Fast weight gain for 4 years

Record of first visit: 5/03//2009

Name: xxx Gender: female Ages :45

Address :xxxxxxx

Chief complains : Fast weight gain for 4 years

Descriptions /

Asking /

Present illness complains:

Before she immigrant from China to New Zealand , Her's body weight was 52 kg only for four years ago ,now is fast

weight gain to 62 Kg ;

1.good appetite ,prefer to intake cold nature food ,chily , greasy food ,

2.no thirsty like to cold drinks , dislike to drink tea ,coffee , alcohol

3.easy sweating at day time , no chill or fever

4.normal urination

5.loose stool not watery , 2~3 days /week , 2~3 times /each day

6.tiredness , heaviness of whole body , can not talk a long time

7.no any pain feeling

8.fullness ,distention(abdominal ) after meal

Body Mass Index (BMI): 23.36 ( normal BMI 18~23)

Past History: R. shoulder pain

Lifestyle: full time student and part time job

Family history: mother have high blood pressure

Menstruation ,Marital and obsterical history : 13-5/28 , 14-02-2009 , married and one child

Inspection

General: 8/10 vitality

Others: pale complexion

Tongue :pale tongue body, whitish-thin coating , teeth mark

Auscultation/olfacation

Sound: lower voice

Odours: NAD

Palpation

Body area: NDA

Pulse: weak and deep(R) ; slippery (L)

TCM

According to TCM, the root of excess weight is an imbalance within the body caused by malfunctioning of the spleen and liver organ systems.

In five-element theory, the spleen is responsible for the proper functioning of the digestive system, ensuring that the food we eat is transformed into Qi — the vital substance of life. Disharmony of the spleen will have symptoms such as fatigue, slow metabolism, water retention, loose stool, and feeling of heaviness.

The liver’s job is to keep the flow of your body’s Qi and blood (as well as your emotions) running smoothly. Our modern, fast-paced lifestyle and chronic stress can negatively impact the liver’s ability to function properly and smoothly, which, in turn, can cause the spleen and the whole digestive system to function poorly and decrease your metabolism. Liver disharmony can also cause some of the “triggers” that lead to cravings and compulsive eating.

Diagnosis : Fast weight gain

Syndrome Differentiation: KI /SP yang def. , Qi & blood def.

Treatment /

Principles: for weight issues rooted in TCM promotes better digestion, smooths emotions, reduces appetite, improves metabolism, and eliminates food cravings.

Methods:

Needling: zusanli , tianshu , taixi, sanyinjiao,qi-hai, guanyuan

Explaination :

tianshu - Front Mu pt. of LI , ,improve loose stool, reducing heat
zusanli - strengthen Qi & blood , promote qi & blood circulation eliminatedampness in SP
sanyinjiao - tonify yin , nourish and keep calm HT/ brain , also strength ST/SP function
qi- hai - reiforce yang qi
guanyuan - front Mu pt. of LI for loose weight to ascending clear descending turbid

Life Style Advice:

Estimated Energy Requirement: 2235.0 (kcal /day ) should be reduce to 1500 ~ 1700( kcal / day) , if intake reducing down to 7500 kcal/week can loss equal 1 kg body weight , it is the best way to achieve the goal to (-)5~7 kg stay by stay, also need to intake nutrition balance and complete during the whole process.

Be prohibited to intake high greasy and high carbohydrate (sucrose , maltose) food ,drink more water and intake high crude fiber to eliminate nitrogen wastes from urine/stool , intake more vegetables to balance body PH value .

Your Recommended Ranges
Carbohydrate: 45 to 65% of total Calories
Fat: 20 to 35% of total Calories
Protein: 10 to 35% of total Calories