Moxibustion for central obesity with phlegm-dampness constitution: a randomized controlled trial

ZHANG Yanji; WEI Dan; HUANG Wei; WANG Jiajie; CHEN Xia; FU Chengwei; YU Benlu; ZHANG Yingrong; ZHOU Zhongyu

doi:10.13703/j.0255-2930.20240906-k0002

您当前的位置：

首页 >

文章列表页 >

Moxibustion for central obesity with phlegm-dampness constitution: a randomized controlled trial

Clinical Research | 更新时间：2025-08-14

- Moxibustion for central obesity with phlegm-dampness constitution: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 8, Pages: 1053-1060(2025)
- 作者机构：
  
  湖北省中医院/湖北中医药大学附属医院针灸科，武汉　430061
  湖北时珍实验室，武汉　430061
  湖北省肥胖症针灸诊疗临床医学研究中心，武汉　430061
  湖北省中医药研究院，武汉　430061
  中医肝肾研究及应用湖北省重点实验室，武汉　430061
  湖北中医药大学针灸骨伤学院
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240906-k0002
  CLC：
- Received：06 September 2024，
  
  Online First：20 May 2025，
  
  Published：12 August 2025
- 稿件说明：
移动端阅览
ZHANG Yanji, WEI Dan, HUANG Wei, et al. Moxibustion for central obesity with phlegm-dampness constitution: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1053-1060.
DOI：

ZHANG Yanji, WEI Dan, HUANG Wei, et al. Moxibustion for central obesity with phlegm-dampness constitution: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1053-1060. DOI： 10.13703/j.0255-2930.20240906-k0002.

摘要

目的：

观察艾灸治疗痰湿质中心性肥胖患者的疗效及安全性。

方法：

将66例痰湿质中心性肥胖患者随机分为艾灸组（33例，脱落3例）和模拟艾灸组（33例，脱落4例）。艾灸组予艾灸联合生活方式干预，穴取神阙、双侧足三里行温和灸，每次30 min，艾灸局部皮肤温度维持在（43±1）℃；模拟艾灸组予模拟艾灸联合生活方式干预，取穴、治疗时间同艾灸组，但艾灸局部皮肤温度维持在（37±1）℃。两组均隔日1次，每周治疗3次，连续治疗8周。于治疗前、治疗后及治疗结束后随访4周，观察两组患者肥胖相关体格检查指标[腰围、臀围、体质量、体脂百分比、体质量指数（BMI）]、体质判定指标（痰湿质转化评分、痰湿质症状评分）、体重对生活质量冲击量表-简明版（IWQOL-Lite）、医院焦虑抑郁量表（HADS），以及不良事件发生率。

结果：

治疗后、随访时，两组患者腰围、臀围、体质量、体脂百分比、BMI、痰湿质转化评分、痰湿质症状评分、IWQOL-Lite评分、HADS焦虑亚量表评分、HADS抑郁亚量表评分均较治疗前降低（

0.001），艾灸组上述指标降低幅度均大于模拟艾灸组（

0.001，

0.05，

0.01）。艾灸组在治疗期间有1例出现轻微烫伤，予常规处理后缓解，艾灸组不良反应发生率为3.0%（1/33），模拟艾灸组为0%（0/33），两组比较差异无统计学意义（

0.05）。

结论：

在生活方式干预的基础上，艾灸干预能够有效改善痰湿质中心性肥胖患者肥胖相关体格检查指标，提高患者生活质量，改善焦虑、抑郁的心理状态和痰湿体质状态，且远期疗效可维持至治疗后4周。

Abstract

Objective

To observe the efficacy and safety of moxibustion in treating patients with central obesity of phlegm-dampness constitution.

Methods

A total of 66 patients with central obesity of phlegm-dampn

ess constitution were randomly assigned to a moxibustion group (

=33

3 cases dropped out) and a sham moxibustion group (

=33

4 cases dropped out). The moxibustion group received mild moxibustion combined with lifestyle intervention; the moxibustion was applied at Shenque (CV8) and bilateral Zusanli (ST36)

30 min per session

maintaining a local skin temperature of (43±1) ℃. The sham moxibustion group received simulated moxibustion combined with lifestyle intervention; the simulated moxibustion was applied at the same acupoints

with the same session length

but with a maintained skin temperature of (37±1) ℃. Both groups were treated once every other day

three times per week for 8 consecutive weeks. Obesity-related physical indicators (waist circumference

hip circumference

body weight

body fat percentage

body mass index [BMI

]

)

constitution evaluation indicators (phlegm-dampness constitution conversion score

symptom score)

the impact of weight on quality of life-lite (IWQOL-Lite)

the hospital anxiety and depression scale (HADS)

and the incidence of adverse events were measured before and after treatment

and after 4 weeks of follow-up.

Results

Compared with before treatment

both groups showed significant reductions in waist circumference

hip circumference

body weight

body fat percentage

BMI

phlegm-dampness constitution conversion score and symptom score

IWQOL-Lite

and both anxiety and depression subscale scores of HADS after treatment and at follow-up (

0.001). These improvements were significantly greater in the moxibustion group than those in the sham moxibustion group (

0.001

0.01

0.05). One patient in the moxibustion group experienced a mild burn that resolved with routine care; the incidence of adverse reactions was 3.0% (1/33) in the moxibustion group and 0% (0/33) in the sham moxibustion group

with no statistically significant differenc

e (

0.05).

Conclusion

On the basis of lifestyle intervention

moxibustion effectively improves obesity-related physical indicators

enhances quality of life

alleviates anxiety and depression

and improves the phlegm-dampness constitution in patients with central obesity. These benefits persist for at least 4 weeks after treatment.

关键词

Keywords

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Moxibustion combined with Jianpi Wenshen formula for cancer-related anorexia of spleen-kidney yang deficiency: a randomized controlled trial

Efficacy of "Biaoben acupoint compatibility" moxibustion for abdominal obesity and its effect on lipid accumulation

Dose-effect relationship of moxibustion for rheumatoid arthritis of liver and kidney deficiency and its effect on fatigue: a randomized controlled trial

Acupoint massage, acupoint sticking combined with moxibustion for postpartum urinary retention: a randomized controlled trial

Effects of Zhoutian moxibustion on pain symptoms and inflammatory factors in patients with ankylosing spondylitis of cold-damp obstruction

Related Author

YAN Minze

HE Shengqi

CHEN Dongxiao

WANG Yuechen

NIE Jing

GAO Yebo

MA Yinjie

FU Chengwei

Related Institution

Department of Oncology

Department of Acupuncture and Moxibustion

Department of Rheumatology, Wangjing Hospital, China Academy of Chinese Medical Sciences

Changchun University of CM

Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of TCM

⁰