基于"谷气胜元气则肥"理论探讨岳仁宋治疗肥胖症的思路与方法OA

Obesity is a complex chronic disease that has caused a severe disease burden in China and globally.Professor Yue Rensong proposes that"excess of grain Qi over primordial Qi leading to obesity"as the cause of obesity and"fat accumulation in the Sanjiao membranes"as the basic pathogenesis,and treats it in three stages according to the deficiency and excess of middle Qi.It is normal physiologically that primordial Qi overcomes grain Qi.Fat is transformed from grain Qi and stored in the Sanjiao and regulated by primordial Qi.Factors such as improper diet,lack of exercise,and congenital endowment lead to the excessiveness of grain Qi over primordial Qi,and the accumulation of fat(especially congealed fat)in the membranes and interstices of the Sanjiao causes obesity,with phlegm-dampness being an aggravating factor.The treatment takes the method of diffusing and transforming fat as the core.In the early stage,it regulates the Yangming meridian to ascend the clear and descend the turbid.In the middle stage,it emphasizes the use of sweet and pungent herbs to assist the spleen in dispersing essence.In the late stage,it strengthens the root and cultivates the primordial Qi and treats according to different syndromes,forming a treatment system of"one method and three stages",providing new ideas and methods for the diagnosis and treatment of obesity in traditional Chinese medicine.