Jisheng Shenqi Wan combined with Er Chen Tang and Yin Chen Wu Ling San: a method of warming yang, resolving dampness, soothing the liver, strengthening the spleen, and aiding weight loss.

44. Modified Jisheng Shenqi Wan and Er Chen Tang

Indications: Hyperlipidemia and obesity.

The formula consists of: Poria cocos 15g, Dioscorea opposita 15g, Alisma plantago-aquatica 12g, Paeonia suffruticosa 6g, Cornus officinalis 10g, Rehmannia glutinosa 15g, Aconitum carmichaelii 15g, Cinnamomum cassia 2g, Plantago asiatica 30g, Achyranthes bidentata 15g, Pinellia ternata 10g, Citrus reticulata peel 10g, Glycyrrhiza uralensis 3g, and Benincasa hispida peel 30g.

Dosage and administration: Take one dose daily, divided into two doses, one in the morning and one in the evening.

Explanation: Traditional Chinese medicine believes that those with qi deficiency and yang deficiency should be treated with warming yang and dampness-resolving methods, and should not be treated with qi-regulating methods. Those with kidney deficiency should not be treated with diuretics. Therefore, this formula is used.

Typical Case: Ms. Gong, 46 years old, weighing 83 kg and 167 cm tall. Her pulse was wiry and slippery, and her tongue was pale red with a slightly greasy coating. After taking this prescription, her urination increased and her abdominal distension lessened. The original prescription was then modified for further treatment. After 3 months, her weight dropped to 70 kg, and her blood lipids returned to normal.

Prescription source: Traditional Chinese medicine treatment of obesity Jiang Youli Journal of Beijing University of Traditional Chinese Medicine 1985(2)26～28.

45. Modified Yin Chen Wu Ling San and Shu Gan Yin

Indications: Simple obesity.

The formula consists of: Artemisia capillaris 15g, Poria cocos and Polyporus umbellatus 15g each, Atractylodes macrocephala 12g, Alisma plantago-aquatica 12g, Cinnamomum cassia 1g, Bupleurum chinense 12g, Curcuma longa 10g, Curcuma longa 10g, Mentha haplocalyx 3g, Amomum villosum 6g, and Raphanus sativus 15g.

Dosage and administration: One dose per day, taken in the morning and evening.

Explanation: This formula strengthens the spleen, eliminates dampness, and soothes the liver. It promotes qi circulation and diuresis, with a focus on benefiting the liver meridian. It is particularly suitable for patients with depression, especially female patients, and is especially effective for those with irregular menstruation.

Typical Case: Ms. Liu, 34 years old. Height 158 ​​cm, weight 74 kg. Pulse wiry and thready, tongue red with thin white coating. Diagnosed as liver stagnation and spleen deficiency. After taking this prescription for 8 doses, abdominal distension was significantly reduced. 30 grams of winter melon peel was added, and the treatment continued. One month later, her weight dropped to 70 kg, and after six months, it dropped to 66 kg.

Prescription source: Traditional Chinese medicine treatment of obesity Jiang Youli Journal of Beijing University of Traditional Chinese Medicine 1985(2)26～28.

46. ​​Modified Linggui Zhugan Decoction and Zexie Decoction

Indications: Simple obesity.

The formula consists of: Poria cocos 30g, Cinnamomum cassia 10g, Atractylodes macrocephala 12g, Glycyrrhiza uralensis 6g, Alisma plantago-aquatica 30g, Rheum palmatum 6g, Magnolia officinalis 10g, Citrus aurantium 6g.

Dosage and administration: Take one dose daily, divided into two doses, one in the morning and one in the evening.

Explanation: Traditional Chinese medicine believes that insufficient heart yang leads to impaired water metabolism in the middle jiao, resulting in phlegm and fat accumulation. This phlegm-heat can cause dizziness, and phlegm-dampness is one of the causes of obesity. This formula eliminates phlegm and dampness, invigorates heart yang, and thus promotes weight loss.

Typical Case: Ms. Chen, 44 years old. Her pulse was wiry and thready, and her tongue was red with a thick, greasy coating. She was diagnosed with heart yang deficiency and phlegm obstructing chest yang. After taking more than 60 doses, she lost weight and her blood lipids returned to normal.

Prescription source: Traditional Chinese medicine treatment of obesity Jiang Youli Journal of Beijing University of Traditional Chinese Medicine 1985(2)26～28.

47. Weight Loss and Slimming Methods

Indications: Severe obesity due to phlegm and dampness (Cushing's disease).

The prescription consists of: 10-30 grams of black and white morning glory seeds, 10 grams each of stir-fried cassia seed, alisma rhizome, and atractylodes rhizome, and 20 grams each of hawthorn fruit, prepared he shou wu (Polygonum multiflorum), and morning glory seed.

Dosage and administration: Take one dose daily, divided into two doses, one in the morning and one in the evening.

Explanation: Hawthorn aids digestion, removes blood stasis, and lowers blood lipids. Cassia seed and Polygonum multiflorum lower blood lipids and cholesterol. Alisma plantago-aquatica drains water, and Atractylodes macrocephala tonifies the spleen and stomach, forming a formula for draining water, strengthening the spleen and stomach, removing stagnation, resolving phlegm, and lowering lipids. Morning glory seeds contain morning glory glycosides, fatty oils, pigments, and organic acids, and are the main ingredients in this formula. The *Compendium of Materia Medica* states that it treats abdominal masses, promotes urination and defecation, removes damp-heat from the qi level, clears stagnation in the triple burner, dispels blood stasis and eliminates phlegm; long-term use leads to weight loss. *The Compendium of Flowers, Volume 3, Materia Medica* also states that it can dispel wind and tonify deficiency and swelling; long-term use leads to emaciation. Its weight-loss effect is very significant.

Typical case: Ms. Lu, 25 years old. Height 156 cm, weight 64 kg. After taking the above prescription for 6 doses, her weight decreased to 61 kg.

Prescription source: Wang Guangquan, Zhejiang Journal of Traditional Chinese Medicine, 1985(3)128.

48. Weight Loss Pills

Indications: Obesity of all types (fat accumulation type, water retention type, endocrine disorder type).

The formula consists of: 15 grams each of Saposhnikovia divaricata, Schizonepeta tenuifolia, Forsythia suspensa, Ephedra sinica, Mentha haplocalyx, Ligusticum chuanxiong, Angelica sinensis, stir-fried Paeonia lactiflora, Atractylodes macrocephala, Gardenia jasminoides, wine-steamed rhubarb, and Glauber's salt; 30 grams each of Gypsum fibrosum, Scutellaria baicalensis, and Platycodon grandiflorus; 60 grams of Glycyrrhiza uralensis; and 90 grams of Talcum.

Prescription source: Zhejiang Journal of Traditional Chinese Medicine, 1985(12)

49. Fangji Huangqi Decoction

Formula composition: 30g of Fangji, 31g of Huangqi, 25g of Baizhu, and 60g of Shanzha. Grind the above two doses of medicine into powder, mix with honey to form pills, each weighing 9g. Take one pill in the morning and evening for three consecutive months.

Effects: After three months of continuous use, weight loss of approximately 10 kg is expected. This medication does not affect diet and has no specific side effects. Some individuals may experience mild diarrhea, which resolves upon discontinuation of the medication.

Prescription source: Same as above.