基于“阳化气，阴成形”理论治疗阳虚精亏型肥胖

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[大键词」肥肝；阳化气，阴成形；怕虚精丐；扶阳化阴

[中图分类号]R249 [文献标志码］A [文章编号]0256-7415（2025）19-0229-04

DOI：10.13457/j.cnki.jncm.2025.19.037

Ji Yunxi's Experience in Treating Obesity of Yang Deficiency and Essence Depletion Type Following the Theory of "Yang Governs Qi Transformation，Yin Governs Substance Formation"

LIUJiahui1，JI Yunxi²

1.TheFirst ScholofClinicalMedicine，ZhejiangChinese MedicalUniversity，Hangzhou Zhejiang 310o53，China；2.Zhejiang Provincial Hospitalof TraditionalChineseMedicine，Hangzhou Zhejiang31Ooo6，China

Abstract：Traditional Chinese medicine holds that obesity predominantly arises from improper dietary habits and is closelyassociated with excess pathogenic factors such as phlegm and blood stasis.Based on the theory"yang governs qi transformation，yin governs substance formation，" JIYunxi proposes thatobesitydevelopsdue to insuficient yangmediatedqitransformation，wherefailure in transportationand metabolism is induced byspleen-kidney yang deficiency， leading to abnormal transformationof nutrients from foodand water.Simultaneously，excesive yin-mediated substance formationconstitutesacritical pathological link，characterizedby endogenousaccumulation of lipid-turbid-phlegmdampness anddepletion of essence-blood，ultimately triggering yin-yang imbalance and establishing a pathological cycle.Consequently，thecore therapeutic principle focuses on "supporting yang and suppressing yin，" with afourfold approach：reinforcing yang to activate qi-transformation，removing dampness and eliminating turbidity，tonifying essence and blood，and ensuring qi activation.

Keywords：Obesity；Yang governs qi transformation，yin governs substance formation；Yang deficiency and essence depletion； Supporting yang and suppressing yin

肥胖是以体内脂肪组织积累过多为特征，以形体肥胖为主要症状的一种代谢性疾病，由遗传和环境等多方面因素引起，严重影响人们的生活质量。（剩余5882字）