The syndrome differentiation for this disease is mainly to determine which is predominant: principal deficiency or secondary excess. Accumulation of heat in the spleen and stomach, internal retention of phlegm and stagnation of qi and blood are characteristic of secondary excess, while dysfunction of the spleen in transportation and transformation, deficiency of spleen yang and kidney yang are typical of principal deficiency. The treatment is based on the principle of supporting healthy qi and eliminating pathogenic factors. The following methods can be adopted accordingly: recuperating and invigorating the spleen and kidney, dispersing the stagnated liver qi and gallbladder qi, dissipating dampness and eliminating phlegm, promoting diuresis to remove blood stasis, promoting digestion and purging fu-organs.
Five therapeutic methods for obesity in TCM
Accumulation of Heat in the Spleen and Stomach
Therapeutic Methods: To purge stomach fire and promote digestion as the auxiliary treatment.
Dysfunction of the Spleen in Transportation
Therapeutic Methods: To invigorate the spleen, benefit qi, promote diuresis and eliminate dampness.
Internal Retention of Phlegm
herapeutic Methods: To dry dampness, resolve phlegm, regulate qi and eliminate mass.
Deficiency of Spleen Yang and Kidney Yang
Therapeutic Methods: To warm and tonify the spleen and kidney, induce diuresis and relieve fluid retention.
Qi Stagnation and Blood Stasis
Therapeutic Methods: To activate blood circulation and dissipate blood stasis.