188宝金博页面版

- 82 -Chinese and Foreign Medical Research Vol.24, No.3 January, 2026中医中药 Zhongyizhongyao 　　 《中外医学研究》第 24 卷 第 3 期（总第 659 期）2026 年 1 月①东台市中医院　江苏　东台　224200穴位埋线联合四君子汤治疗痰湿型肥胖的效果 陈亦琳 ① 　夏雪 ① 　贾建婷 ①　　【摘要】　目的：分析穴位埋线联合四君子汤对痰湿型肥胖患者的干预效能，且对其在改善体成分指标方面的临床价值予以评估。方法：选取 2023 年 1 月—2024 年 12 月东台市中医院收治的 100 例痰湿型肥胖患者为研究对象，采用随机数表法将其分为治疗组和对照组，每组各 50 例。对照组实施常规饮食及运动指导，治疗组在对照组基础上联合推行穴位埋线治疗。治疗前后分别检测体重、身体质量指数（BMI）、体脂率、内脏脂肪面积、腰围等指标，借助 InBody 770 体成分分析仪开展指标评定。结果：治疗组体重下降，BMI 降低，体脂率减少，内脏脂肪面积缩减，基础代谢率提升，腰围及腰臀比改善明显，各项指标均优于对照组，差异有统计学意义（P<0.05）。结论：穴位埋线协同四君子汤可有效改良痰湿型肥胖患者体成分指标，呈现良好的临床干预意义。　　【关键词】　穴位埋线　四君子汤　痰湿型肥胖　体成分分析doi：10.14033/j.cnki.cfmr.2026.03.022　　　　文献标识码　B　　　　文章编号　1674-6805（2026）03-0082-04The Effect of Acupoint Implantation Combined with Sijunzi Decoction in Treating Phlegm-Dampness Obesity/CHEN Yilin, XIA Xue, JIA Jianting.//Chinese and Foreign Medical Research, 2026, 24(3): 82-84, 88[Abstract]　Objective: To evaluate the efficacy of acupoint thread implantation combined with Sijunzi decoction in treating phlegm-dampness type obesity, and to assess its clinical value in improving body composition indicators. Method: A total of 100 patients with phlegm-dampness-type obesity admitted to Dongtai Hospital of Chinese Medicine from January 2023 to December 2024 were selected as study subjects. Using a random number table, they were divided into a treatment group and a control group, each comprising 50 patients. The control group received conventional dietary and exercise guidance, while the treatment group additionally underwent acupoint thread implantation therapy. Body weight, body mass index (BMI), body fat percentage, visceral fat area, and waist circumference were measured before and after treatment. An InBody 770 body composition analyzer was used for assessment. Result: The treatment group exhibited significant weight loss, reduced BMI, decreased body fat percentage, diminished visceral fat area, increased basal metabolic rate, and marked improvements in waist circumference and waist-to-hip ratio. All indicators were superior to those of the control group, with statistically significant differences (P<0.05). Conclusion: The combination of acupoint thread implantation and Sijunzi decoction effectively improves body composition indicators in patients with phlegm-dampness obesity, demonstrating significant clinical intervention value.[Keywords]　Catgut embedding at acupoints　Sijunzi decoction　Phlegm-dampness obesity　Body composition analysisFirst author’s address: Dongtai Hospital of Chinese Medicine, Dongtai 224200, China生活方式的改变及高热量饮食的普及，肥胖发生率呈持续上扬态势，已成为全球影响健康的重要公共卫生关切点，中医把肥胖分成了若干证型，最为常见的当属痰湿型肥胖，表现多为体型肥胖、疲倦无力、纳呆以及大便溏稀、舌苔厚腻等，病机核心为脾虚生痰、痰湿内盛[1] 。现今研究证实，痰湿型肥胖患者一般存在基础代谢率下滑、脂肪堆积过甚、肌肉含量偏低的情形，单纯凭借节食或运动往往难以取得令人满意的成效。以经典补气健脾方著称的四君子汤，存有扶正益元、健脾燥湿之作用，长时间应用在脾虚相关疾患的治疗；穴位埋线疗法采用对特定腧穴的持续刺激手段，调节脏腑虚实、增进脂肪代谢，拥有起效持久、患者依从度优等长处[2] 。1　资料与方法1.1　一般资料选取 2023 年 1 月—2024 年 12 月东台市中医院收治的 100 例痰湿型肥胖患者为研究对象，采用随机数表法将其分为治疗组和对照组，每组各 50 例。对照组实施常规饮食及运动指导，治疗组在对照组基础上联合推行穴位埋线治疗。治疗组男 22 例，女 28 例；年龄22~45 岁，平均年龄（33.1±6.7）岁；病程 1~9 年，平均病程为（4.3±2.1）年。对照组男 23 例，女性 27 例；年龄 21~46 岁，平均年龄为（32.8±6.5）岁；病程 1~8年，平均病程为（4.1±2.3）年。两组一般资料比较，差异无统计学意义（P>0.05），有可比性。本研究方案已通过东台市中医院医学伦理委员会审批，所有患者均知情同意并签署知情同意书。诊断标准：中医诊断标准参考《肥胖症中医诊疗方案专家共识》和新世纪第五版中医内科学肥胖中符合痰湿内盛型肥胖，形体肥胖、肢体沉重困倦、胸满脘痞，大便黏腻，喜卧懒动，舌质淡胖或大，苔白腻或白滑，脉滑。西医诊断标准参考《中国成人超重和肥胖症预防与控制指南》制定与后方文献不对照[3-4] 。以 InBody体成分分析仪提供的身体质量指数（BMI）≥28 kg/m 2 、体脂率 >30%、内脏脂肪面积 >90 cm 2 等指标综合确诊。