent hunger, acid reflux, heartburn, fullness/distension, sensation of heat, thirst for cold fluids, foul breath, bitter taste, irritability, constipation, T:thick, greasy ytc, P:wiry, slippery
What are the treatment principle and formulas for obesity due to Stomach heat? Clear the stomach, drain fire and reduce stagnation with Xiao Cheng Qi Tang plus Bao He Wan
What are the signs and symptoms of obesity due to Spleen qi xu? Loose, soft body fat, irregular bowels, no appetite, history of overeating, weak shen, pale face, commonly over age 60
What are the treatment principle and formulas for obesity due to Spleen qi xu? Augment the qi, strengthen the Spleen, leach out dampness and promote urination with Shen Ling Bai Zhu San plus Fang Ji Huang Qi Tang
What are the signs and symptoms of obesity due to accumulation of damp-phlegm? Hx of overeating, erratic hunger patterns, preference for sweets/fats/milk, fatigue, oversleeping, T:slippery wtc, P:slippery
What are the treatment principle and formula for obesity due to accumulation of damp-phlegm? Dry dampness, transform phlegm, regulate qi and reduce stagnation with Dao Tan Tang
What are the signs and symptoms of obesity due to Spleen and Kidney yang xu? Edema of the lower extremities, aversion to cold, cold limbs, weak, sore low back and knees, fatigue, sob, scanty urination, loose stools, T:pale w/slippery wtc, P:deep,weak
What are the treatment principle and formulas for obesity due to Spleen and Kidney yang xu? Warm and tonify the Spleen and Kidney, promote urination and resolve dampness with Zhen Wu Tang plus Ling Gui Zhu Gan Tang
What are the signs and symptoms of obesity due to qi stagnation and blood stasis? Distension or stabbing pain in the chest, hypochondria, epigastrium and abdomen, irregular menstruation or amenorrhea, T:dark or purple w/petechiae, P:wiry and thin or choppy
What are the treatment principle and formulas for obesity due to qi stagnation and blood stasis? Invigorate blood, expel blood stasis, promote the movement of qi and dispel clumps with Xue Fu Zhu Yu Tang plus Shi Xiao San
Which ingredients commonly treat obesity? Ze Xie, Shan Zha, He Shou Wu, Bai Zhu, He Ye, Cang Zhu, Fu Ling, Huang Qi, Chuan Xiong, Yin Chen Hao, Xia Ku Cao, Da Huang, Fan Xie Ye and Cao Jue Ming
Created by: rswain