现代医学背景下原发性肥胖症的中医认识及诊疗刍议OA

Primary obesity remains a major challenge confronting the medical community,and existing Western weight-loss medi-cations fail to address the therapeutic needs of all obesity subtypes.Traditional Chinese Medicine(TCM)possesses a robust foundation of theoretical insights and clinical practices in the management of primary obesity,exhibiting substantial potential for further develop-ment and application.This article expands on the understanding of the three types of obesity—"Zhi Ren,Gao Ren and Rou Ren"—de-scribed in The Yellow Emperor's Inner Classic,adding"Xiao Gao Ren"and"Gao-Zhi Ren"types to construct a new five-type classifi-cation system for obesity,aiming to overcome the limitations of modern medicine's single-indicator approach to understanding obesity.In light of the heterogeneous nature of primary obesity,this study proposes a treatment strategy based on the pathogenesis of excessive stagnation and deficiency-related stagnation characterized by energy metabolism profiles.For excessive stagnation,Houpo Sanwu De-coction is employed as the core formula,with further differentiation and treatment tailored to three subtypes:gastrointestinal hunger type,emotional hunger type and cerebral hunger type.For deficiency-related stagnation,Liujunzi Decoction serves as the foundational prescription,with syndrome differentiation and treatment customized according to the characteristics of the hypometabolic type.By ex-tracting core pathogenesis and refining core formulas,the precision of TCM treatment is improved,complementing existing Western weight-loss medications and enhancing the clinical efficacy of obesity treatment.