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The Clinical Research Of The Traditional Chinese Medicine Preparation And The Electric Needle Stimulates, Separately And Amalgamatively, Treating The Single Obesity

Posted on:2007-04-06Degree:DoctorType:Dissertation
Country:ChinaCandidate:X N WangFull Text:PDF
GTID:1104360185452466Subject:Integrative Medicine clinical basis
Abstract/Summary:PDF Full Text Request
Obesity can cause many kinds of metabolic disorder,the lipid metabolic disorder is one of them. There are many kinds of close connections between every one of metabolic disorders, and the backgrounds are similar. The metabolic syndrome is a typical example.The reason of obesity is connecting to the active fat cell participate in the process of lipid metabolism, the fat cell can secrete many kinds of physically active materials, acts on the organism, give play to the physiological function or cause the pathology state. Find from the level of fat of blood while studying the fat physique and fat metabolic disorder dependence , the appearance frequency of the hypertriglycemia, hypercholesterolsemia, low HDL-C(high density lipoprotein cholesterol), etc. rises with rising of BMI. While studying fat distributing and high fat blood disease relation further, this trend is more obvious. Namely the visceral fat accumulate can cause the high fat blood disease , especially the rising of the glyceride is most obvious among all .At present, the obesity therapy is the focus that the whole society pays close attention to, the treatment method includes dietetic treatment , kinesiatrics , medicinal treatment , operation treatment , etc. Among them the medicinal treatment of Western medicine and operation treatment produce complications and side effects numerously, bring the difficulty to the treatment, so develop the application according to traditional Chinese medicine theory with relatively small side effect and method treatment means has become realistic needs. In the obesity research field using Chinese medicine treatment at present, the most common methods are traditional Chinese medicine medication, ear acupuncture, massage, massage and traditional Chinese medicine vapour or shower, etc., these methods have shown good curative effect in the treatment of the obesity. Medicine and acupunctureand moxibustion of traditional medical science , is lots of overweight persons that turn to one of the methods for help, because it is simple , convenient and economic , patient "s acception is high , such advantages as side effect and complication are less of degree, it is rather popular to imitate one. But its relevant clinical research, has not mostly unified, lacked a large amount of scientific experimentation materials without setting up the contrasting group and the clinical curative effect standard, that is to say that most acupuncture and moxibustion methods reduce weight in the clinical report, confine to simply curative effect and observe report, and too many to make the relation research between the acupunctures and medicines . In order to understand the curative effect to the overweight person of acupuncture and moxibustion and traditional Chinese medicine preparation tentatively, and prevent the curative effect standard from not unifying, lacking the scientific experimentation materials , I design this research, by a randonu contrast preliminary clinical experiment mainly ,the study objects are the obese patients in my institute of clinic .Hope with this preliminary clinical experiment , to understand the curative effect whether the electric needle stimulations of traditional medical science and the traditional Chinese medicine preparation can reduce body weight and reduce the blood fat to the overweight person or not, and assess traditional medical science' s ability to do some good to patient. Hope to find the best treating scheme for simple obesity patient and establish the foundation of obesity therapy in the future1 Literature verifyThrough Chinese medicine ancient book verify, Chinese medicine to obesity cause of disease pathogenesis thinking is that, The kidney is the congenital foundation, storage the energy essence, having the Yuanying Yuanyang, if the kidney empty then the life gate fire fades, cannot support the stomach and spleen to vapor the fluid and foods, transportation is out of duty, the water fluid metabolism abnormally sends the phlegm wet mastic and grease silt to tie to the body flesh, sends for is obese. Body shape of obese or slim is influence by congenital abilities. (Lingshu ? disorder of weiqi chapter)) pointed out that, The person has fat, has the paste, has the meat ". This generally speaking this sickness which pointed out with the modern medicine has the heredity tendency to tally. The Chinese medicineis mostly wet to the obesity pathogenesis with the phlegm obstruction inside has the obvious relations. The phlegm is the wet from the cloudy Tianjin water fluid rnelts. The spread of the Tianjin water fluid needs the spleen -> the kidney and the lung' s handling mediation and the liver sparsely releases . From this, the phlegm wet formation with internal organs the and so on the spleen, ^kidney, lung, liver function has the close relation, In these four internal organs the spleen and the kidney function are most important. The spleen kidney functionis out of balance the main pathology foundation which is obese forms. Aftermiddle age, the human body physiological function is weaker gradually, the lipin metabolism is out of balance, the activity reduces, sit long and move less, so that the body is gradually obese. Therefore this clinical research is the limitation scope for the spleen weakness wet anti- pure obese patient.Clinical researchThis research, by at random, contrast way go on , research things timid wet hindering type the main research object with spleen for fat patient , our institute of clinic mainly.Purpose :Hope with this preliminary clinical experiment , to understand the curative effect whether the electric needle stimulations of traditional medical science and the traditional Chinese medicine preparation can reduce body weight and reduce the blood fat to the overweight person or not, and assess traditional medical science' s ability to do some good to patient. Hope to find the best treating scheme for simple obesity patient and establish the foundation of obesity therapy in the future . Target :Study objects rely mainly on obese patient in my clinic in Taiwan, Separate into A, B. C three groups , every groups each collect to 20 patients, amounts to about 60 patients in order to study the things. Adopt randomized, positive controlled clinical trail: Divided into three following groups in random way: A group ( simply electric needle stimulate treating group), B group (treat group of traditional Chinese medicine preparation ), C group (amalgamate treat group of electric needle stimulate and the traditional Chinese medicinepreparations).2 Treat the wayAssign for group A and group C person, accept the amazing electric needletwo times regularly every week, 40 minutes each time for 6 weeks;Assign group B and group C person, have to see and examine , to get traditional Chinese medicine preparations once every week , take medicine before meal, three times a day .2 Include in the standard:"The combining traditional Chinese and western medicine to diagnose of simple obesity" consulting the third obesity and is studied and made at the academic meeting, "persons who choose to accord with the simple fat diagnostic standard" of curative effect standard. l.The body mass index (BMI ) is 25;2. fat percentage (F% ) iï¿¡ 30%;3. Fat degree (% ) =ï¿¡20%;4. Male' s waist hip ratio (WHR ) SO. 90;woman' s waist hip ratios 0.8;5. The dialectical dividing type of Chinese medicine, for the empty wet holding type of spleen.6. consciousness is clear that participates in the persons who plan and finish signing the letter of consent of the test for the wish3 Observe the indexIncluding 3. 1 Fat index (include weight , fat degree , body mass index)3.2 Measurements of the chest , waist and hips (include the bust , waistline , buttocks)3.3 The fat of blood is checked Including three acid glyceride (TG ) , the total cholesterol (TC ) , , HDL (HDL-C )3. 4 Blood sugar of empty stomach (GLU)3. 5 Thyroxine (T4 )4 Experiment method4. 1 The weight-reducing traditional Chinese medicine preparation is adopted and connected with the experience side of sincere professor of Lian zhi-cheng: Rely mainly on the fact that the etiology of obesity is the empty wet hinderingtype of spleen. CompositionTaichi shen 15g Bei Huang Gi 15g Hoelen Pi 30g ZiSu Guon 12g Zhulen 12g Jershey 12g Mai Don 12g Chize Shao 12g Don Shen 12g4. 2 The procedure of operating the electric needle stimulates and the choice of regulation and control of the acupuncture points.Belly point: The chosen points are mainly pass through at waist point of belly to be for main fact which vital energy circulates , including Zin meridian > kidney meridian ^ stomach meridian * spleen meridian ^ gallbladder meridian . ( Tianshu, Daheng, Zhongwan, Guanyuan, Shuifen, Siman, Qihai are most important;The points for both sides of waist are belong to the gallbladder meridian, for example , Daimai, Wushu, Weidao). All points leave forty minutes with needle, belly points add electric current stimulates with electric needle machine among themResult1. Under comparing with treated before and after all these three groups' fat degree and body mass index, shows obviously difference in data, every group obviously reduces after receiving treatment. And under comparing in three groups of fat degree , changing amount of body mass index, there is confidence difference showing, an electric needle amalgamates the traditional Chinese medicine preparation and treats the group =The simple electric needle stimulates and treats the group > The simple traditional Chinese medicine preparation treats the group.2. Under comparing with treated before and after all these three groups' cholesterol, Triglyceride , HDL shows obviously difference in data, every group obviously reduces after receiving treatment.3. Under comparing with treated before and after all these three groups' HDL shows obviously difference in data, every group obviously rises after receiving treatment.4. Impact on measurements of the chest, waist and hips in changing in figure behave as follows, three group of bust, waistline, buttockses with under comparing after treating and before not treating, all having difference of showing, every group obviously drops after receiving treatment.5. Respect of rate of buttocks of waist (WHR ) : Three groups of waist buttocksall have difference of showing than under comparing with treated before treating, every group obviously drops after receiving treatment. 6. The comparisons of weight lose effections, like sex ratio, ocupation> age, show: Different sex, different jobs, different age levels, different height has no difference in reducing body weight. Height, age and the total lightening amount of the weight not relevant.ConclusionIt is effective in cure to the simple obese patient wethertreated with the electric needle stimulate or treated with the traditional Chinese medicine preparation, or the electric needle amalgamates the traditional Chinese medicine preparation .and it shows treated with the simple electric needle stimulates and treated the electric needle amalgamates the traditional Chinese medicine preparation produces effects than the simple traditional Chinese medicine preparation fast. Clinical experimental result show three group of fat degree , body mass indexes before not treating with under comparing after treating, all having difference of showing, every group obviously reduces after receiving treatment. It is 4.5417 that the weight changes the total average , reach the effective standard.Compare three groups of fat degree , changing amount of body mass index separately, there is difference of showing , is relatively found afterwards , there is difference of showing among group B and group C by Scheffe law, so on the fat result of treatment of index, the simple electric needle stimulates and treats the group -The electric needle amalgamates the traditional Chinese medicine preparation and treats the group > The simple traditional Chinese medicine preparation treats the group. It is 4.405 (kg ) that the weight of group A drops the average , reach the effective standard;It is 3.255 (kg) that the weight of group B drops the average , reach the effective standard;It is 5.965 (kg ) that the weight of group C drops the average , reach the standard which shows the result.
Keywords/Search Tags:Metabolic syndrome, simple obesity, lipid metabolic disorder, electric needle stimulat, the weight-reducing traditional Chinese medicine preparation
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