Clinical Efficacy of Modified Xiaoji Baozhong Granules Combined with Scraping in Treatment of Abdominal Obesity with Gastric Heat and Dampnes
10.13422/j.cnki.syfjx.20210534
- VernacularTitle:加减消积保中颗粒联合刮痧治疗腹型肥胖胃热湿阻证的临床观察
- Author:
Hong WAN
1
;
Zhao YAN
1
;
Yuan-yuan LI
2
;
Xiao-ze SUN
3
;
Yu FU
1
;
Shu-xun YAN
1
Author Information
1. The First Affiliated Hospital of Henan University of Chinese Medicine，Zhengzhou 450011，China
2. Henan University of Chinese Medicine，Zhengzhou 450015，China
3. Henan Province Hospital of Traditional Chinese Medicine，Zhengzhou 450003，China
- Publication Type:Research Article
- Keywords:
abdominal obesity;
stomach heat and dampness syndrome;
Xiaoji Baozhong granules;
scraping;
traditional Chinese medicine comprehensive therapy;
adipocyte factor
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2021;27(12):97-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of modified Xiaoji Baozhong granules combined with scraping in the treatment of abdominal obesity with gastric heat and dampness syndrome and its effect on adipocytokines. Method:One hundred and forty-four patients were randomly divided into the control group and the observation group， 72 cases in each group. The lifestyle adjustments were conducted in both groups. The observation group was given a comprehensive traditional Chinese medicine regimen of modified Xiaoji Baozhong granules combined with scraping. The control group was given modified Xiaoji Baozhong granules combined with scraping. The course of treatment was three months. The body mass index （BMI）， body fat percentage （FP）， waist circumference （WC）， waist to hip ratio （WHR）， obesity and abdominal fat thickness of the two groups were compared before and after treatment. The levels of fasting blood glucose （FBG）， insulin resistance index （HOMA-IR）， high density lipoprotein （HDL）， low density lipoprotein （LDL）， triglyceride （TG）， total cholesterol （TC）， adiponectin， leptin， resistin， endolipid and tumor necrosis factor-α （TNF-α） were compared between the two groups before and after treatment. The clinical efficacy and safety were evaluated. Result:After treatment， the BMI， FP， obesity， WC and WHR of the observation group were lower than those of the control group （P<0.01）. After treatment， the abdominal wall fat thickness and intra-abdominal fat thickness of patients in the observation group were lower than those in the control group （P<0.01）. The FBG， HOMA-IR， TG， TC and LDL of the observation group were lower than those of the control group （P<0.01）， while the HDL level was higher than the control group （P<0.01）. Adiponectin in the observation group was higher than the control group after treatment （P<0.01）. The leptin， resistin， visfatin and TNF-α were lower than those in the control group （P<0.01）. The total clinical efficacy rate of patients in the observation group was 88.24% （60/68）， which was better than 73.53% （50/68） in the control group （χ2=4.755， P<0.05）. Conclusion:In addition to lifestyle adjustments， modified Xiaoji Baozhong granules combined with scraping treatment can reduce the degree of obesity and fat thickness in patients with abdominal obesity， and regulate lipid， carbohydrate metabolism and adipocytokines， with a better clinical efficacy than simple scraping therapy and the safety in practice.
