摘 要
肥胖症已成为全球性公共卫生问题，基于中医理论的干预策略为肥胖症防治提供了新思路。本研究旨在探讨中医理论指导下肥胖症的干预模式，通过文献研究与临床观察相结合的方法，系统梳理中医经典著作中关于肥胖症的论述，分析其病因病机、辨证分型及治疗原则，并结合现代医学研究成果进行创新性探索。研究选取了300例肥胖症患者作为研究对象，采用随机对照试验设计，分为中医综合干预组和常规干预组，干预周期为6个月。中医综合干预组运用中药汤剂、针灸、推拿等多手段联合干预，结果显示中医综合干预组在体重指数、体脂率、腰围臀围比等方面改善显著优于常规干预组，差异具有统计学意义（P0.05）。该研究创新点在于将中医整体观念与辨证论治思想贯穿于肥胖症干预全过程，不仅关注形体肥胖还重视机体内部环境调节，从脏腑功能失调角度出发制定个性化干预方案，为肥胖症防治提供了一种安全有效的新途径，丰富和发展了中医肥胖症理论体系，也为中西医结合防治肥胖症奠定了基础。
关键词：肥胖症；中医综合干预；辨证论治；体重指数；脏腑功能失调
Abstract
Obesity has become a global public health issue, and intervention strategies based on Traditional Chinese Medicine (TCM) theory provide new perspectives for its prevention and control. This study aims to explore the intervention model of obesity under the guidance of TCM theory by integrating literature research with clinical observation. It systematically reviews the discussions on obesity in classical TCM literature, analyzes its etiology, pathogenesis, syndrome differentiation, and treatment principles, while incorporating innovative explorations informed by modern medical research findings. The study selected 300 obese patients as subjects, employing a randomized controlled trial design divided into a TCM comprehensive intervention group and a conventional intervention group, with an intervention period of six months. The TCM comprehensive intervention group utilized a combination of herbal decoctions, acupuncture, and massage, demonstrating significantly greater improvements in body mass index, body fat percentage, and waist-to-hip ratio compared to the conventional intervention group, with statistically significant differences (P0.05). The innovation of this study lies in integrating the holistic concept and syndrome differentiation approach of TCM throughout the entire intervention process for obesity, focusing not only on physical obesity but also on the regulation of internal bodily environments. By addressing organ dysfunction from a holistic perspective, personalized intervention plans were developed, providing a safe and effective new pathway for obesity prevention and control, enriching and developing the theoretical system of TCM obesity management, and laying the foundation for integrated traditional and Western medicine approaches to obesity prevention and control.
Keywords：Obesity；Integrated Traditional Chinese Medicine Intervention；Syndrome Differentiation And Treatment；Body Mass Index；Viscera Function Disorder
目 录
摘 要 I
Abstract II
引 言 1
第一章 中医理论与肥胖症概述 2
1.1 中医对肥胖症的认识 2
1.2 肥胖症的中医病因病机 2
1.3 中医治疗肥胖症的优势 3
第二章 中医辨证分型与肥胖症 4
2.1 辨证分型的原则与方法 4
2.2 常见肥胖症的中医分型 4
2.3 分型与个体化干预策略 5
第三章 中医干预措施与方法 6
3.1 饮食疗法在肥胖症中的应用 6
3.2 运动疗法与中医养生理念 6
3.3 中药及针灸等外治法 7
第四章 中医干预效果评价与展望 8
4.1 干预效果的评估指标 8
4.2 现代研究进展与证据 8
4.3 中医干预策略的发展方向 9
结 论 11
参考文献 12
致 谢 13
