The Important Role Of Viscera Is Discussed From The Differentiation Of Acupuncture And Moxibustion To Lose Weight And The Method Of Selecting Acupoints

Objective:Comparing literatures from the past ten years on acupuncture in the treatment of simple obesity with syndrome differentiation,syndrome type,affected body parts,and the law of acupoint selection.Additionally to study the acupoint selection rules of acupuncture and moxibustion in the treatment of simple obesity,as well as the syndrome types and matching rules of acupuncture and moxibustion using different syndrome differentiation methods.While also comparing literatures to provide reference and basis for clinical acupoint selection in treating simple obesity with different syndromes in the future.The theory of treating simple obesity with special acupoint Wangu is discussed to provide reference for the idea of treating obesity with the Wangu acupoint.Methods:From January 2007 to March 2018,China National Knowledge Infrastructure Weipu Periodicals and Wanfang Data Resource System were searched.The relevant literatures were retrieved using the subject words(obesity or simple obesity or weight loss)and the keyword words(acupuncture or electroacupuncture or moxibustion or acupuncture point bury line or acupoint injection or acupoint dressing).Then according to the artificial reading method,and inclusion and exclusion standards,the screening conformed to the requirements document.This paper summarizes the syndrome differentiation methods in these literatures,the syndrome types and acupoint matching of each method,the body parts and matching points of the treatment,as well as the acupoint selection rules of the main acupoints.Results:A total of 474 literatures meeting the requirements were included,consisting of 329 literatures on treatment according to syndrome differentiation and 45 literatures on treatment according to body parts.1.Methods of syndrome differentiation:The differentiation methods of acupuncture and moxibustion in treating simple obesity are the syndrome differentiation of viscera,eight principles,qi-blood-body fluid,channels and collaterals and triple-jiao.The syndrome differentiation of viscera was the most widely used treatment,accounting for 65.38%.It shows that syndrome differentiation of viscera is the core of many methods of syndrome differentiation.2.Syndrome types and acupoints based on syndrome differentiation of visceraThe syndrome and pattern differentiation of viscera was used 548 times.The first five types were spleen deficiency and dampness,spleen-kidney-yang deficiency,liver depression and qi stagnation,gastrointestinal real hot,stomach-heat and stomach-dampness resistance.This show that obesity is mainly related to spleen,stomach,liver,kidney,large intestine and small intestine.The first five syndrome types and matching points of this method are as follows:(1)Spleen deficiency and dampness:Yinlingquan,Fenglong,Pishu,Zusanli,Shuifen.(2)Spleen-kidney-yang deficiency:Shenshu,Pishu,Guanyuan,Taixi,Qihai.(3)Liver depression and qi stagnation:Taichong,Ganyu,Qimen,Yanglingquan,Xuehai.(4)Gastrointestinal real hot:Quchi,Neiting,Shangjuxu,Hegu,Zusanli.(5)Stomach-heat and stomach-dampness resistance;Quchi,Neiting,Shangjuxu,Fenglong,Hegu.3.Syndrome types and acupoints based on the eight principles of syndrome differentiationEight-principle syndrome differentiation was used 66 times.The four types of syndromes including yin deficiency with internal heat,deficiency syndrome,yang deficiency,and yin deficiency.Its matching points are mostly specific points related to spleen,stomach and kidney to nourish the body,and additional acupoints are used in Ren meridian.The first five syndrome types and matching points of this method are as follows:(1)Yin deficiency with internal heat:Sanyinjiao,Taixi,Ganyu,Shenshu.(2)Deficiency syndrome:Tianshu,Guanyuan,Shuifen,Zhongwan,Pishu.(3)Yang deficiency:Shenshu,Guanyuan,Qihai,Pishu,Tianshu.(4)Yin deficiency:Shenshu,Taixi,Fenglong,Futu.4.Syndrome types and acupoints based on syndrome differentiation of Qi-blood-body fluidThe syndrome differentiation of Qi-blood-body fluid was used 56 times.The first five types were phlegm-dampness resistance,qi stagnation and blood stasis,qi deficiency,internal damp-heat,and qi-blood deficiency.Among them,the most commonly seen syndrome type is phlegm-dampness resistance,"Spleen is the source of sputum",so its points are mainly specific points on the spleen and stomach meridians.The second is qi stagnation and blood stasis,where the points are mainly associated with the liver,spleen,kidney.Next is the qi deficiency syndrome,with acupoints being mainly associated with the spleen and stomach,including the Qihai point to regulate the spleen and stomach,and warm yang qi.These three syndromes accounted for 92.86%of the total.The first five syndrome types and matching points of this method are as follows:(1)Phlegm-dampness resistance:Fenglong,Yinlingquan,Zusanli,Zhongwan,Pishu,Quchi,Sanyinjiao.(2)Qi-stagnation and blood-stasis:Xuehai,Taichong,Sanyinjiao,Hegu,Tanzhong,Taixi,Ganshu.(3)Qi deficiency:Qihai,Tianshu,Zusanli,Daimai,Daheng,Pishu,Yinlingquan.(4)Internal damp-heat:Quchi,Xuehai,Taichong,Weizhong,Weishu,Jianyu,Geshu,Yinlingquan.(5)Qi and blood deficiency:Sanyinjiao,Guanyuan,Xuehai.5.Syndrome types and acupoints based on syndrome differentiation of meridians and collateralsThe syndrome differentiation of meridians and collaterals was used 86 times,and the first five types were stomach meridian,spleen meridian,Ren meridian,large intestine meridian and liver meridian.Spleen meridian and stomach meridian are the most common.The points on the spleen,stomach,liver and large intestine meridians are more specific points on the meridians,and the points used on Ren meridian are mostly related points for regulating spleen and stomach.The first five syndrome types and matching points of this method are as follows:(1)Stomach meridian:Tianshu,Zusanli,Fenglong,Liangmen,Huaroumen;(2)Spleen meridian:Daheng,Sanyinjiao,Yinlingquan,Xuehai,Shuidao,Guilai,Fenglong,Shangjuxu,Xiajuxu,Gongsun;(3)Ren meridian:Zhongwan,Qihai,Shuifen,Guanyuan,Xiawan;(4)Large intestine meridian:Hegu,Quchi,Janyu,Shousanli,Shanglian,Xialian;(5)Liver meridian:Taichong,Qimen,Ququan,Yinbao.6.Syndrome types and acupoints based on syndrome differentiation of triple-jiaoThere is only one article on trifocal syndrome differentiation.It uses the heart,lung,spleen,stomach,liver,kidney,and bladder related acupoints,regulates the triple-jiao,to smooth the triple-jiao,balance the human metabolism,harmonize qi and blood,adjust the viscera,so as to eliminate obesity.The syndrome types and matching points of this method are as follows:(1)Shangjiao:Danzhong,Zhigou,Feishu,Xinshu,Sanjiaoshu.(2)Zhongjiao:Tianshu,Pishu,Zhongwan,Fenglong.(3)Xiajiao:Shenshu,Guanyuan,Shuidao,Ganshu.7.Acupuncture treatments for obesity according to the body partsAmong the included literatures,45 involved treatment according to body parts.The top five body parts are the thigh,abdomen,calf and upper limb.The points on the thigh and abdomen are mostly the points of spleen and stomach meridians,and points of the Ren meridian are also used on the abdomen.Most of the points on the calf are specific points of spleen and stomach meridians.Most of the acupoints on the upper limb are specific points of large intestine meridian.Most of the acupoints on the waist are mostly acupoints of the gallbladder meridian.The buttocks are mostly acupoints of bladder meridian.The back is all the bladder meridian’s Beishu points.The body parts and points are as follows:(1)Thigh:Futu,Biguan,Xuehai,Fengshi,Yinmen.(2)Abdomen:Xiawan,Guanyuan,Fujie,Daheng,Tianshu,Zhongwan,Shuidao,Huaroumen.(3)Calf:Zusanli,Yilingquan,Sanyinjiao,Xiajuxu,Fenglong.(4)Upper limb:Quchi,Jianyu,Binao,Shousanli,Hegu,Naohui.(5)Waist:Daimai,Fengshi,Weidao,Wushu,Daju,Zhishi,Yaoyangguan,Ciliao.(6)Buttocks:Baihuanshu,Huantiao,Chengfu,Ciliao,Zhibian.(7)Back:Pishu,Weishu,Shenshu,Feishu,Geshu,Ganshu,Danshu,Qihaishu.8.Rule of main points of acupuncture and moxibustion in the treatment of simple obesityMain points mentioned more than 20 ti:mes,a total of 27,are Tianshu,Zhongwan,Zusanli,Daheng,Fenglong,Qihai,Guanyuan,Sanyinjiao,Yilingquan,Daimai,Shuifen,Huaroumen,Shuidao,Xiawan,Wailing,Pishu,Quchi,Liangmen,ShangjuXu,Weishu,Liangqiu,Fujie,Zhigou,Dachangshu,Daju,Yinjiao,Shenshu.The main points on the meridians and involve the other eleven meridians and the Ren and Du meridians besides the heart meridian.The most common meridians of the main points are stomach meridian,spleen meridian,Ren meridian,bladder meridian,gallbladder meridian,and large intestine meridian.Furthermore,the points of Daimai of the gallbladder meridian,Quchi of the large intestine meridian and the Zhigou of the triple-jiao meridian are used more often.The main points located on the abdomen,lower extremities(especially the calf),and the back and upper limbs were used more frequently,while the locations on the back including the Beishu points,the buttocks,and head and the chest are used less.The specific acupoint attributes of the main acupoints are used most frequently in Mu,He,Bahui and Beishu.We can find that the specific points related to viscera play an important role in the treatment of simple obesity.9.Treatment of simple obesity with Wangu point as main pointWangu as the main point for the treatment of simple obesity,with a good effect,and the basic theory of its treatment of simple obesity is discussed.Conclusion:Treating obesity with acupoint selection based on syndrome differentiation requires not only treatment based on syndrome differentiation,but also overall adjustment to achieve good weight loss results.Syndrome differentiation of viscera more commonly used for acupuncture treatment of simple obesity.The most common syndrome types of the eight cardinal principles of syndrome differentiation are yin deficiency and internal heat,deficiency syndrome,yin deficiency and yang deficiency,among which yin deficiency and internal heat is caused by kidney yin deficiency and liver yang hyperactivity,and the other three syndromes are related to spleen and kidney deficiency.The most common syndrome types of qi-blood-body fluid of syndrome differentiation are Phlegm-dampness resistance,qi stagnation and blood stasis,internal damp-heat,deficiency of qi and blood,most of which are caused by deficiency of yin,yang,qi and blood of spleen,stomach,liver and kidney.The syndrome types of syndrome differentiation of meridians and collaterals are mainly the stomach meridian,spleen meridian,large intestine meridian,liver meridian and so on.Triple-jiao syndrome differentiation is used to treat simple obesity by regulating the internal organs of triple-jiao.It can be seen that the superficial causes of simple obesity are caused by the imbalance of Yin and Yang,qi stagnation,phlegm turbidity and blood stasis,and qi deficiency.Although the internal causes are mostly caused by the dysfunction of viscera,which are mainly related to the spleen,stomach,liver,kidney and large intestine.In the treatment by body parts,most of the acupoints taken from each part are related points of viscera to regulate the function of viscera to treat obesity.Wangu point can regulate the function of the small intestine,dispel dampness and regulate defecation,and promote the waste to expel from the intestines,so as to treat simple obesity.