The Research And Choosing Acupoints Methods Based On Midnight-Noon Ebb-Flow Therapy For Obesity With Spleen Qi Deficiency And Exuberant Dampness Type

ObjectiveObesity is a very common beauty problem in clinic at present.The topic of this research introduces how to choose acupuncture points in Midnight-noonebb-flow applied acupuncture therapy clinically.It is also about that observation and analyzing the effects of the Midnight-noon-ebb-flow applied acupuncture therapy clinically for spleen deficiency and abundant dampness type obesity.This type is often seen for middleage woman in China.Especially often seen with abdominal obesity,Abdominal obesity is known as walking dynamite,It is one of the most common adult diseases of modern society.Abdominal obesity is a particularly dangerous condition in comparison with the simple beauty problem.Many chronic diseases,such as hyperlipidemia,diabetes,high blood pressure,and cardiovascular diseases,especially carotid atherosclerosis,may also develop a number of cancers and increase the risk of dementia.So abdominal obesity means that it is medically dangerous status.Goal of treatment for abdominal obesity is not only address cosmetic surgery,but also inner metabolism and normal functioning of the internal organ(Zang-Fu).The treatment of obesity should focus on both inside and outside,so it should corresponds to the concept of treatment in Traditional Chinese Medicine.Obesity patient mostly have irregular life style it leads to imbalance between yin and yang,even zang-fu organs(5 elements).So that’s why choose in this topic of Midnight-noon-ebb-flow applied acupuncture therapy in TCM.Aspect of clinical significance,the most common pathogenesis of obesity caused by spleen deficiency and abundant dampness.In our modern society,people are exposed to cold,irritating,sweet,or convenient foods,and are exposed to all kinds of fatigue and stress easily,especially menopausal woman.Basically,the genuine cure for obesity must be approached by Traditional Chinese Medicine.To maintain good health,normalization of the inner organs and qi and blood is the most important issue.Obesity can not cure in short period.Midnight-noon-ebb-flow therapy is one of the most basic ancient acupuncture theory.I think the most effective treatment should approach to the basis.also should utilize in daily life.It means this therapy refers not only to treatment,but also to an obesity treatment regimen that can be used in daily life.because that way(treatment+regimen)helps normalize the Zang-fu organs and qi-blood and can directly help maintain healthy conditions effectively.MethodsFrom March 2020 to December 2020 at the first heart hospital 66 patients with spleen deficiency and dampness type obesity were divided into treatment and control groups according to random number method.Both group execute that WHO guideline for obesity patient.(WHO,The Asia-Pacific perspective redefining obesity and its treatment 2000 February参考)This guideline is composed of set the realistic goal,dietary guideline,physical activity guideline,behaviour guideline.behaviour guideline is let patient write obesity diary.WHO guidelines for obesity treatments are implemented by patients following guidelines,fully explaining and understanding them,Check once a week.Explain the guidelines for obesity treatment,check your obesity diary and practice in real life.Only the treatment group was administered with Midnight-noon-ebb-flow applied therapy.Midnight-noon-ebb-flow applied therapy is composed of 5 principles.The contents of Midnight-noon-ebb-flow applied therapy is that first one is time-therapy;Second one is opening acupoint therapy;Third one of Zi-Wu-contradiction choosing acupoint therapy;fourth one is using the five transport acupoints;fifth one is acupoints associated time meridian which can remove dampness.All of methods is from Midnight-noon-ebb-flow therapy.1)Therefore,Spleen is related to snake time,9-11 am.so I determine to execute in snake time.2)According to opening acupoint theory of Ren—Du vessel therapy,In snake time,Fengfu(GV16)is opened.so I choose Fengfu(GV16).3)According to Zi-Wu-contradiction choosing acupoint therapy,when spleen get ill,choose opposite side of Luo point in triple energizer meridian,which is Waiguan(TE5).so I choose Waiguan(TE5).4)According to the five transport acupoints theory,In spleen deficiency type,earth point which is Taibai(SP3),fire point which is Dadu(SP2)are corresponded.so I choose both points.which are mother and routine point.5)In associated meridian’s point,patient also suffered dampnesss.So I choose Yinling quan(SP6)along Spleen meridian.In treatment group,Patient should be lateral position,and then apply disinfection process.Taibai(SP3),Dadu(SP2)apply direct insertion 0.5-1 cun with tonify manipulation.FengFu(GV16)apply oblique insertion 0.3-0.5 cun.Yinlingquan(SP9),Waiguan CTE5)both points apply direct insertion 0.5-1cun all.Take the needle at intervals of 10 minutes and leave it at 30 minutes.The treatment group administers tonify manipulation only for Dadu(SP2),Taibai(SP3)。It needs four times a week.(Monday,Tuesday,Thursday,Friday)Both group The WHO guidance time for all groups is the same once a week.Every Monday for once a week.The control group only operate the WHO guideline for obesity patient。8 weeks is one course of treatment,2 courses of consecutive treatment is entire treatment procedure;So,treatment of duration of all groups is 16 weeks all.After the course of treatment,Evaluate the Waist circumference(WC)and BMI count,obesity index and TCM symptoms before and after treatment.ResultsThe two baselines are in good condition,balanced in 2 groups,and it means that comparable(P>0.05).The age and sex of patients in two groups and the general clinical procedure of the treatment and control group.The comparison between the two groups showed no significant difference in general data(P>0.05).Therefore,it shown that there is a real comparability between the two groups.According to self-proportional statistical analysis,both groups BMI index,obesity index are decreased significantly,waist circumference decreased,even shown that decreased spleen deficiency and dampness type clinical symptoms.Improvement and statistical difference(indicates that both treatments can reduce symptoms of spleen deficiency and dampness.The waist circumference and BMI and obesity index of patients are reduced and the TCM clinical symptoms are relieved.Statistical comparisons of recorded data resulted in no significant differences(P>0.05),indicating that there was a real comparability between the two groups of patients.After four treatment courses,two independent samples were examined and analyzed,the weight loss,obesity index,waist circumference decreased.Spleen deficiency and dampness type clinical TCM symptoms also shown that improvement difference and declined according to statistical significance.The control group is P<0.05 according to count of BMI,waist circumference,obesity index,TCM symptoms result,which shown significant difference between the two groups of patients.BMI,obesity index,waist circumference,TCM symptoms are reported improvement of the symptoms between control group and treatment group.P<0.05 showed significant difference between the two groups.Treatment group(Midnight-noon-ebb-flow applied acupuncture therapy with WHO guidelines)have better clinical effects in comparison with control group(only conducted with WHO guideline).In the overall clinical efficacy evaluation,the total effective rate(92.93%)of the treatment group was better than that of the control group(64.45%).The difference is statistically significant.So,the treatment group was superior to the control group.There is always a comparison of treatment efficiency between the two groups clinical efficacy of Midnight-noon-ebb-flow applied acupuncture therapy is obvious.In addition,It even shown that the effect of relieving spleen deficiency and dampness symptoms.ConclusionFrom the results of this study,the Midnight-noon-ebb-flow applied therapy in treating spleen deficiency can not only effectively reduced waist circumference and BMI and obesity index but also relieve the symptoms of spleen deficiency and dampness in Traditional Chinese Medicine.It also has the advantages of acupuncture treatment,such as simple and easy to administered,little pain and good safety.Especially,I suggest that commonly used Obesity’s acupoints(Daimai,Tianshu,Zusanli,etc)are mixed with Midnight-noonebb-flow applied therapy’s acupoints,which is more effective in clinic.Also it can apply to other disease in the same way.It is suitable for clinical application.