Mild lipodystrophy can occur in healthy people, especially in adulthood, which is a normal phenomenon. Only when fat is highly deposited or deposited in special parts is it morbid, which is called obesity. Obese women of different ages have different positions of fat accumulation. For example, the obese figure of adolescent girls is uniform, that is, the fat accumulation on limbs and body is uniform, while the obese figure of menopausal women is very special, and the fat is obviously deposited in the abdomen. The abdomen is a fat bank. For people who often eat and drink, fat mainly accumulates in the abdomen. In addition, there are some "obesity" caused by other diseases, such as myxoedema caused by hypothyroidism, ascites caused by cirrhosis, edema caused by chronic nephritis and so on. , need to distinguish. The main causes of obesity are spleen deficiency, dampness and phlegm and blood stasis. Diagnostic criteria 1. The diagnosis of obesity should refer to factors such as age and height. In clinical application, the formula of weight (kg)- height (cm)- 100 is calculated. The normal range is 10%, and those over 20% are said to be obese.

2. Obese patients due to lifestyle, eating habits, endocrine disorders, medical diseases and other reasons, as well as menopausal women's abdominal bulge, waist circumference increased significantly, should be differentiated from pelvic tumors, so as not to delay treatment. Classification treatment Through clinical diagnosis and treatment and ancient and modern books, Chinese medicine classifies obesity into five types for treatment:

1. Spleen deficiency and phlegm-dampness: Spleen controls water and dampness, such as spleen and stomach weakness, improper diet, eating foods rich in sorghum, such as greasy cold drinks, spleen and stomach deficiency and cold, which cannot transport food, so it is internal dampness or phlegm-dampness, which accumulates in the body and leads to obesity of limbs for a long time. Obesity due to spleen deficiency and phlegm dampness, pale face, fatigue, constipation, leukorrhagia, oligomenorrhea or amenorrhea. The fur is thin and greasy, the tongue is reddish and tender, and the pulse is fine and Confucian. Treatment: invigorating the spleen and eliminating dampness, resolving phlegm and eliminating fat.

Prescription: Cangfu Daotan Decoction. Rhizoma Atractylodis 15g, Poria 12g, Coicis Semen 30g, Fructus Crataegi 15g, Pericarpium Citri Tangerinae 6g, Rhizoma Pinelliae Preparata 10g, Rhizoma Cyperi Preparata 10g, Herba Plantaginis 30g, Radix Paeoniae Rubra 15g, and Rhizoma Acori Graminei. Addition and subtraction: 6 grams of Endothelium Corneum Gigeriae Galli, 0/2 grams of Alisma orientale/KLOC-and 0/5 grams of Semen Cassiae/KLOC-are added to obese patients; For amenorrhea patients, Fructus Passepartout 65438±02g, Rhizoma Sparganii 65438 05g and Rhizoma Sparganii 65438 05g are added; For those with excessive tears, add yam 12g and glutinous rice flour12g; Infertility, BBT suggests not ovulation, can refer to infertility treatment, using traditional Chinese medicine cycle therapy.

Second, spleen and kidney yang deficiency: the spleen controls the moisture transport, the kidney controls the temperature, the spleen and kidney are both deficient, and the dampness and evil aggregate, leading to obesity. Due to deficiency of spleen and kidney yang, deficiency of essence and blood, chong ren loses nutrition, causing amenorrhea or infertility. Obesity, pale face, cold face, long urine, thin leucorrhea, even amenorrhea, infertility. Thin and white fur, pale tongue and slow pulse. Treatment: strengthen the spleen and warm the kidney, promote diuresis and eliminate fat.

Prescription: Gui You Pills. Radix Rehmanniae Preparata 9g, Rhizoma Dioscoreae 9g, Fructus Corni 9g, Semen Cuscutae 10g, Radix Aconiti Lateralis Preparata 9g, Cortex Cinnamomi 1.5g, Fructus Psoraleae 10g, Radix Stephaniae Tetrandrae 10g, Herba Epimedii 10g, Rhizoma Curculiginis 10g and addition and subtraction. For people with thin stools, 9 grams of He Zi, 9 grams of halloysitum rubrum 10, and 9 grams of cooked ginger are added; 30g of Semen Plantaginis and Alismatis Rhizoma12g are added for swelling patients; For those with indifferent sexual desire, add Cynomorium songaricum 10g, Morinda officinalis 10g, and remove cinnamon. Third, the spleen and stomach are hot: the spleen and stomach are hot, eat more and drink more, and the cereal is greasy and stagnant, leading to obesity. Obesity, reddish complexion, dry mouth, constipation, noisy hunger, eating and drinking more, Huang Chi in urine and dry stool. The fur is thin and yellow, the tongue is red, and the pulse is slippery. Treatment: Prescription for nourishing stomach, clearing heat, invigorating spleen and eliminating fat: Shashen Maidong Decoction. Adenophora adenophora 15g, Ophiopogon japonicus 15g, Polygonatum odoratum 9g, mulberry leaf 9g, trichosanthin 12g, raw lentils 15g, raw licorice 5g, cassia seed 15g, ebony 9g and immature bitter orange1. Addition and subtraction: for those who are good at eating obesity, add 30 grams of raw hawthorn, 0/5 grams of Sophora flavescens/KLOC-and 30 grams of raw gypsum; For those who eat more constipation and abdominal distension, add 6 ~ 9g of raw rhubarb (lower back) and remove dark plum.

Fourth, qi stagnation and phlegm coagulation: depression lasts for a long time, the liver loses qi, the qi is not smooth, the spleen is invaded, and the syndrome of dehydration and dampness is endogenous and stagnated in qi, and it stays in the limbs and causes obesity. Obesity, always depressed, warm breath, flatulence after meals, disordered stool, premenstrual breast pain, less menstrual flow, abdominal distension, and sometimes throat diseases. The fur is thin and white, the tongue is dark and the pulse is slippery. Treatment: regulating qi and promoting blood circulation, resolving phlegm and eliminating fat.

Prescription: Tiaoqi Huoxue Qu Zhi Decoction (proven prescription). 20g of Saviae Miltiorrhizae Radix, 9g of Rhizoma Cyperi preparata, 0/5g of Semen Cassiae/kloc-,0/2g of Radix Rehmanniae, 0/5g of Fructus Crataegi/kloc-,0/2g of Fructus Chaenomelis/kloc-,0/2g of Radix Stephaniae Tetrandrae, 0/2g of Rhizoma Alismatis/kloc-,9g of Rhizoma Chuanxiong, 9g of Carthami Flos, and 0/0g of Lithocarpus chinensis. Addition and subtraction: For patients with obvious phlegm, add Danxing 12g, Rhizoma Atractylodis 10g, Coicis Semen 12g, and dry the ground; For patients with abdominal distension after menstruation, Pollen Typhae 15g and Rhizoma Corydalis12g are added; Before breast distension, add 9 grams of Bupleurum, 9 grams of Radix Curcumae, or 9 grams of Zagreb in August. Chinese patent medicine treatment

1, Guipi Pill, 4.5g, taken twice a day. Used for patients with spleen deficiency and phlegm-dampness.

2, Gui You pills twice a day, 4.5 grams each time, swallowed. It is used for patients with spleen and kidney yang deficiency.

3, orange juice stagnation nine times a day, 4.5 grams each time, swallowed. It is used for constipation due to stomach heat or constipation due to qi stagnation and phlegm stagnation.

4, Xiaoyao Pill twice a day, 4.5 grams each time, swallowed. Used for premenstrual breast expansion. People with poor menstrual flow can take motherwort cream at the same time.

5, Golden Whip Kidney Pill twice a day, 4.5 grams each time, swallowed. It is used for patients with spleen and kidney yang deficiency. Unilateral treatment: 1, raw hawthorn 15g, lotus leaf 12g, * * * ground into fine powder, decocted in water for 3 times, concentrated juice, daily 1 dose, used as tea. You can also fry directly without grinding into coarse powder.

2, 30 grams of medlar, decoction, tea, morning and evening 1 time. Suitable for puffiness.

3. Lotus leaf 15g, plantain 30g, decocted in water, taken 1 time every morning after getting up and before going to bed at night, with 1 course of treatment for 30 days. Stop taking medicine for 2 weeks every 1 course of treatment and take 2-3 courses of treatment.

4. 30g of Plantago asiatica (Baojian), 30g of Rhizoma Atractylodis 1 2g, and 30g of Coix lachryma-jobi are decocted once a day, with three weeks as 1 course of treatment, and * * as three courses of treatment. Matters needing attention

1, pay attention to the calorie intake of food should not be too high, control the intake of carbohydrates and fats, and eat more protein or vegetables.

2. Take part in sports and physical labor properly to consume excess fat in the body.

3. When menopausal women find that their waistline is obviously increased, they must do gynecological examination and B-ultrasound examination to exclude ascites and swollen tumors caused by gynecological tumors.