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| Etiology, pathogenesis, prevention, and treatment of obesity based on classical Chinese medical texts: a review |
| YIN Shuang1, QI Xiaoyu1, ZHOU Xizhen2, CHEN Liping1
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1. Lishui Hospital of Traditional Chinese Medicine, Affiliated to Zhejiang Chinese Medical University, Lishui, Zhejiang 323000, China;
2. Laozhu She Ethnic Township Central Health Center, Liandu District, Lishui, Zhejiang 323000, China |
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Abstract Obesity is characterized by a body weight exceeding a certain range and a corpulent physique, often accompanied by symptoms such as dizziness and fatigue, lack of energy and motivation to speak, reduced physical activity, and shortness of breath. The core pathogenesis of obesity lies in the dysfunction of the spleen and stomach in transporting and transforming nutrients, leading to abnormal metabolism of water and grain essences and the subsequent accumulation of pathological substances such as phlegm-dampness and "Gaozhuo" (greasy-turbid substances). Traditional Chinese Medicine emphasizes that "spleen deficiency is the root cause, while phlegm-dampness and Gaozhuo are the manifestations", forming a dialectical system encompassing theories on spleen-stomach transportation and transformation, phlegm-dampness pathogenesis, Gaozhuo pathogenesis, and constitutional differentiation. Traditional Chinese Medicine plays a crucial role in preventing and treating obesity through interventions such as herbal medicine, external therapies, and dietary adjustments. This article systematically reviews classical Chinese medical texts, focusing on the etiology, pathogenesis, theoretical origins, and prevention and treatment methods of obesity, so as to provide references for modern Traditional Chinese Medicine approaches to obesity prevention and treatment.
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Received: 22 September 2025
Revised: 18 November 2025
Published: 25 December 2025
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