艾灸治疗单纯性肥胖的研究进展*

作者：焦 健，陈贵海

单位：广西中医药大学，广西 南宁 530200

引用：引用：焦健，陈贵海.艾灸治疗单纯性肥胖的研究进展[J].中医药导报,2026,32(4):120-123.

DOI：10.13862/j.cn43-1446/r.2026.04.019

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摘要：

从先天禀赋、饮食不节、劳逸失度及情志因素等方面总结单纯性肥胖的病因病机，并阐述了中医学对肥胖并发症的认识。从对代谢通路及其代谢物的影响、对肥胖相关因子的影响、对肠道菌群结构的影响3方面分析艾灸治疗肥胖的作用机制。通过文献整理，发现艾灸、雷火灸及联合其他外治法对单纯性肥胖疗效确切，在降低体质量、体脂、血脂、腰围，改善中医证候等方面都发挥了积极的作用。但目前的研究仍存在一定的局限性，如样本量较小、研究周期较短等，对艾灸治疗肥胖的具体作用机制尚需进一步深入研究。

关键词：单纯性肥胖；艾灸；病因病机；作用机制；综述

Abstract：

This article summarizes the etiology and pathogenesis of simple obesity from the aspects of congenital endowment, improper diet, imbalance of work and leisure, and emotional factors, and elaborates on the TCM understanding of obesity-related complications. The mechanisms of moxibustion in treating obesity are analyzed from three aspects: its effects on metabolic pathways and their metabolites, effects on obesity-associated cytokines, and effects on the structure of intestinal flora. Through literature collation, it is found that moxibustion, Leihuo Moxibustion (thunder-fire moxibustion), and the combination of moxibustion with other external therapies have definite clinical efficacy in the treatment of simple obesity, and exert positive effects in reducing body weight, body fat and blood lipid levels, decreasing waist circumference, and improving TCM syndrome scores. However, the current relevant studies still have certain limitations, such as small sample sizes, short research cycles and lack of unified research standards, and further in-depth research is needed on the specific action mechanisms of moxibustion in the treatment of obesity.

Key words：simple obesity; moxibustion; etiology and pathogenesis; action mechanism; review

发布时间：2026-04-26

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