南京中医药大学学报2026，Vol.42Issue(2)：165-172,8.DOI:10.14148/j.issn.1672-0482.2026.0165
现代医学背景下原发性肥胖症的中医认识及诊疗刍议
Traditional Chinese Medicine's Understanding and Diagnosis and Treatment of Primary Obesity in the Context of Modern Medicine:A Preliminary Discussion
摘要
Abstract
Primary obesity remains a major challenge confronting the medical community,and existing Western weight-loss medi-cations fail to address the therapeutic needs of all obesity subtypes.Traditional Chinese Medicine(TCM)possesses a robust foundation of theoretical insights and clinical practices in the management of primary obesity,exhibiting substantial potential for further develop-ment and application.This article expands on the understanding of the three types of obesity—"Zhi Ren,Gao Ren and Rou Ren"—de-scribed in The Yellow Emperor's Inner Classic,adding"Xiao Gao Ren"and"Gao-Zhi Ren"types to construct a new five-type classifi-cation system for obesity,aiming to overcome the limitations of modern medicine's single-indicator approach to understanding obesity.In light of the heterogeneous nature of primary obesity,this study proposes a treatment strategy based on the pathogenesis of excessive stagnation and deficiency-related stagnation characterized by energy metabolism profiles.For excessive stagnation,Houpo Sanwu De-coction is employed as the core formula,with further differentiation and treatment tailored to three subtypes:gastrointestinal hunger type,emotional hunger type and cerebral hunger type.For deficiency-related stagnation,Liujunzi Decoction serves as the foundational prescription,with syndrome differentiation and treatment customized according to the characteristics of the hypometabolic type.By ex-tracting core pathogenesis and refining core formulas,the precision of TCM treatment is improved,complementing existing Western weight-loss medications and enhancing the clinical efficacy of obesity treatment.关键词
原发性肥胖症/肥胖异质性/壅态/分类辨治/态靶/黄帝内经/肥胖五型Key words
primary obesity/obesity heterogeneity/stagnation state/classification-based syndrome differentiation and treatment/state-target/The Yellow Emperor's Inner Classic/five-type classification of obesity分类
医药卫生引用本文复制引用
顾成娟,王涵,仝小林..现代医学背景下原发性肥胖症的中医认识及诊疗刍议[J].南京中医药大学学报,2026,42(2):165-172,8.基金项目
国家自然科学基金重点项目(82530125) （82530125）
中国科协青年人才托举工程项目(CACM-2024-QNRC1-01) （CACM-2024-QNRC1-01）
深圳市"医疗卫生三名工程"仝小林院士中医代谢病团队项目(SZZYSM202202010) （SZZYSM202202010）
