Clinical Study on Treatment of Obesity of Gastrointestinal Excessive Heat by Puncturing Acupoints of Stomach Meridian

目的讨胃经穴在胃肠实热型肥胖症治疗中的作用.方法51例胃肠实热型肥胖症患者随机分为两组,治疗组以胃经取穴为主,对照组采用俞募配穴法取穴.隔日治疗1次,1个月为1个疗程,共治疗3个疗程.观察患者的症状、体征的变化,测量治疗前后的肥胖指标及血瘦素、血脂、血糖、ACHE等实验室指标.结果与对照组相比,胃经组可显著减少各项肥胖指标(P＜0.01);改善肥胖患者的高瘦素血症(P＜0.05)和脂代谢紊乱(P＜0.05);逆转肥胖患者的副交感神经功能亢进的失衡状态(P＜0.05).结论经穴位可以作用于肥胖发生和发展的多个环节,是治疗胃肠实热型肥胖症的关键而有效的选穴.

Clinical study on treatment of obesity of gastrointestinal excessive heat by puncturing acupoints of stomach meridian

Objective To investigate the function of the acupoints of the stomach meridian inthe treatment of obesity of gastrointestinal excessive heat. Methods Fifty-one cases of the patients with obesity of gastrointestinal excessive heat were randomly allocated into two groups. The acupoints of the stomach meridian were mainly selected for the treatment group (A), and the combination of Back-Shu and Front-Mu points were used for the control group (B). The treatment was given once every other day, with one month as a course, 3 courses in total, to observe the changes in the symptoms and signs of the patients and to determine the obesity index before and after treatments and the experimental indexes such as leptin, blood lipids, blood sugar and ACHE. Results In comparison of the control group, various obesity indexes could be significantly reduced (P<0.01), hyperleptinemia and fat metabolic disturbance could significantly improved (both P<0.05) and the imbalance status of the parasympathetic hyperfunction could be significantly reversed (P<0.05) in the patients with obesity in the treatment group. Conclusion The stomach-meridian acupoints can function on many rings in the occurrence and development of obesity and are key and effective acupoints for obesity of gastrointestinal excessive heat. Author: BAI Ya-ping (1980–), female, physician, MM