Wu Bo, Liu Zhi-Cheng, Xu Bin
Zhongguo Zhen Jiu. 2014 Dec;34(12):1151-5.
To explore the efficacy and effect mechanism of the combined therapy of acupuncture and tapping method in the treatment of obesity and hyperlipidemia of liver qi stagnation and spleen deficiency pattern in the patients.
One hundred and four female patients were randomized into a combined therapy of acupuncture and tapping (combined therapy group) group method and an acupuncture group, 52 cases in each group. In the acupuncture group, acupuncture was applied to Qimen (LR 14), Taichong (LR 3), Zhangmen (LR 13), Taibai (SP 3), Zusanli (ST 36), Geshu (BL 17), Ganshu (BL 18), Pishu (BL 20), etc. In the combined therapy group, on the basis of acupuncture treatment, the tapping method with plum blossom needle was used at each acupoint. The treatment was given once every two days, continuously for 3 months in the two groups. The indices were observed, including the obesity indices, such as body mass, body mass index (BMI), body fat percentage (F%) and obesity degree (A); the blood lipid levels such as total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL); the fat-islet axie relevant indices such as fasting plasma glucose (FBS), fasting leptin (FLP), fasting insulin (FINS), insulin sensitive index (ISI), insulin resistance in- dex (Homa IR), insulin secretion index (Homa-β) and autonomic nerve function index (Y value) before and after treatment in the patients of two groups. The efficacy was compared between the two groups.
The total effective rates were 96.2% (50/52) and 84.6% (44/52) in the combined therapy group and the acupuncture group respectively, without significant difference in comparison (P > 0.05). Obesity indices, blood lipid indices, fat-islet axie relevant indices and autonomic nerve function indices were all improved after treatment as compared with those before treatment in the two groups (P < 0.01, P < 0.05), and the improvements in the combined therapy group were much more significant (P < 0.01, P < 0.05).
The combined therapy of acupuncture and tapping method achieves the double effects of weight loss and lipid loss in the treatment of obesity combined with hyperlipidemia. The effect mechanism is possibly related to the positive regulations of blood glucose, lipid metabolism and fat-islet axie in the patients.
探讨针刺联合叩刺法治疗肝郁脾虚型肥胖症及高脂血症患者的疗效及作用机制。
将104例女性患者随机分为针刺联合叩刺（联合治疗组）组和针刺组，每组52例。针刺组针刺期门（LR 14）、太冲（LR 3）、章门（LR 13）、太白（SP 3）、足三里（ST 36）、膈俞（BL 17）、肝俞（BL 18）、脾俞（BL 20）等穴位。联合治疗组在针刺治疗的基础上，于各穴位采用梅花针叩刺法。两组均每两天治疗1次，连续治疗3个月。观察两组患者治疗前后的肥胖指标，如体重、体重指数（BMI）、体脂百分比（F%）和肥胖度（A）；血脂水平，如总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白（LDL）和高密度脂蛋白（HDL）；脂岛轴相关指标，如空腹血糖（FBS）、空腹瘦素（FLP）、空腹胰岛素（FINS）、胰岛素敏感指数（ISI）、胰岛素抵抗指数（Homa IR）、胰岛素分泌指数（Homa-β）和自主神经功能指数（Y值）。比较两组疗效。
联合治疗组和针刺组的总有效率分别为96.2%（50/52）和84.6%（44/52），比较差异无统计学意义（P＞0.05）。两组治疗后肥胖指标、血脂指标、脂岛轴相关指标及自主神经功能指标均较治疗前改善（P＜0.01，P＜0.05），且联合治疗组改善更显著（P＜0.01，P＜0.05）。
针刺联合叩刺法治疗肥胖合并高脂血症具有减肥降脂双重作用。其作用机制可能与对患者血糖、脂质代谢及脂岛轴的正向调节有关。
