Obesity Patterns

Stomach heat and food stagnation

– Primarily a result of overeating. Red tongue with a thick, greasy, white or yellow coat.
– Keep all pathways of elimination open. Clear heat, eliminate food stagnation.

Heat concentrated in yang ming

– Zhi Shi Dao Zhi Wan

Damp-heat in the qi level

– Lian Po Yin

Damp-heat in the Liver and Stomach

– Long Dan Xie Gan Tang

Damp-heat and gallbladder qi constraint

– Da Chai Hu Tang or Dan Dao Pai Shi Tang


– Primarily from overeating, digestive inefficiency, and a tendency to be obese from an early age. Swollen with a thin or thick, greasy, white coat.
– Transform phlegm-dampness and assist the qi dynamic. Strengthen the Spleen and Stomach and tonify qi.

Accumulating in the Spleen and muscles

- Xiang Sha Liu Jun Zi Tang


- Huang Lian Wen Dan Tang

Spleen deficiency

Qi deficiency

– Inefficient processing of food, which leaves a residue of dampness, phlegm, and fluid that settles in the flesh.
– Strengthen the Spleen and Stomach and tonify qi

With dampness and fluctuating weight

– Shen Ling Bai Zhu San

With marked edema and knee pain

– Fang Ji Huang Qi San

Yang deficiency

– Weight gain from fluid and fat due to reduced metabolic rate, and accompanied by lack of energy and motivation. Can be from the result of repeated crash or restrictive diets, or the use of slimming aids.
– Warm and tonify Spleen and Kidney yang

Diminished digestive fire

– Fu Zi Li Zhong Wan

With significant edema

– Shi Pi Yin or Zhen Wu Tang

As weight decreases and the Spleen strengthens

– Jin Gui Shen Qi Wan

Liver and Kidney yin deficiency

– Common in overweight people, most frequently seen in post-menopausal women.
– Nourish and tonify Liver and Kidney yin
– Yi Guan Jian, plus Polygoni multiflori Radix, Ecliptae Herba, and Ligustri Fructrus

Qi and blood stasis

– Chronic obesity with significant cardiovascular complications.
– Invigorate blood and dispel blood stasis. Dredge the Liver and regulate qi.
– Xue Fu Zhu Yu Tang With deficiency – Tao Hong Si Wu Tang or Bu Yang Huan Wu Tang
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