Obesity-related fatty liver patients often have no noticeable symptoms, or only experience mild fatigue, loss of appetite, abdominal bloating, belching, and a feeling of fullness in the liver area. In Traditional Chinese Medicine, obesity-related fatty liver falls under the categories of "accumulation" and "phlegm-fluid." The pathophysiology is considered to be due to spleen deficiency, which fails to transform and transport water and grains properly, leading to the accumulation of fat in the liver, resulting in fatty liver.
Food Turbidity Obstruction Type: Abdominal bloating or pain, constipation, poor appetite, with occasional gatherings of rope-like masses in the abdomen that feel better when pressed hard; the tongue coating is greasy, and the pulse is taut and smooth.
Liver Qi Stagnation Type: Accumulation of qi in the abdomen, with pain that comes and goes, and discomfort in the hypochondriac region that varies with emotional changes; the tongue coating is greasy, and the pulse is taut.
Phlegm-Dampness Blockage Type: Obese body shape, dull pain in the chest and hypochondria, dizziness, chest tightness, and a tendency to be tired and sleepy; the tongue coating is white and greasy, and the pulse is taut and smooth.
Stasis of Blood Obstructing the Collaterals Type: Distending or stabbing pain in the hypochondriac and rib areas, with a fixed location and resistance to pressure, headache, numbness in the limbs, ecchymosis on the skin, and a dull complexion; the tongue appears dark purple with possible ecchymotic spots or petechiae, and the pulse is taut, thin, or choppy.
Liver and Kidney Yin Deficiency Type: Dull pain in the hypochondriac and rib areas that is incessant, dry mouth and tongue, internal heat with restlessness, and dizziness with blurred vision; the tongue is red with little coating, and the pulse is thin and taut.
It is recommended to perform moxibustion once a day, targeting 2 to 3 acupoints each time, with each acupoint being treated for 30 to 40 minutes. Rotate the points treated, with a 10-day period constituting one course of treatment, and then rest for 2 to 3 days before continuing with the next course. (If time permits and there is a need, more acupoints can be treated with moxibustion. The specific duration should be adjusted according to one's own physical needs.)
1. The conditioning of obesity-related fatty liver should primarily focus on adjusting the diet, with the basic principle of "one appropriate and two lows," which means appropriate protein intake and low sugar and low fat. 2. The use of clinical lipid-lowering drugs should be cautious, as these drugs may drive blood lipids to be more concentrated in the liver for metabolism, often leading to further damage to liver cells. 3. Dietary therapy recipe: Acorus and Curcuma Porridge. 12 grams each of Acorus tatarinowii and Curcuma zedoaria, 5 grams of processed Pinellia ternata, 50 grams of millet, and an appropriate amount of rock sugar. The first three ingredients are decocted in water, the residue is removed, and the juice is taken to cook the millet porridge. When the porridge is ready, add rock sugar for seasoning. Consume in appropriate amounts, suitable for obesity-related fatty liver of the phlegm-damp obstruction type.