Liu Z C, Sun F M, Shen D Z
Dept. of Acupuncture & Moxibustion, Nanjing College of TCM.
Zhong Xi Yi Jie He Za Zhi. 1991 Feb;11(2):83-6, 67-8.
The authors observed the changes of the obesity index, lipid index, the equilibrium indices of the vegetative nervous system (Y value) and the plasma cAMP of 46 cases of simple obese before and after acupuncture. Of 46 cases, 39 were of the non-sthenia of liver-Yang (group 1) and 7 of the sthenia of liver-Yang (group 2). It was found that the sympathetic nervous function of the patients in group 1 was markedly higher than the normal. In both of them, the lipid metabolism was abnormal and the content of cAMP in plasma was significantly lower than the normal. The marked effects were achieved on the cases which received one course of treatment (1 month) by acupuncture, the total effective rate being 84.8%. The acupuncture brought about not only antiobesity effect but biphase changes on the blood pressures and Y value as well, that is, acupuncture raised the blood pressures and Y value of the patients in group 1 but reduced the blood pressures and Y value of the patients in group 2. In addition, acupuncture brought about good regulation effect on lipid metabolism and plasma cAMP of patients. This suggests that the regulation effect of acupuncture on plasma cAMP of patients with simple obese might be an important link by which antiobesity effect may be achieved.
作者观察了46例单纯性肥胖患者针刺前后肥胖指数、血脂指数、自主神经系统平衡指数（Y值）及血浆环磷酸腺苷（cAMP）的变化。46例患者中，39例为肝阳不亢型（1组），7例为肝阳上亢型（2组）。发现1组患者的交感神经功能明显高于正常。两组患者均存在脂质代谢异常，血浆cAMP含量明显低于正常。对接受一个疗程（1个月）针刺治疗的患者取得了显著疗效，总有效率为84.8%。针刺不仅产生了减肥效果，而且对血压和Y值产生了双相变化，即针刺使1组患者的血压和Y值升高，但使2组患者的血压和Y值降低。此外，针刺对患者的脂质代谢和血浆cAMP有良好的调节作用。这表明针刺对单纯性肥胖患者血浆cAMP的调节作用可能是实现减肥效果的重要环节。
