Yan Run-hu, Liu Xiao-ming, Bai Jie, Hou Bin-bin, Yu Jiang, Gu Jin-song
College of Cosmetic Medicine, Research Institute of Integrated Traditional and Western Medicine, Dalian Medical University, Dalian, Liaoning Province, 116044, China.
Chin J Integr Med. 2015 Aug;21(8):594-600. doi: 10.1007/s11655-012-1215-7. Epub 2012 Dec 3.
To observe the clinical effificacy of treatment with catgut implantation at acupoints on simple obesity.
Following the theory of Chinese medicine (CM), pattern identification (PI) and treatment was based on the patient's symptoms and signs. Patients were observed during three courses and one year following treatment through self-comparison before and after six or seven acupoints catgut implantation. Obesity was divided into fifive types based on PI: (1) Stomach (Wei) and Intestine excess-heat, (2) Spleen (Pi) defificiency and phlegmwet stagnancy, (3) Liver (Gan)-qi stagnation, (4) Spleen-Kidney (Shen) yang deficiency, and (5) Liver-Kidney yin defificiency. Changes in the following measurements were recorded in 820 patients: body weight, body girth, skinfold thickness, body mass index (BMI), fat percentage (F%) and waist/hip ratio (WHR) and in the following blood values: leptin (LP), insulin (INS), blood lipids, fasting blood sugar (FBS), and insulin sensitive index (ISI) before and after the treatment. Values were compared with those of healthy controls (normal group).
Catgut implantation showed effificacy with all fifive types of obesity. Effificacy was greater in males than in females. There was no signifificant difference between the different types by Kruskal-Wallis H test, but the effect was best and of the highest number in patients with Stomach and Intestine excess-heat. Skin-fold thickness, body weight, waist circumference, F%, BMI, and WHR in all 820 cases decreased after treatment (at 90 days and one year), with signifificant differences before and after treatment (P<0.01). Improved metabolism of blood lipids was also seen. Following treatment, LP, INS, and FBS decreased signifificantly (P<0.01) and ISI increased signifificantly (P<0.05).
Catgut implantation at acupoints provided effective and persistent results, convenience, safety, painlessness, and prolonged effect with no side effects, resulting in reduced body weight and fat and improvement in body shape.
观察穴位埋线治疗单纯性肥胖症的临床疗效。
依据中医理论，根据患者症状和体征进行辨证论治。通过对820例患者在六七个穴位埋线治疗前后及治疗后三个疗程、一年的自我对照观察。根据辨证将肥胖分为五种类型：（1）胃肠实热型，（2）脾虚痰湿型，（3）肝郁气滞型，（4）脾肾阳虚型，（5）肝肾阴虚型。记录820例患者治疗前后体重、体围、皮褶厚度、体重指数（BMI）、脂肪百分比（F%）、腰臀比（WHR）以及瘦素（LP）、胰岛素（INS）、血脂、空腹血糖（FBS）、胰岛素敏感指数（ISI）等血液指标的变化，并与健康对照组（正常组）进行比较。
穴位埋线对五种类型肥胖均有疗效，男性疗效优于女性。经Kruskal-Wallis H检验，不同类型间无显著差异，但胃肠实热型患者疗效最佳、例数最多。820例患者治疗后（90天及一年时）皮褶厚度、体重、腰围、F%、BMI、WHR均下降，治疗前后差异有统计学意义（P<0.01），血脂代谢也得到改善。治疗后LP、INS、FBS显著下降（P<0.01），ISI显著升高（P<0.05）。
穴位埋线疗效确切且持久，具有方便、安全、无痛、作用时间长、无副作用等优点，可减轻体重和脂肪，改善体型。
