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中国医药导刊 ›› 2026, Vol. 28 ›› Issue (3): 350-353.doi: 10.1009-0959.2026.030011

• 临床医药 • 上一篇    下一篇

针药并举以补气通利法治疗肥胖症平台期的临床经验总结

赵玄骥1, 李彬2*, 徐前威3, 白延平1, 郗亚薇4   

  1. 1.宁夏回族自治区中医医院 / 宁夏回族自治区中医研究院,宁夏 银川 750021;
    2.首都医科大学附属北京中医医院,北京 100010;
    3.北京大学第三医院 北京 100191;4.北京市房山区良乡医院,北京 102401
  • 收稿日期:2025-02-19 修回日期:2025-10-25 接受日期:2026-03-18 出版日期:2026-03-28 发布日期:2026-04-21
  • 基金资助:
    第五批全国中医临床优秀人才研修资助项目(国中医药人教函〔2022〕1号);北京市医院管理中心“登峰”人才培养计划团队(DFL20241001);宁夏中西医康复临床医学研究中心资助项目(宁科社字〔2023〕8号);宁夏卫生健康委科研项目(2025-NWZC-B016)

Experience in Treating Obesity in Plateau Stage by Combining Acupuncture and Medicine with Qi-Benefiting and Diuresis-Soothing Methods

ZHAO Xuanji1, LI Bin2*, XU Qianwei3, BAI Yanping1, XI Yawei4   

  1. 1.Ningxia Hui Autonomous Region Hospital of Traditional Chinese Medicine Ningxia Hui Autonomous Region Academy of
    Traditional Chinese Medicine Ningxia Yinchuan 750021, China
    2.Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University Beijing 100010, China
    3.Peking University Third Hospital Beijing 100191, China
    4.Liangxiang Hospital of Beijing Fangshan District Beijing 102401, China
  • Received:2025-02-19 Revised:2025-10-25 Accepted:2026-03-18 Online:2026-03-28 Published:2026-04-21

摘要:

肥胖症平台期是减重过程中较为棘手的问题,本研究系统总结了李彬中医治疗肥胖症平台期的临床经验。李彬提出,减重过程中浊邪排出体外是需要正气推动的,此过程消耗正气,当气虚不足以推动浊邪排出体外时,减重进程就会停止,从而出现平台期。同时,李彬认为,气虚分为整体气虚与局部气虚,治疗时应首先明辨气虚性质。整体气虚者,应以中药补益气血气血充足,推动有力则浊邪可排出体外;局部气虚者,应以火针通气道,引周围气血汇聚于局部肥胖之处,局部气血得充,推动有力则浊邪排出体外,平台期亦可顺利通过。此外,配合食欲调控,可以有效增强疗效。采用针药并举策略,临床效果满意。

  

关键词: 肥胖症, 平台期, 补气, 火针, 食欲调控

Abstract:

 The weight loss plateau is a particularly challenging issue during the obesity treatment process. This article systematically summarizes the effective strategies employed by Li Bin for managing weight loss plateaus in obesity. Professor Li Bin believes that the expulsion of turbid pathogens from the body during weight loss requires the propulsion of vital qi. This process consumes vital qi and when qi deficiency becomes insufficient to expel turbid pathogens weight loss stagnates leading to a plateau.Furthermore Professor Li Bin categorizes qi deficiency into two types systemic qi deficiency and local qi deficiency. During treatment it is essential to first determine whether the plateau is due to systemic or local qi deficiency. For cases of systemic qi deficiency Professor Li often uses Chinese herbal medicine is used to tonify and enhance the overall qi capacity. When qi is sufficient and propulsion is strong turbid pathogens can be effectively expelled from the body. For cases of local qi deficiency fire needle therapy is commonly employed to unblock the qi pathways in the obese areas guiding the surrounding qi and blood to converge there. Once local qi and blood are replenished propulsion becomes effective turbid pathogens are expelled and the plateau can be successfully overcome.In addition combining appetite regulation can effectively enhance therapeutic outcomes. The integrated use of acupuncture and herbal medicine has yielded satisfactory clinical results.


Key words: Obesity , Weight loss plateaus , Tonifying qi , Fire needle , Appetite regulation

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