辨体减肥.ppt

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　　静 ,

　　心

　　则

　　自由

　　辨体减肥 Differentiation of losing weight in TCM

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　　心 静

　　什么是肥胖?

　　What is obesity?

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　　标题： 现代医学 Modern medicine

　　正文： 现代医学认为：肥胖分为单纯性和继发性两类。前者不伴有明显神经或内分泌系统功能变化，临床较为常见。

　　正文： Modern medicine considered that：Obesity is generally divided into two categories：primary and secondary obesity . The former is often seen in clinical practice with no obvious functional changes in the nervous or endocrine system.

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　　后者多伴有内分泌紊乱，多由于各种激素，尤其是胰岛素、性激素、肾上腺皮质激素、瘦素等分泌异常引起。

　　The latter is associated with endocrine disorders, due to a variety of hormones caused by abnormity, especially insulin, sex hormones, adrenal cortical hormone, leptin secretion.

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　　标题： 中医学 Traditional Chinese Medicine

　　正文： Analysis from visceral syndrome differentiation, obesity is related to the function of liver, spleen, kidney ,TCM theory considered that obesity is the result of qi dificiency and multi-phlegm due to innate endowment factors, overeating, as well as a long time lying fatness sedentary and less labor. Often accompanied with dizziness, fatigue, disinclination to talk, little action shortness of breath and other symptoms.

　　中医从脏腑辨证分析肥胖主要与肝、脾、肾三脏的功能有关，认为肥胖是由于先天稟赋因素、过食肥甘以及久卧、久坐、少劳等引起，常伴有头晕、疲劳、少气、懒言等其它症状。

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　　(Gp:) 如何区别实胖和虚胖How to distinguish between real fatness and puffiness

　　(Gp:) 肥胖的诊断标准Diagnostic criteria of obesity

　　万物归一 /simple

　　(Gp:) 肥胖的辨体施针Manipulation of needling in differentiation of obesity

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　　标题： 肥胖的诊断标准 Diagnostic criteria of obesity

　　正文： 世界标准 World Standards

　　分类 BMI 体重指数(kg/m2) 相关疾病危险度 正常范围 18.5-24.9 平均水平 超重 25-29.9 轻中度增高 肥胖 >30.0 严重增高

　　Classification Normal range Overweight Obesity

　　risk of Related disease Average level Mild to moderate increase Severe increase

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　　正文： 亚太地区标准 Asia-Pacific Standard

　　分类 体重指数(kg/m2) 相关疾病危险度 正常范围 18.5-22.9 平均水平 超重 23-24.9 轻度增高 肥胖 25-29.9 中度增高 严重肥胖 >30.0 严重增高

　　标题： 肥胖的诊断标准 Diagnostic criteria of obesity

　　Classification Normal range Overweight Obesity Severe obesity

　　risk of Related disease Average level Mild increase Moderate increase Severe increase

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　　标题： 腹型肥胖 Central obesity

　　正文： 体重指数正常或不很高 腹围： 男性大于101厘米 女性大于89厘米 或腰围/臀围比值 男性大于0.9 女性大于0.85 在判断胖与不胖和危害大小时，不仅要重视体重指数的高低,更要测量腰围的粗细。

　　正文： Normal or high body mass index Abdominal circumference： male≥101cm;female≥89cm Or waist / hip ratio： male≥0.9;female≥0.85 Note： When determining fatness or non-fatness and the severity of harm，not only pay attention to the level of the index, but also measure the thickness of the waist.

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　　正文： 肥胖分虚胖(中心性肥胖)和实胖(均一性肥胖)　　 Obesity concludes puffiness (central obesity) and real fatness(uniformity of obesity). 古人把肥胖分成肉人(实胖) 和膏人(虚胖)。 The ancients divided the Obesity into the meat obese body (real fatness) and the creamy body (puffiness).

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　　标题： 如何区别虚胖与实胖How to distinguish between real fatness and puffiness

　　正文： 虚胖 1.进食少 　　2.易疲劳 　　3.手脚易觉肿胀，下蹲时小腿肿胀感强烈 　　4.脸色偏白或泛青，怕冷汗少，多白痰 　　5.运动少，肌肉松弛 　　6.尿液颜色清淡 　　7.夜间多梦 (有3项以上符合就属于虚胖 体质)

　　正文： Puffiness 1 Impaired appetite 2 Fatigue 3 Edema of hands and feet, a strong sense of swelling in legs when squatting 4 White or cyan complexion, aversion to cold , less sweating, more white phlegm 5 Less exercise, muscle relaxation 6 Light urine. 7 Dream-disturded sleep ( match three or more items above, ,the physique belongs to puffiness.)

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　　正文： 实胖 1.多食易饥 2.易便秘,大便≤3次/周 3.外表多肉，结实 4.经常感到口干舌燥，多浓痰 5.脸色较红润 6.小便赤、浊、黄、深 7.易做噩梦

　　正文： Real fatness 1 Polyphagia，polyrexia 2 Easy constipation(stool ≤ 3 times / week) 3 Fleshy, firm appearance 4 Often dry mouth,thirst, more thick phlegm 5 Relatively rosy face 6 Reddish,turbid,brownish, dark urine 7 Nightmares

　　标题： 如何区别虚胖与实胖How to distinguish between real fatness and puffiness

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　　肥胖的辨体施针Manipulation of needling in differentiation of obesity

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　　正文： 主穴(腹八针)：中脘、关元或中极、滑肉门、 天枢、外陵 Acupoint Prescription(8 points of abdomen): Zhongwan(RN12),Guanyuan(RN4),orZhongji(RN3) ,Huaroumen(GB30),Tianshu(ST25),Wailing(ST26)

　　体针 Body Acupuncture

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　　正文： 脾虚湿滞： 肥胖浮肿、疲乏无力、肢体困重、尿少、纳差、腹满，脉沉细、舌淡苔腻。 取穴：水分、手三里、足三里、阴陵泉、丰隆、三阴交。

　　正文： Spleen deficiency and dampness stagnation: Obesity, edema, fatigue, weakness, body weight difficulties, oliguria, anorexia, abdominal fullness. The pulse thin and deep, the pale tongue with a greasy coating . Points：Shuifen(RN9) ，Shousanli(Li10)，Zusanli(ST36)，Yinlingquan(SP9)，Fenglong(ST40)Sanyinjiao(SP6)

　　配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity

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　　正文： 湿热内盛： 头目眩晕，头重，胸闷，食欲不振，呕恶痰涎，肢体困重，或见形体丰肥，或闭经，舌苔黄腻，脉滑 取穴：大横、腹结、四满、曲池、合谷、阴陵泉、丰隆、内庭

　　正文： Damp-heat Accumulation in the interior: Dizziness, headache, heavy head, chest tightness, palpitations, loss of appetite, nausea and vomiting phlegm, body weight difficulties, or the fat body, or amenorrhea, the yellow and a greasy coating,the slippery pulse. Points： Daheng(SP15)， Fujie(SP14)，Siman(KI14), Quchi(Li11)，Hegu(Li4)，Yinlingquan(SP9)，Fenglong(ST40)，Neiting(ST44).

　　配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity

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　　正文： 胃肠实热： 头晕、消谷善饥、肢重困楚、怠惰、口渴喜饮，舌红苔黄 腻、脉滑数。 取穴：大横、腹结、曲池、 支沟、合谷、丰隆、内庭。

　　正文： Heat Stagnation in the Stomach and Intestines: Dizziness,polyrexia, bodily heaviness, sloth, thirst with desire to drink. Slightly slippery pulse number,the red tongue with a yellow ,greasy coating,the slippery and rapid pulse. Points:Daheng(SP15),Fujie(SP14), Quchi(Li11),Zhigou(SJ6),Hegu(Li4),Fenglong(ST40),Neiting(ST44)

　　配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity

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　　正文： 脾肾阳虚：疲乏畏寒，腰酸腿软，阳萎阴冷，便溏、舌淡或淡紫或淡暗、脉沉细无力。 取穴：命门、肾俞、大赫、血海、足三里、阴陵泉、三阴交。

　　正文： Spleen and Kidney yang Deficiency : Fatigue, aversion of cold, soreness and weakness in the lower back and knees, impotence and cold scrotum,loose stool, the pale or lavender or turb tongue, deep ,thin and weak pulse. Points:Mingmen(Du4),Shenshu(BL23),Dahe(KI12),Xuehai(SP10),Zusanli(ST36),Yinlingquan(SP9),Sanyinjiao(SP6)

　　配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity

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　　标题： 配穴：依据辩证分型Acupoint Modifications: According to differentiation of obesity

　　正文： 肝郁气滞： 胸胁胀闷，胃脘痞满，月经不调或闭经，失眠多梦。脉细弦，舌苔薄，舌质暗 取穴： 太冲、行间、期门、蠡沟、曲泉、膻中

　　正文： Liver qi stagnation: Chest distress and epigastric distension， irregular menstruation or amenorrhea, insomnia， dream-disturded sl-eep，the string and thin pulse， the dark tongue with a thin coating. Points:Taichong(LR3)，Xingjian(LR2)，Qimen (LR14),Ligou(LR5)，Ququan(LR8)， Danzhong (RN17)

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　　正文： 取穴：口、食道、饥点、内分泌、脑、胃、脾、三焦、膀胱、小肠、交感、皮质下

　　正文： Points： Mouth, esophagus, hunger point, endocrine, brain, stomach, spleen, triple energizer, bladder, small intestine,thympath-etic, subcortex

　　耳针 Ear seeds pressing therapy

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　　刮痧 Scrapping

　　拔罐 Cupping

　　经络 Meridians

　　饮食 Dietary

　　标题： 其他方法 Other ways to losing weight

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　　谢谢 Thanks!