Symptom family: Body Weight Issues

Sub-symptom(s): Abdominal Fat

What is Obesity?

Obesity is a medical condition characterized by an excess accumulation of body fat to the extent that it may have a negative impact on health. It is typically defined using the body mass index (BMI), where a BMI of 30 or above is classified as obese.

Obesity is more than just an issue of physical appearance; it is associated with various health risks, including heart disease, diabetes, and high blood pressure. It encompasses various forms of weight gain, including abdominal fat, and is a growing health concern worldwide.

How does TCM view Obesity?

Traditional Chinese Medicine (TCM) approaches obesity as a complex condition resulting from imbalances within the body. Unlike Western medicine, which often focuses on calorie intake and physical activity, TCM considers obesity a manifestation of disharmony in the body's natural energy flow or Qi.

TCM identifies different patterns of disharmony causing obesity and emphasizes the importance of individualized treatment to restore balance. This holistic approach encompasses diet, lifestyle, herbal remedies, and acupuncture.

Root Causes of Obesity in TCM

In TCM, obesity is commonly associated with the accumulation of Damp-Phlegm and Qi Deficiency. The Damp-Phlegm pattern, often seen in obesity, is characterized by symptoms like profuse white sputum, feeling of chest oppression, nausea, and swollen limbs. This pattern indicates an imbalance where the body improperly metabolizes fluids and fats.

Another significant pattern is Spleen Qi Deficiency, manifesting as poor appetite control, abdominal distension, fatigue, and weakness. Addressing these underlying imbalances is key to TCM treatment, as it goes beyond mere weight loss to improving overall health and vitality.

Explore below more details about what might cause Obesity according to TCM.

  • By Syndrome
  • By Organ
  • Spleen
  • Uterus
  • Lung
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Obesity

Common Symptoms: Nausea Generalized Fatigue Feeling Of Oppression Of The Chest Feeling Of Heaviness Vertigo Chest Distension Edema Dizziness

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm Obesity, Overweight, Fat belly, Profuse white sputum, Focal distention of the chest, Upper abdominal focal distention, Nausea, Sticky taste in the mouth, Absence of thirst, Swollen limbs, Abdominal fat... see more Er Chen Tang | Xiang Sha Liu Jun Zi Tang | Shen Qi Wan
Damp-Phlegm in the Uterus Overweight, Obesity, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang
Phlegm Obesity, Overweight, Feeling of oppression of the chest, Head fog, Dizziness Er Chen Tang | Cang Fu Dao Tan Wan | Yue Ju Wan | Wen Dan Tang | Ban Xia Hou Pu Tang | Liu Jun Zi Tang | Ban Xia Bai Zhu Tian Ma Tang | Hao Qin Qing Dan Tang | Xing Su San
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Obesity

Common Symptoms: Lack Of Appetite Slight Abdominal Distension After Eating Generalized Fatigue General Weakness Pale Face Weak Limbs Diarrhea Weak Voice

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Lung Qi Deficiency Obesity, Lack of appetite, Slight abdominal distension after eating, Generalized fatigue, General weakness, Pale face, Weak limbs, Diarrhea, Shortness of breath, Coughing, Weak voice, Spontaneous sweat, Reluctance to speak, Frequent colds or flu, Aversion to cold... see more Liu Jun Zi Tang | Si Jun Zi Tang
Spleen Qi Deficiency Obesity, Overweight, Slight abdominal distension after eating, General weakness, Desire to lie down, Slight abdominal pain, Excessive gas and flatulence, Bloated abdomen, Dyspepsia, Swollen complexion... see more Liu Jun Zi Tang | Si Jun Zi Tang | Fei Er Wan
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Obesity

Common Symptoms: Nausea Generalized Fatigue Profuse White Sputum Focal Distention Of The Chest Upper Abdominal Focal Distention Sticky Taste In The Mouth Absence Of Thirst Swollen Limbs

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm Obesity, Overweight, Fat belly, Profuse white sputum, Focal distention of the chest, Upper abdominal focal distention, Nausea, Sticky taste in the mouth, Absence of thirst, Swollen limbs, Abdominal fat... see more Er Chen Tang | Xiang Sha Liu Jun Zi Tang | Shen Qi Wan
Damp-Phlegm in the Uterus Overweight, Obesity, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang
Detailed description of the cause

Qi Sinking

Qi Sinking is a pattern of disharmony in TCM where the body's energy, or Qi, is thought to "sink" or drop down. Imagine a balloon slowly deflating and falling; that's similar to what happens with Qi Sinking. This can lead to feelings of heaviness, fatigue, and even physical symptoms like prolapse of organs or frequent urination. It's as if the body's energy, which usually supports and holds things in place, isn't able to do its job properly. TCM views this as an imbalance where the uplifting and supporting qualities of Qi are weakened.... see more

Qi Sinking Patterns That Can Lead to Obesity

Pattern Name Relevant Symptoms Relevant Formulas
Spleen Qi Sinking Obesity, Overweight, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Obesity

Common Symptoms: Lack Of Appetite Slight Abdominal Distension After Eating Generalized Fatigue General Weakness Pale Face Weak Limbs Diarrhea Weak Voice

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Lung Qi Deficiency Obesity, Lack of appetite, Slight abdominal distension after eating, Generalized fatigue, General weakness, Pale face, Weak limbs, Diarrhea, Shortness of breath, Coughing, Weak voice, Spontaneous sweat, Reluctance to speak, Frequent colds or flu, Aversion to cold... see more Liu Jun Zi Tang | Si Jun Zi Tang
Spleen Qi Deficiency Obesity, Overweight, Slight abdominal distension after eating, General weakness, Desire to lie down, Slight abdominal pain, Excessive gas and flatulence, Bloated abdomen, Dyspepsia, Swollen complexion... see more Liu Jun Zi Tang | Si Jun Zi Tang | Fei Er Wan
Spleen Qi Sinking Obesity, Overweight, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Obesity

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Overweight, Obesity, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Feeling of oppression of the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiang Sha Liu Jun Zi Tang | Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen Tang | Bu Zhong Yi Qi Tang
Detailed description of the cause

Lung

In TCM the Lungs are seen as the organ responsible for controlling Qi and respiration, as well as being a key part of the body's defensive system. They are thought to maintain the balance and flow of air and moisture, and are closely linked to the skin and hair. When the Lungs are imbalanced or malfunctioning in TCM, it can lead to respiratory issues like coughing or asthma, a weakened immune system, dry skin, and emotional disturbances such as sadness or grief. These symptoms are believed to arise from disruptions in the Lungs' ability to regulate Qi and protect the body, highlighting their central role in maintaining overall health and well-being.... see more

Lung Patterns That Can Lead to Obesity

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Lung Qi Deficiency Obesity, Lack of appetite, Slight abdominal distension after eating, Generalized fatigue, General weakness, Pale face, Weak limbs, Diarrhea, Shortness of breath, Coughing, Weak voice, Spontaneous sweat, Reluctance to speak, Frequent colds or flu, Aversion to cold... see more Liu Jun Zi Tang | Si Jun Zi Tang

TCM Herbal Formulas for Obesity

To treat obesity, TCM prescribes specific formulas and herbs targeting the root causes. For the Damp-Phlegm pattern, formulas like Er Chen Tang and Xiang Sha Liu Jun Zi Tang are used. These contain ingredients like Crow-Dipper Rhizomes, which help transform Phlegm and dry Dampness, and Ginseng, which boosts Qi.

For Spleen Qi Deficiency, Liu Jun Zi Tang and Si Jun Zi Tang are recommended to strengthen the spleen and enhance digestive efficiency. These formulas not only aim at reducing weight but also at restoring the body's natural balance and function.

Explore below some TCM herbal formulas used to address obesity, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Formulas that dry dampness and transform phlegm
  • Formulas that tonify qi
  • Formulas that release the exterior and purge the interior
  • Formulas that promote qi movement
  • Formulas that dispel phlegm
  • Formulas that warm yang and tonify
  • Formulas that expel dampness
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that warm the meridians and disperse cold
  • Formulas that transform phlegm and extinguish wind
  • Formulas that harmonize lesser yang-warp disorders
  • Formulas that disperse dryness and moisten
  • Formulas that reduce food accumulation and transform stagnation
  • Formulas that purge heat accumulation

All Formulas Recommended for Obesity Caused by Phlegm

Formula Patterns Suitable For
Er Chen Tang Damp-Phlegm, Phlegm
Xiang Sha Liu Jun Zi Tang Damp-Phlegm, Damp-Phlegm in the Uterus
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus, Phlegm
Liu Jun Zi Tang Phlegm
Bu Zhong Yi Qi Tang Damp-Phlegm in the Uterus
Shen Qi Wan Damp-Phlegm
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Yue Ju Wan Phlegm
Wen Dan Tang Phlegm
Ban Xia Hou Pu Tang Phlegm
Ban Xia Bai Zhu Tian Ma Tang Phlegm
Hao Qin Qing Dan Tang Phlegm
Xing Su San Phlegm

All Formulas Recommended for Obesity Caused by Qi Deficiency

Formula Patterns Suitable For
Liu Jun Zi Tang Spleen and Lung Qi Deficiency, Spleen Qi Deficiency
Si Jun Zi Tang Spleen and Lung Qi Deficiency, Spleen Qi Deficiency
Fei Er Wan Spleen Qi Deficiency

All Formulas Recommended for Obesity Caused by Dampness

Formula Patterns Suitable For
Xiang Sha Liu Jun Zi Tang Damp-Phlegm, Damp-Phlegm in the Uterus
Er Chen Tang Damp-Phlegm
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Bu Zhong Yi Qi Tang Damp-Phlegm in the Uterus
Shen Qi Wan Damp-Phlegm
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All "formulas that tonify qi" recommended for obesity

Formula Patterns Suitable For (if applicable)
Liu Jun Zi Tang Phlegm, Spleen and Lung Qi Deficiency, Spleen Qi Deficiency
Si Jun Zi Tang Spleen and Lung Qi Deficiency, Spleen Qi Deficiency
Bu Zhong Yi Qi Tang Spleen Qi Sinking, Damp-Phlegm in the Uterus

All "formulas that dry dampness and transform phlegm" recommended for obesity

Formula Patterns Suitable For (if applicable)
Er Chen Tang Damp-Phlegm, Phlegm
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus, Phlegm
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Wen Dan Tang Phlegm

All "formulas that promote qi movement" recommended for obesity

Formula Patterns Suitable For (if applicable)
Yue Ju Wan Phlegm
Ban Xia Hou Pu Tang Phlegm

All "formulas that release the exterior and purge the interior" recommended for obesity

Formula Patterns Suitable For (if applicable)
Da Chai Hu Tang Not applicable
Fang Feng Tong Sheng San Not applicable

TCM Herbs for Obesity

Explore below some TCM herbs used to address obesity, organized by herb category.

  • By Herb Category
  • Tonic herbs for qi deficiency
  • Warm/Acrid herbs that release the exterior
  • Purgative herbs that drain downward
  • Herbs that regulate qi
  • Aromatic herbs that transform dampness
  • Herbs that expel parasites
  • Cool/Acrid herbs that release the exterior
  • Warm herbs that transform phlegm and stop cough
  • Herbs that warm the interior and/or expel cold
  • Herbs that drain dampness
  • Tonic herbs for blood deficiency
  • Herbs that invigorate the blood
  • Herbs that pacify internal liver wind and stop tremors
  • Herbs that clear heat and purge fire and/or clear summer heat
  • Herbs that clear heat and dry dampness
  • Herbs that relieve coughing and wheezing

"Purgative herbs that drain downward" recommended for obesity

Herb Formulas they belong to (if applicable)
Rhubarb (Da Huang) Da Chai Hu Tang | Fang Feng Tong Sheng San
Mirabilites (Mang Xiao) Fang Feng Tong Sheng San

"Herbs that regulate Qi" recommended for obesity

Herb Formulas they belong to (if applicable)
Tangerine Peel (Chen Pi) Er Chen Tang
Coco-Grass Rhizomes (Xiang Fu) Cang Fu Dao Tan Wan

"Aromatic herbs that transform Dampness" recommended for obesity

Herb Formulas they belong to (if applicable)
Black Atractylodes Rhizomes (Cang Zhu) Cang Fu Dao Tan Wan | Wei Ling Tang
Houpu Magnolia Bark (Hou Pu) Ban Xia Hou Pu Tang

"Herbs that expel parasites" recommended for obesity

Herb Formulas they belong to (if applicable)
Quisqualis Fruits (Shi Jun Zi) Fei Er Wan
Areca Nuts (Bing Lang) Fei Er Wan