从"通郁"论治肥胖的临证经验OA

Chief physician Fan Linyan posits that the core pathogenesis of contemporary obesity is rooted in the stagnation of Qi dynamics.This Qi stagnation results from the confluence of the three pathogenic factors:Externally,prolonged exposure to low-temperature air-conditioned environments leads to cold constricting the interstices and obstructing defensive Qi;internally,emotional distress causes impaired dispersion of the liver;combined with non-internal-non-external factors such as dietary irregularities,leading to congestion of fu-organ Qi.Together,these factors disrupt the normal ascent and descent of Qi dynamics,subsequently triggering interdependent pathologies of dampness,fire,phlegm,and blood stagnation,manifesting as obesity.The treatment principle prioritizes"unblocking stagnation",integrating methods to"diffuse the exterior and relieve superficial stagnation,soothe the liver to address root stagnation,and guide out accumulation to free fu-organ Qi".This core approach is flexibly combined with techniques for promoting diuresis and percolating dampness,dispersing fire and resolving phlegm,and activating blood and unblocking collaterals.Particular emphasis is placed on emotional counseling,regarded as resolving the source of stagnation,alongside personalized lifestyle interventions,which have demonstrated marked clinical efficacy.