Clinical Study on Modified Shenling Baizhu Powder(参苓白术散)Combined with Abdominal Acupuncture Catgut-Embedding in the Treatment of Simple Obesity of Spleen Deficiency and Dampness Excess Type
YUN Hua
QIU Wei
Abstract：Objective:To explore the application effect of Modified Shenling Baizhu Powder(参苓白术散)combined with abdominal acupuncture catgut-embedding on patients with simple obesity of spleen deficiency and dampness excess type.Methods:A total of 105 patients with simple obesity of spleen deficiency and dampness excess type were selected as the research subjects and randomly divided into the conventional group,the catgut-embedding group and the combination group by using the random number table method,with 35 cases in each group.The conventional group was given life guidance.On this basis,the catgut-embedding group was treated with abdominal acupuncture catgut-embedding,and the combination group was treated with abdominal acupuncture catgut-embedding combined with modified Shenling Baizhu Powder.The curative effects,traditional Chinese medicine(TCM)syndrome scores,changes in obesity signs[waist-hip ratio,body mass index(BMI)],intestinal flora(DNA counts of bifidobacterium,Bacteroides,Enterococcus),blood lipid levels[total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),triglycerides(TG)]and safety of the three groups were compared.Results:The therapeutic effect classification of the combination group was superior to that of the conventional group and the acupuncture embedding group(P＜0.05).The total effective rates of the combination group and the acupuncture embedding group were 94.29％and 82.86％,respectively,both of which were higher than that of the conventional group(60.00％)(P＜0.05).After the treatment,except for the number of intestinal flora DNA in the conventional group,the other indicators of the three groups were all improved compared with those before the treatment(P＜0.05).After treatment,the comparisons of waist-hip ratio,BMI,as well as the main symptoms,secondary symptoms and total score of TCM syndromes among the three groups showed that the combination group＜the catgut-embedding group＜the conventional group(P＜0.05).After treatment,the comparison of TC,TG and enterococcus DNA numbers showed that the combination group＜the catgut-embedding group＜the conventional group,and the comparison of HDL-C and Bacteroides,Bifidobacterium DNA numbers showed that the combination group＞the catgut-embedding group＞the conventional group(all P＜0.05).There was no statistically significant difference in the incidence of adverse reactions among the three groups(P＞0.05).Conclusion:Modified Shenling Baizhu Powder combined with abdominal acupuncture catgut-embedding has a reliable effective therapeutic effect on patients with simple obesity of spleen deficiency and dampness excess type.It can regulate the intestinal flora of patients,improve lipid metabolism,alleviate clinical signs of patients,and has high safety.
Keywords：Shenling Baizhu Powderabdominal acupuncture catgut-embeddingsimple obesityspleen deficiency and dampness excess typeintestinal floralipid metabolism
Publication Date：2025-12-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：7( 1337-1343 )