Main Perspectives of Traditional Chinese Medicineon Weight Issues
In traditional Chinese medicine (TCM), weight issues are not merely a matter of fat accumulation or weight gain but are seen as external manifestations of internal functional imbalances. TCM views both excessive and insufficient body weight as results of internal disharmony, often linked to the spleen and stomach functions, the circulation of qi and blood, liver and spleen regulation, and the accumulation of dampness, heat, and phlegm.
1.Spleen Deficiency with Dampness Obstruction:
- Weight Gain: TCM believes that the spleen governs the transformation and transportation of fluids. When the spleen is deficient, fluids are not properly metabolized, leading to retention in the body, which can cause obesity and edema. This may manifest as weight gain, a feeling of heaviness in the limbs, a strong appetite but fatigue, etc.
- Weight Loss: Spleen deficiency can also impair digestion and absorption, preventing nutrients from effectively being transformed into qi and blood, leading to weight loss, poor appetite, and a pale complexion.
2.Liver Qi Stagnation:
- Weight Gain: Emotional stress can cause liver qi to stagnate, disrupting the flow of qi and affecting the spleen and stomach’s digestive functions. This can lead to bloating, poor appetite, or binge eating, resulting in weight gain.
- Weight Loss: Chronic emotional distress can deplete qi and blood, causing weight loss, fatigue, and a lack of appetite.
3.Internal Accumulation of Phlegm-Dampness:
- Weight Gain: Phlegm-dampness results from the retention of fluids and poor metabolism, obstructing the circulation of qi and blood. This can lead to obesity, a feeling of heaviness, and dizziness. It is commonly seen in those who overeat rich, greasy foods.
4.Qi and Blood Deficiency:
- Weight Loss: Individuals with qi and blood deficiency often have a weak constitution, where nutrients fail to nourish the body adequately, leading to weight loss, weakness, and a pale complexion.
TCM Principles for Treating Weight Issues
TCM emphasizes regulating the functions of the internal organs, balancing yin and yang, and unblocking meridians to address weight issues. Specific treatment methods include:
- Differentiation and Treatment: Tailoring treatment plans according to the individual’s condition, such as strengthening the spleen and replenishing qi, soothing the liver and regulating qi, or eliminating phlegm and dampness.
- Acupuncture and Massage: Stimulating specific acupoints to regulate the flow of qi and blood, aiding in weight loss or gain.
- Herbal Medicine: Using appropriate herbal prescriptions to balance the body and improve constitution.
- Diet and Lifestyle Adjustments: Modifying dietary habits and lifestyle according to the individual’s constitution, incorporating moderate exercise, and improving daily routines.
Through these comprehensive approaches, TCM not only focuses on controlling weight but also on achieving overall health and balance within the body.
Herbs that are often utilized to address weight issues
- Fu Ling(Poria) : Strengthens the spleen, dispels dampness, and calms the mind. It is used in cases of weight gain to help eliminate excess dampness from the body and promote digestive function. Obesity due to spleen deficiency with excessive dampness.
- Chen Pi(Dried Tangerine Peel): Regulates qi, strengthens the spleen, and dries dampness while transforming phlegm. It can help improve indigestion, reduce bloating, and aid in weight control.
- He Ye(Lotus Leaf) : Clears heat, relieves summer-heat, and elevates clear yang. It aids in weight loss, particularly effective during the summer. Obesity with damp-heat and phlegm accumulation.
These herbs are usually not used alone but are combined into formulations tailored to the individual’s constitution and symptoms to achieve better therapeutic results. It is recommended to use Chinese herbal medicine under the guidance of a professional TCM practitioner to ensure safety and efficacy.