作者：魏翔1 ，陈贵海1 ，唐琴2

单位：

1.530200广西壮族自治区南宁市，广西中医药大学　2.541002广西壮族自治区桂林市中医 医院内分泌科

Units：

1.Guangxi University of Chinese Medicine, Nanning 530200, China 2.Department of Endocrinology, Guilin Municipal Hospital of Traditional Chinese Medicine, Guilin 541002, China

关键词：

肥胖症；痰；化痰消脂六法

Keywords：

Obesity; Sputum; Six methods of clearing phlegm and eliminating fat

CLC：

R 589.25

DOI：

10.12114/j.issn.1008-5971.2024.00.010

Funds：

广西研究生教育创新计划项目（YCSW2021230）

摘要：

肥胖是以形体肥大为特征的疾病，我国居民肥胖发病率高，已成为主要公共卫生问题之一。本文总结 了陈贵海教授多年研究肥胖的经验，认为痰浊膏脂是肥胖发生的主要因素，即痰浊阻滞并化为膏脂而形成肥胖，其治 疗的关键当从痰入手，进而提出化痰消脂六法，分别为健脾升清消痰法、宣肺理脾涤痰法、疏涤三焦利痰法、调肝解 郁散痰法、补肾养脾化痰法、祛瘀通经逐痰法。医者采用化痰消脂六法治疗肥胖时当详辨病因病机，辨证论治。

Abstract：

Obesity is a disease characterized by enlarged body size. The incidence rate of obesity among Chinese residents is high, which has become a major public health problem. This article summarizes professor Chen Guihai's years of experiences in researching obesity, and concludes that phlegm and fat are the main factors of the disease, that is phlegm stagnating and turning into fat to form obesity, and the key to treating obesity is to start with phlegm, and then proposes the six methods of clearing phlegm and eliminating fat, which are the method of strengthening spleen and promoting essence Qi and clearing phlegm, the method of promoting lung and regulating spleen and clearing phlegm, the method of dredging Sanjiao and clearing phlegm, the method of regulating liver and relieving depression and clearing phlegm, the method of tonifying kidney and nourishing spleen and clearing phlegm, the method of dispelling blood stasis and activating blood circulation and clearing phlegm. When treating obesity by six methods of clearing phlegm and eliminating fat, doctors should carefully identify the cause and pathogenesis, and treat it according to syndrome differentiation.

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