Made by Dr.Luo 1

Made by Dr.Luo 2

Toothache (ya tong)

Obesity (fei pang)

Made by Dr.Luo 3

Biomedicine

TCM

Differential Diagnosis & Treatment

Obesity (fei pang)

Made by Dr.Luo 4

Biomedicine

Definition accumulation of excessive body fat

Obesity (fei pang)

Prevalence 14.63%

Made by Dr.Luo 5

Classification of Obesity

Simple Obesity

Pathological Obesity

Subcutaneous Obesity

Visceral Obesity

Made by Dr.Luo 6

Causes of Obesity

Genetic Factors

Social, Environmental and Psychological Factors

Endocrine/Hypothalamus/hypothyroidism/diabetes

Overeating/overdrinking

Lack of exercise

Made by Dr.Luo 7

Method 1: BMI / Body Mass Index

Diagnosis

Standard weight(kg)Method 2:

Made by Dr.Luo 8

Mechanism

Consumption of more calories than needed

TreatmentDDietaryEExercise

In addition to acupuncture, also dietary control and more exercise

Made by Dr.Luo 9

TCM

Etiology

•Irregular diet –Sp Ruo St Qiang•Emotional disorder •Lack of exercise •Aging

Obesity (fei pang)

Made by Dr.Luo 10

Diagnosis--- distribution of fat

•Chin–ST

•Abdomen--SP

•Buttock/lower back--KD

Made by Dr.Luo 11

Differential Diagnosis

ST Heat+ phlegm SP Qi Xu+dampnessKID Qi & KID Yang Xu+water

Basic Points REN-17, 12, 6, 3; SP-9, 6; ST40; P-6 + SJ-5 ; KID-2 + UB-63

Auricular points ST, SJ, Shenmen, hunger, endocrine

Differential Points (pictures)

Treatment

Made by Dr.Luo 12

Biomedicine

TCM

Differential Diagnosis & Treatment

Toothache (ya tong)

Made by Dr.Luo 13

Definition—pertains to patterns presenting tooth pain as the major symptom, often due to pulpitis, periapical abscess, impacted teeth, and cavities.

Toothache (ya tong)

Made by Dr.Luo 14

Anatomy

Made by Dr.Luo 15

Enamel

Dentin

Pulp

Death of pulp

Stages

Made by Dr.Luo 16

Made by Dr.Luo 17

Treatment

• Oral hygiene: brush before or after breakfast and before bedtime and flossing daily to remove plaque

• Fillings• Root canal treatment • Tooth extraction• Crowns

Made by Dr.Luo 18

TCM

Toothache (ya tong)

DU and ST = upper teeth

Ren and LI = lower teeth

MechanismMore yang and excess in nature

Different symptom b/w Yangming meridian and organ?

Made by Dr.Luo 19

Differential Diagnosis

Basic points LI-4; SJ-5;ST-3; ST-6; ST-5, 7; SI-18; ST-44; ST-9;LI-18

Differential points

Treatment

Invasion of Wind-Heat Stomach Heat Deficient Fire-Kidney Yin Xu

Made by Dr.Luo 20

Review

Yang ming meridian---Yang ming organ?

Headache—top—rising Liver Yang

----rising Liver Fire

Cu Mai, Jie Mai, Dai Mai?Kou Mai(hollow)?Ruo Mai(weak) --Xu Mai(feeble)?