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Important Note: Although the information in this section was written by Healthphone.com's Healing Centre Panel of professional Chinese doctors, licensed acupuncturists, herbalists and other experts, Healthphone.com accepts no legal responsibility nor liability for any errors or omissions. The information in this section is presented as is, for educational purposes only. As with any medical matter, always consult your healthcare professional before acting on any health-related information.

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厭食與過食症
1. Overview and Causes
2. Symptoms
3. TCM Effectiveness and Evaluation
4. Common Syndromes and Treatments in TCM
  a. Deficiency of Heart and Spleen
  b. Flaring up of Liver Fire
  c. Heart-mind Disturbance
  d. Liver Qi Stagnation
5. Healing by Other Therapies
  a.
Qigong and other
  b.
Medicated diet
  c.
Life style

 

1. Overview and Causes
 

Anorexia is an eating disorder that strikes mostly young women who suppress the urge to eat and continue to lose weight to the point of malnutrition and starvation. It can be fatal, because an anorexic can literally starve herself to death while she continues to think of herself as fat and in need of no food. The result is not only an unattractively skinny body, but also an end to menstrual periods, and most importantly, the destruction of healthy muscle and organ tissue, which, when starved, the body uses as energy sources. Bulimia is abnormal and is an excess in eating, usually caused by emotional factors. Once a bulimic person finishes eating, he will self-induce vomiting. Victims of the disorder overeat far beyond the needs of their bodies.
 

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2. Symptoms
 

Anorexia:
(a) The main symptom of anorexia is drastic weight loss to the point of extreme underweight. Positive diagnosis of anorexia will require the doctor first to rule out that the extreme weight loss has been caused by a serious illness such as cancer, infectious disease, disorder of the digestive organs, etc.
(b) Menstrual periods may stop completely, and a growth of fine, downy hair appears all over the body.
(c) Anorexia can usually be diagnosed when the patient displays the classic symptoms before the age of 25 and has lost 25% of his/her original body weight.

Bulimia:
(a) Excessive eating, and the food provides them a way to relieve stress.
(b) Sometimes they may feel guilty after overeating and induce themselves to vomit.
(c) Bulimia is sometimes found among mental patients, especially those who have regressed to babyish behavior. Excessive eating may also result from hyperthyroidism. In a very small percentage of cases, bulimia may be caused by damage to the appetite control center of the brain.


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3. TCM Effectiveness and Evaluation
 

Acupuncture and Chinese herbal medicine are useful for younger patients. Some cases can be treated effectively.

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4. Common Syndromes and Treatments in TCM

This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below.
 

Syndrome (a)
Deficiency of Heart and Spleen

Anorexia may cause a deficiency of the heart and the spleen, which in turn may cause a fast heartbeat, poor memory, general lazziness, a pale comlexion and loose stools. The tongue is usually pale, with a thin white coating, while the pulse is feeble and thready.

To treat by Herbal medicine
Therapeutic principle: Herbal medicine helps reinforce the heart and spleen, nourish blood and calm the mind.

Prescription/Formula: Modified Modified Guipi Tang. White atractylodes (bauzhu) 30g, Poria (fuling) 30g, Astragalus (huangqi) 30g, Longan aril (longyanrou) 30g, Wild jujube seed (suanzaoren)30g, Ginseng (renshen) 15g, Costus root (muxiang) 15g, Chinese angelica (danggui) 3g, Polygala (yuanzhi) 3g, Licorice (gancao) 8g.
 

  

To treat by Acupuncture and Moxibustion
Therapeutic principle: Acupuncture or moxibustion may help reinforce the heart and spleen, nourish blood and calm the mind by using points mainly from the heart meridian of hand Shaoyin and spleen meridian of Foot Taiyin.

Prescription/Formula: Pishu (BL 20), Xinshu (BL 15), Yinbai (SP 1), Shengmen (HT 7), Sanyinjiao (SP 6).

  

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Syndrome (b)
Flaring up of Liver Fire


Anorexia or bulimia is accompanied by dizziness, restlessness, shortness of temper, difficulty to fall into sleep, probable congested eyes, bitter taste in the mouth and hypochondriac pain, thin yellow tongue coating and wiry rapid pulse.

To treat by Herbal medicine
Therapeutic principle: Herbal medicine can eliminate liver fire, moisten yin and sedate hyperactive yang.

Prescription/Formula: Modified Longdan Xiegan Tang. Chinese gentiana (longdancao) 6g, Scutellaria (huangqin) 9g, Capejasmine fruit (zhizi) 9g, Alisma (zexie) 12g, Licorice (gancao) 6 g, Fresh Rehmannia (shengdihuang) 9g, Clematis stem (mutong) 9g, Plantain seed (cheqianzi) 9g, Chinese angelica (danggui) 3g, Bupleurum (chaihu)6g, Curcuma root (yujin) 6g.

  

To treat by Acupuncture and Moxibustion
Therapeutic principle: Acupuncture or moxibustion can eliminate liver fire, moisten yin and sedate hyperactive yang by using points mainly from gallbladder meridian of Foot Shaoyang and Liver meridian of Foot Jueyin.

Prescription/Formula: Yanglinquan (GB 34), Ganshu (BL 18), Danshu (BL 19), Xingjian(LR 2), Zuqiaoyin (GB 44), Shenmen (HT 7).


  

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Syndrome (c)
Qi Stagnation and Heat in the Stomach


Anorexia or bulimia is accompanied by palpitation (noticeable or irregular heart beat), easily frightened patient, restlessness, dream-disturbed sleep that often wakens the patient, thin white tongue coating, rapid thready pulse.

To treat by Herbal medicine
Therapeutic principle: Calm the Heart and mind and sedate the patient.

Prescription/Formula: Modified Zhusha Anshen Wan. Cinnabar (zhusha) 15g, Capejasmine fruit (zhizi) 9g, Coptis (huanglian) 9g, Licorice (gancao) 16g, Fresh Rehmannia (shengdihuang) 8g, Chinese angelica (danggui), Schisandra fruit (wuweizi) 9g, Polygala root (yuanzhi)9g.
 

  

To treat by Acupuncture and Moxibustion
Therapeutic principle: Calm the Heart and mind and sedate paient by using points mainly from Pericardium meridian of Hand Jueyin and Heart meridian of Hand Shaoyin.

Prescription/Formula: Shenmen (HT 7), Neiguan (PC 6), Jianshi (PC 5), Xinshu (BL 15), Juque (RN 14).


  

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Syndrome (d)
Liver Qi stagnation


Anorexia or bulimia is accompanied by irritability, less sleep and excessive mental activity. There is also an increase in physical energy with violent behavior and rage which may lead to shouting, harming surrounding objects and people for no reason at all. Physical symptoms include a yellow greasy tongue coating and a rapid, thready and slippery pulse.

To treat by Herbal medicine
Therapeutic principle: Herbal medicine can help soothe the stagnant liver qi.

Prescription/Formula: Modified Chaihu Shugan San. Bupleurum (Chaihu) 30g, Chinese angelica (danggui) 30g, white peony (baishao) 12, Licorice (gancao) 12g, Cyperus tuber (xiangfu) 9g, Citrus peel (chenpi) 9g, Ligusticum (chuanxiong) 9g, Bitter orange (zhiqiao)9g, Curcuma root (yujin) 9g.
 

  

To treat by Acupuncture and Moxibustion
Therapeutic principle: Acupuncture or moxibustion can soothe the stagnant liver qi by using points mainly from Liver meridian of Foot Jueyin and Heart meridian of Hand Shaoyin.

Prescription/Formula: Shenmen (HT 7), Taichong (LR 3), Shanzhong (RN 17), Gongsun (SP 4), Ganshu (BL 18).


  

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5. Healing by Other Therapies

(a) Qigong and other therapies

For effect of Qigong on the Nervous System Function, click here.

Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements.

The following types of Qigong may help:

For the information of different types of Qigong ,just click a link above.

This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them.


(b) Medicated diet
1) Lotus seed (lianzirou) 20g, Coix seed (yiyiren) 15g, make soup to eat once a day.
2) For anorexia, Hawthorn fruit (shanzha) 12g, Jujube (dazao) 10g, make soup to drink once a day.

(c) Life style
1. Treatment can save the life of someone with an eating disorder. Friends, relatives, teachers, and physicians all play an important role in helping the ill person start and stay with a treatment program. Encouragement, caring, and persistence, as well as information about eating disorders and their dangers, may be needed to convince the ill person to get help and to stick with treatment.
2. Eating disorders often have an emotional basis. Keeping a good mental health balance will help prevent eating disorders as well as many other problems. Depression, in particular, has been linked to eating disorders. If you often feel depressed, consider professional help.

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Acknowledgments:
Healthphone.com greatly acknowledges the support and dedication of our
Healing Centre Panel, without whom this section would not be possible.

We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.

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