The treatment of obese patients is becoming more common in UK clinics,

Around 60% of adults in England are either overweight or obese (DOH 2011), and 2% are morbidly obese (Body Mass Index (BMI) above 40kg/m2) (Information Centre 2008). If present trends continue, 60% of all men, 50% of all women, and 25% of all children will be obese by 2050.(1)

Patients often present with other physical symptoms accompanying their obesity, and often mental health issues are combined with the weight. Acupuncture therefore has a crucial role to play, as through careful diagnosis and treatment of TCM patterns, in time the patient can begin to address many levels of the condition, and better understand the effects of dietary choices within a TCM framework.

Evidence for efficacy of acupuncture:

• Acupuncture treatment can affect appetite, intestinal motility, metabolism, and treat accompanying emotional factors
• Studies have observed increases in neural activity, tone in the smooth muscle of the stomach and in levels of, beta endorphin, and serotonin in plasma and brain tissue with acupuncture treatment
• Appetite can be reduced as acupuncture excites the part of the hypothalamus responsible for satiety, and raises serotonin levels, which in turn serotonin enhances motility in the smooth muscle of the intestines (2)

References

1. Department of Health  2011 .  Healthy lives, healthy people (online) Available at: www.gov.uk
2. (Int J Neurosci. 2006 Feb;116(2):165-75). NCBI
3. Nature.com International Journal of Obesity

• understand definitions of obesity from Western and TCM viewpoints
• better understand the aetiology of obesity from Western and TCM viewpoints
• discuss the risks of obesity and patients complex symptomology through case studies

• be able to use acupuncture in the general treatment of obesity
• be able to use TCM to discuss the role of diet with patients

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