LIU Ming-jun,WANG Zhi-hong,XIN Zhang,YUE Zhuo,JIANG Wan-ting

(Changchun University of Traditional Chinese Medicine,Changchun 130117,China)

Simple Obesity (Simple Obisity),which is seriously harm to human health,is the disease of chronic,common,frequent and difficult-and-rare-case[1-2].It has no obvious nervous system and endocrine system disease,but is the disease caused by more the quantity of calories than the quantity of heat that use up in body which generates splanchnic、hypodermic、adipose accumulation and overweight,with obesity as the main clinical symptoms,and accompanied by fat metabolism barrier.The research team uses Meridian dredging abdominal manipulation to treat simple obesity,observes to the changes of fat metabolism before and after treatment for further explore changes,providing the theory basis for how massage reducing weight.

1 clinical data

1.1 The general data Subjects of this study from June 2009 to December 2010,Changchun University of Traditional Chinese Medicine Centre for outpatients and be in hospital patients,a total of 60 patients into clinical trials,38 patients were male,22 females.Grading standards which the national obesity topic academic conference formulated by 2003:①Surpasses the standard body weight obese mildly above 20%,altogether 18 examples;②Moderate surpasses the standard body weight obese above 30%,altogether 21 examples;③The specific weight surpasses the standard body weight obese above 40%,altogether 21 examples.

1.2 selected standards use the diagnosis standard which in 2003 the national obesity topic academic conference formulated and in 1994 the National Chinese medicine Administrative bureau promulgation “Clinical syndrome diagnosis criteria”.Integrates the standard:①Conforms to the simple obesity diagnosis standard;②Age above 14 years old,below 65 years old;③The patient compliance is good,according to the stipulation guaranteed that each inspection and completes the treatment course observation;④In signs knows the circumstances of the matter under the letter of consent condition.Elimination standard:①The age is smaller than 14 years old,or is bigger than 65 years old;②Insulin systems and so on dependent form diabetes,tuberculosis,nosohemia and heart,brain,blood vessel,liver,kidney endanger life seriously primary disease’s patient;③Pregnancy or breast-feeding period patient and so on;④Psychopath.Rejection standard:In the experiment uses other therapies (including to add voluntarily with other medicines) or stops the curer.

2 research techniques

2.1 methods of treatment The treatment group uses Meridian dredging abdominal manipulation which divides into 2 steps.①abdominal manipulation,invigorating spleen and stomach to eliminate dampness.First of all,effleurage the abdomen 3 minutes clockwise;secongly,manipulate follows the line along The Belt Channel with both hands 2 minutes;and then,rubs the entire abdomen 3 minutes with the palm;finally,inspires the abdomen 1 minute with the palm.②Meridian dredging manipulation which can dredge the channels ,remove the fatty and descend the turbid.First of all,uses the palm to push the lines along The Ren Channel、The Stomach Channel of Foot-Yangming and The Spleen Channel of Foot-Taiyin 2 minutes；secongly,pressing points as follow:Tianshu、Qichong、Daheng、Zhongwan、Guangyuan、Zusan li、Fenglong、Sanyin jiao by thumbs ,every point 30 seconds;and then,effleurage the abdomen with the palm when the skin feels heat;finally whips the abdomen 2 minutes.Above method,daily 1 time,each time about 15 minutes,7 days is 1 treatment course,treats 4 treatment courses continuously,total 28 times.

2.2 observation indexs and the method use the design of own comparison before and after treatment to observe the changes of 60 simple obesity patients’ blood biochemistry indexs like lipid、leptin and leptin receptor levels before and after the treatment around 28d.

2.3 statistical methods Uses SPSS13.0 for the windows statistics software to carry on statistics processing,.The measurement data uses the expression of by the T-test,whichP<0.05 has statistics significance.

3 findings

see Table 1,Table 2.

Table 1 Blood fats content comparison around massage treatment(±s)

Table 2 Leptin、Leptin receptor content comparison of the two groups before and after treatment(±s)

The disparation of each index self-reflection comparison before and after treatment has statistics significance.

4 experience

Traditional Chinese medicine (TCM) holds that the main reason of obesity is that eat too much fatty and sweet food which generates incoordination between spleen and stomach and pathogenic damp.Therefore,splenic asthenia and stomach excess is the basic reason which causes expectoration、heat、damp、blood stasis and fat as superficial signs.

Combined with early clinical practice,the research team summarizes innovation manipulation ——Meridian dredging abdominal manipulation ,which is suitable for clinical application,convenient,safe and reliable for operation and has distinctly curative effect[3].The technique characteristics are from the fundamental mechanism of obesity produce,through the meridians viscera spleen related theory,selection of meridians primarily,dialectical diarrhoea gimmick,on the one hand,inhibit for stomach had filled the dendranthema astringing function,on the other hand,strengthen the function of spleen operation litres of qing function,which could solve the food intake absorption and excretion of two key link,and emphasizing integral and the partial treatment in combination with,internal organs and skin recuperation union,clinical curative effect is remarkable.

The modern medical science holds that the pathogenesis of many simple obesity and genetic,living habit,nervous system,endocrine system dysfunction related[4-5],but investigate its main reason lies in body fat tissue storage isovermuch,metabolic disorder.Leptin,the main function is to suppress appetite,reduce feeding,change the autonomic nervous activity,increase metabolization rate,regulate food intake,and lipid storage capacity;leptin receptor mainly exist in the hypothalamus,is the only thing that can signal transduction and adjust the calorie intake and the energy consumption of leptin subtypes,only with which combined can play a series of adjust energy balance biological action.The research results show that massage can effectively reduce the lipid and leptin levels of simple obesity patients,while offering lean may raise its soluble leptin receptor level,its mechanism could massage and improve soluble leptin receptor level,make leptin reach choroid plexus,and promote the leptin into central,produce more energy consumption information,be helpful for the blood of fatty acids in consumption,to reduce free fatty acid level,thereby lowering the body fat content,and eventually reduce weight[6],but the specific mechanism needs further research.