针灸减肥教材教学课件.pptx

单纯性肥胖Simple Obesity;肥胖已经成为全世界的公共卫生问题;肥胖会带来什么后果？;肥胖症健康风险Health Risk;定义concept;;单纯性肥胖常用的诊断标准 Diagnostic Criteria： 1、标准体重standard body weight [身高（cm）-100]*0.9=标准体重（kg） 肥胖： 是指体重超过标准体重20%以上. ;;病因病机Etiology and Pathology;中医学： 1 饮食不节excessive food intake—脂肥停积 2 久卧久坐excessive lying or sitting—水湿失运，痰瘀渐生 3年老体衰senility—肾气转衰，水湿失运，痰瘀渐生 4七情所伤emotional injury—肝胆疏泄失调，脾失健运 5 先天禀赋natural endowment;1痰湿闭阻型accumulation of phlegm-dampness： 中年女性居多，形体肥胖，浮肿，肌肉松软，疲乏无力，肢体沉重，尿少，食欲不振，腹部胀满，大便不爽，脉沉细，舌体胖大，边有齿痕。舌苔薄腻，舌质淡红或白。 middle-aged females, fat physique and body, edema, weak muscle, lassitude, heavy limbs, scanty urine, anorexia, distensive abdomen, deep and thin pulse, enlarged tongue body, with teeth print, thin greasy coating, light red tongue. ;2胃肠实热型excessive heat in the stomach and intestine： 多有肥胖家族史，体质壮实。肥胖程度较重，肌肉结实，消谷善饥，肢体沉重，怕热，出汗较多，口渴喜饮，口臭，便秘尿黄，脉滑数，舌苔黄腻，舌质红。 family history, strong constitution, sturdy, polyorexia, aversion to heat, excessive sweating, thirst, foul breath, constipation, dark yellow urine, slippery and rapid pulse, red tongue.;3肝郁气滞型：liver qi stagnation 常见于女性，肥胖多与月经量少或闭经有关，胸胁苦满，乳房胀痛，胃脘痞满，每因情志变化而增减，喜叹息。女性伴月经不调，闭经，失眠多梦，有不良的情绪背景，焦虑压抑烦恼时食欲反而旺盛，脉弦，舌质暗红，苔白。 Irregular menstruation in female, thoracic and hypochondrium fullness, distending pain in the breast, epigastric fullness, frequent sigh, wiry pulse, dark red tongue, white coating.;4脾肾两虚型：Deficiency of spleen and kidneys 多见于中老年肥胖者或反复恶性减肥并多次反弹者，虚肿肥胖松软，面色晃白，疲乏无力，嗜睡恶寒，尿频，小便多，面足浮肿，腹胀便溏，腰腿冷痛，性欲降低，舌苔薄，舌质??红，脉沉细无力。 puffiness, pale complexion, fatigue, aversion to cold, frequent urination, loose stool, cold pain of loin and legs, decreased libido, thin coating, deep and thin pulse.;基本治疗Treatment;世界卫生组织提出三大减肥原则 “不腹泻、不厌食、不乏力”;中医治疗八原则 ;治则：Treatment principles 痰湿闭阻accumulation of phlegm-dampness ：健运脾胃，化痰除湿，针灸并用，平补平泻； 胃肠腑热excessive heat in the stomach and intestine：清胃泻火、通利肠腑，只针不灸，泻法 肝郁气滞liver qi stagnation：疏肝解郁，理脾和胃，只针不灸，泻法； 脾肾阳虚Deficiency of spleen and kidneys：健脾益肾，温阳化气，针灸并用，补法。;处方：以任脉、足太阴、足阳