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。

 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.