肥胖症的现状及中医辩证分析.doc

肥胖症的现状及中医辩证分析董丽娟 肥胖是人体内脂肪积聚过多所致的现象，并不是人们视为的“健康”标志。肥胖不仅影响形体美，而且给生活带来不便，更重要是容易引起多种并发症，加速衰老和死亡。难怪有人说肥胖是疾病的先兆，衰老的信号。 据统计肥胖者并发脑栓塞与心衰的发病率比正常体重者高一倍，患冠心病比正常体重者多二倍，高血压发病率比正常体重者多二至六倍，合并糖尿病者教正常人约增高4倍，合并胆石症者较正常人高四至六倍，更为严重的是肥胖者的寿命将明显缩短。据报道超重10%的45岁男性，其寿命比正常体重者要缩短4年，据日本统计资料表明标准死亡率为百分100%，肥胖者死亡率为127.9%。 肥胖容易引起多种严重疾病，如：高血压、高血脂、甲状腺机能低下、糖尿病月经异常、胆结石、不孕症、中风、嗜睡症、性功能障碍、便秘、手术耐受性降低、秃顶等症的发病机率比正常体重都高出1040倍。一、 体重的标准及检测方法：计算肥胖公式：成人标准体重（公斤）=（身高厘米数-100）0.9 儿童标准体重（公斤）=（年龄2+8）检测超标范围：1 、10%-19%超重 2、20%肥胖3、20%-30%轻度肥胖 4、30%-50%中度肥胖5、50%-100%重度肥胖 6、100%病态二、 引起肥胖的因素：（一） 遗传 1、父母双方都肥胖，其子女肥胖机率为99%。2、父亲肥胖，母亲正常，其子女肥胖的机率为40%。3、母亲肥胖，父亲正常，其子女肥胖的机率为60%。 (二) 饮食习惯1、 食欲亢进：进食过快，不细嚼慢咽。2、 饮食时间：早晨不吃饭，而中午和晚上大量进食。3、 进食类别：南方人喜食虾蟹类食物，北方人则偏爱高脂肪、高淀粉类食物。（三）社会因素1、交通工具发达，运动量少，多余的脂肪得不到消耗。2、鸡、鸭等禽类饲料里添加了催肥剂，而猪肉不宜使人肥胖。3、大棚培植的水果、蔬菜多含有催化剂。（四）代谢肠道可重吸收以下物质：1、营养2、脂肪3、水分4、毒素而对毒素的吸收可引起一系列疾病（五）机能障碍1、分娩（产后肥胖，雌激素分泌增高）2、更年期3、胰岛素性肥胖4、高血脂肥胖5、胆结石、胆囊炎6、甲状腺功能低下7、脑垂体病8、肾上腺素分泌增多（满月脸，水牛背，向心性肥胖）三、国内肥胖治疗的现状与未来：（一）目前关于肥胖的治疗包括中医经络、饮食、运动、及手术治疗。1、中医经络治疗 2、饮食治疗3、运动治疗 4、手术治疗5、合并治疗 （二）未来的研究方向1、蛔虫 2、胃放环3、胃切除 4、肠切除5、吸脂 6、基因（试验阶段）、四、海棠中医对肥胖的辩证分型：1、肝阳上亢高血压、高血脂2、脾肾阳虚甲状腺功能低下3、气滞血瘀冠心病、市血脂4、肝胆湿热胆结石、胆囊炎5、脾虚痰湿中老妇女6、胃强脾亢青少年7、气阴两虚糖尿病五、海棠中医减肥产品治疗肥胖机理：真馨胶囊：1、调节脾胃功能，促进脂肪代谢； 2、将脂肪转化为能量，补充膳食纤维； 3、调节体内代谢，清除肠道垃圾； 4、抑制脂肪吸收，加速脂肪排泄； 5、减缓体内脂肪堆积，预防肥胖病及巩固减肥效果。本文对肥胖症的现状作了详细的综述，内容充实，评述恰当，但是，对于肥胖症的中医辩证分型过于简单和片面。The Prevalence of Adiposis and Typing in Syndrome Differentiation of Traditional Chinese Medicine Fat are not a sign of health but a phenomenon of storing up too much fat inside. And it is not only do harm to the graceful in form but also take inconvenient to our daily life. Even worse, it is easy to cause kinds of complication and speed up getting old & dying. No wonder people say fat is the omen of disease & the sign of old and feeble. On the bases of statistics: the sick rate of the fat groups with cerebral embolism & cardiac neurasthenia is one time higher than the groups in normal weight; two times higher in suffering from coronary heart disease; 26 times higher of the sick rate in suffering from cardiac; About 4 times higher in combing diabetic; 46 times higher in combing gallstones. Whats more, the lifetime of the fat groups will obviously be shortened. Its reported that the 45-year-old men who are overweight about 10%, their lifetimes will be 4-year shorter than normal men. Japans data suggests the standard rate of death is 100% but for the fat groups it is about 127.9%. Fat can easily cause kinds of serious disease such as: hypertension, hyperlipemia, hypethyreosis, diabetic, menoxenia, gallstones, sterility, apoplexy, lethargy, sexual disorder, constipation and so on. And the operate toleration becomes weaker. The sick rate of the fat groups with these diseases is 1040 times higher than normal people. In an attempt to learn it well, this paper suggests that: the standard of the fat groups and the methods of detection the elements of causing fat;A: heredity B: dietary habit C: social factors D: metabolism E: function disturbance the domestic prevalence and future in treating fat.A: the present treatment:Traditional meridians and collaterals, diet, sports, operation and combined method.B: the study direction in future: ascaris ring-test in the stomach gastrectomy enterectomy fat aspiration gene (test period) typing in syndrome differentiation about fat by Hai Tang traditional Chinese medicine.A. Hyperactivity of liver yang-hypertension, hyperlipemia;B. Splenonephry yang deficiency-hypothyreosis;C. Qi stagnation and blood stasis-coronary heart disease, hyperlipemia;D. Hepatic bile moist hate-gallstones, eholecystitis;E. Moist sputumdue to spleen deficiency-the middle-aged and old women;F. Hyperfunction of the stomach and exuberance of the spleen fire-teenagers;G. Deficiency of both qi and yin-diabetic. the mechanism of treatment on corpulence with the products produced by Hai Tang traditional Chinese medicine.Zhen Xin capsule:A. Regulate the function of spleen and stomach and promote the metabolism of fat.B. Change fat into energy and complement food and fiber;C. R