Introduction
The increasing prevalence of obesity has become a major public health concern worldwide. Traditional Chinese Medicine (TCM) offers a unique perspective on weight loss, viewing it not merely as a cosmetic goal but as a restoration of balance within the body. TCM approaches weight management holistically, considering the individual's constitution, lifestyle, and the underlying imbalances that contribute to weight gain. In TCM, weight gain is often attributed to an accumulation of "dampness" arising from imbalances in the processes of food intake, digestion, absorption, and transportation. This article explores the principles of TCM for weight loss, delving into herbal remedies, acupuncture, dietary therapy, and lifestyle practices that can support healthy and sustainable weight management.
The TCM Perspective on Obesity
Traditional Chinese Medicine emphasizes the connection between the mind and body, recognizing that weight gain is often a symptom of deeper imbalances. TCM tailors treatments to individual constitutions. In TCM, obesity is not viewed as a standalone issue but rather as a manifestation of an imbalance among the body’s organs (Zang-Fu), fluids, and Qi flow. TCM practitioners seek to identify the root cause of these imbalances and create personalized treatment plans to restore harmony.
From a traditional Chinese perspective, physical movement could include martial arts or tai chi. And the TCM perspective on nutrition and weight loss draws on the seasons of nature, with five distinct seasons determining what your body needs: Summer, Late Summer, Autumn, Winter, and Spring.
Common TCM Patterns Associated with Weight Gain
TCM identifies several patterns of disharmony that can contribute to weight gain:
- Damp-Heat: This pattern is characterized by bloating, dry mouth, constipation, and excess weight.
- Herbs: Coix seed (Yi Yi Ren), Poria (Fu Ling), Scutellaria (Huang Qin), Lotus leaf (He Ye), Cassia seed (Jue Ming Zi)
- Dietary suggestions: Winter melon soup, Coix and mung bean porridge, Stir-fried bitter melon
- Spleen Deficiency (Soft Obesity): This pattern manifests as a soft, puffy body, frequent fatigue, and loose stools.
- Herbs: Codonopsis (Dang Shen), Atractylodes (Bai Zhu), Poria (Fu Ling), Aged tangerine peel (Chen Pi), Red dates (Hong Zao)
- Dietary suggestions: Chinese yam porridge, Goji berry and red date tea, Chicken soup with white hyacinth bean
- Qi Stagnation: This pattern is associated with frequent stress, bloating, menstrual irregularities, and constipation.
- Herbs: Cyperus (Xiang Fu), Bupleurum (Chai Hu), Ligusticum (Chuan Xiong), Rose (Mei Gui Hua), Finger citron (Fo Shou)
- Dietary suggestions: Rose tea, Stewed ribs with aged tangerine peel, Finger citron honey
- Yang Deficiency: This pattern is characterized by cold sensitivity, water retention, cold limbs, and low energy.
- Herbs: Aconite (Fu Zi), Dried ginger (Gan Jiang), Cinnamon bark (Rou Gui), Morinda (Ba Ji Tian), Eucommia (Du Zhong)
- Dietary suggestions: Ginger and red date tea, Lamb stew with Angelica (Dang Gui), Longan porridge
Herbal Remedies in TCM for Weight Loss
Traditional Chinese Medicine utilizes a variety of herbs to address the underlying imbalances that contribute to weight gain. These herbs are often combined into formulas tailored to the individual's specific needs.
Read also: What to Feed a Chinese Water Dragon
Common Chinese Herbs for Weight Loss
- Ginseng: Ginseng root may also support weight loss by changing the composition of our gut microbiome, the complex assortment of “good bacteria'' dwelling within our digestive system. Supplementing with this safe, natural herb can potentially work to balance gut microbiota and help the body shed weight while staying energized and vibrant.
- Adenophora: Adenophora also has a demonstrated anti-obesity effect, possibly thanks to antioxidant and anti-inflammatory mechanisms, according to research.
- Green Tea: Studies show its power as an obesity-fighting herb. Green tea comes with a long list of potential health benefits in addition to weight loss, such as mental alertness, digestive relief, and headache relief. Some research also suggests that consuming green tea may help with blood pressure and cholesterol levels.
- Codonopsis: Several studies show a link between codonopsis root and decreased body weight, particularly in the context of a high-fat diet.
- Poria Cocos: It works as a gentle diuretic to help shed excess water weight so you can feel lighter almost instantly. Interestingly, poria cocos mushrooms have also shown promise against the effects of Alzheimer’s disease, as it helps clear certain plaques from the brain.
- Black Atractylodes Root: It also has a demonstrated anti-obesity effect which may make black atractylodes root an appealing addition to your weight loss toolbox.
- Mulberry: This plant works for weight loss in a fascinating way: its extract inhibits the breakdown of certain carbohydrates, in effect lowering the glycemic index of those carbs.
- Fennel: This Chinese herb may work for weight loss by preventing the body’s accumulation of excess fat.
- Astragalus: This herb is widely known for its immune-boosting qualities, but astragalus also plays an important role in supporting metabolism. In TCM, it is often used to strengthen the qi, which translates to increased energy and a more robust metabolic function.
- Goji Berries: Goji berries are nutrient powerhouses that provide essential vitamins and minerals while being low in calories. Rich in antioxidants, they help the body combat oxidative stress, which can interfere with metabolic processes.
- Pu-erh Tea: The fermentation process gives it unique properties that aid digestion and help break down fat more effectively.
- Cinnamon Twig: Known for its warming nature, cinnamon twig is used in TCM to help regulate blood sugar levels and improve circulation. Balanced blood sugar levels are crucial for controlling cravings and preventing unnecessary calorie intake.
- Lotus Leaf: Lotus leaf is a well-known herb in TCM that is often recommended for weight loss due to its ability to reduce fat accumulation. It works by improving the digestion of fats and eliminating excess body fluids, which can contribute to bloating and water weight.
- Chinese Hawthorn: Chinese hawthorn is frequently used in TCM to aid digestion and promote the breakdown of food, particularly fats. Its enzymes help to metabolize heavy, rich foods more efficiently, preventing fat buildup in the body.
- Atractylodes: This herb plays a significant role in improving digestive function and reducing water retention, two common obstacles to effective weight loss. Atractylodes strengthens the spleen in TCM, which is responsible for transforming food into energy.
- Dandelion Root: Dandelion root is a well-known detoxifying herb that aids in weight loss by promoting liver health and supporting the body’s natural detoxification processes. In TCM, a well-functioning liver is essential for breaking down and eliminating toxins, which can otherwise slow metabolism and contribute to weight gain.
- Chinese Mugwort: Chinese mugwort is traditionally used in TCM to improve circulation and warm the body, which in turn enhances metabolism. Improved blood flow and a balanced body temperature are essential for optimal fat metabolism.
- Job’s Tears: This grain-like herb is prized for its anti-inflammatory and diuretic properties. In TCM, Job’s Tears are used to address internal dampness, which can lead to water retention and bloating. By promoting the elimination of excess fluids, it helps in weight reduction and supports a leaner physique.
- Bupleurum: Bupleurum is often used to harmonize the liver and alleviate stress, both of which play critical roles in weight management. By regulating liver function, bupleurum helps in breaking down fat more efficiently and preventing its accumulation around the abdomen.
Yin Zhi Huang (YZH) for NAFLD Management
Yin Zhi Huang (YZH), a traditional Chinese herbal formula used in neonatal jaundice, has shown promise in managing Non-Alcoholic Fatty Liver Disease (NAFLD), which is frequently associated with obesity. YZH contains extracts from four different plants: Artemisia scoparia, Gardeniae fructus, Lonicerae Japonicae Flos, and Scutellaria baicalensis Georgi. Studies suggest that these plants have anti-obesity or liver protection properties.
YZH has been found to ameliorate body weight gain, hyperlipidemia, and hepatic steatosis by inhibiting de novo lipogenesis (DNL) in adipose tissue and liver via the AMPK/SREBP-1 pathway and increasing fatty acid β-oxidation (FAO) in the liver through the AMPK/ACC/CPT1A pathway.
Acupuncture and Related Therapies
In Traditional Chinese Medicine, acupuncture is a widely recognized treatment for promoting weight loss. By targeting specific acupoints, practitioners aim to stimulate the flow of qi (vital energy) throughout the body, which plays a crucial role in balancing various functions.
Key Acupuncture Points for Weight Loss
- Zhongwan (CV12) and Zusanli (ST36): These points are frequently used to improve digestive health and enhance metabolism. They help regulate the spleen and stomach, organs that are central to nutrient absorption and energy conversion.
- Neiguan (PC6): Applying pressure to this point aims to suppress appetite and alleviate digestive discomfort.
Other TCM Therapies
- Acupressure: Mirrors acupuncture in its approach. By applying pressure to specific points it aims to suppress appetite and alleviate digestive discomfort.
- Cupping Therapy: By placing heated cups on specific areas of the body, this technique creates suction that stimulates blood flow and releases toxins from the tissues. Enhanced circulation not only supports detoxification but also promotes the breakdown of fat deposits.
- Reflexology: Reflexologists concentrate on zones linked to the digestive system, such as the stomach, intestines, and liver. Stimulating these points helps promote better digestion, regulate appetite, and boost metabolism.
Chinese Dietary Therapy
Chinese dietary therapy is a fundamental aspect of TCM that emphasizes the energetic properties of food to maintain internal balance. According to TCM, different foods possess yin or yang qualities and affect the body’s temperature and function. For individuals seeking to lose weight, dietary therapy focuses on promoting the consumption of foods that enhance digestion, reduce internal dampness, and support a smooth flow of qi. Furthermore, Chinese dietary therapy aims to avoid foods that may exacerbate imbalances, such as overly cold or greasy foods.
According to traditional Chinese medicine diet guidelines, bitter, sour and pungent foods are beneficial for weight loss while sweet, salty and fatty foods can lead to weight gain. To lose weight, the main strategy in traditional Chinese medicine is to eliminate this dampness.
Read also: Enjoy Keto Chinese Without the Guilt
Lifestyle Practices
In addition to herbal remedies, acupuncture, and dietary therapy, TCM emphasizes the importance of lifestyle practices in maintaining a healthy weight.
Qi Gong and Tai Chi
Qi Gong and Tai Chi are traditional Chinese exercises that focus on cultivating and balancing qi within the body. Unlike intense cardio workouts, these practices emphasize slow, controlled movements combined with deep breathing techniques. These practices also support weight loss by enhancing the flow of qi, which is believed to regulate the body’s systems and promote a more efficient metabolism.
Stress Management and Sleep
Lack of sleep and excess stress can have profound effects on weight gain. Acupuncture treatment works by stimulating the release of endorphins, the body’s natural “feel good” hormones, creating a relaxing and calming effect, which can counteract the urge to eat excessively.
Scientific Evidence Supporting TCM for Weight Loss
Increasing evidence suggests the anti‐obesity effects of traditional Chinese medicines (TCMs) and their potential advantages in weight loss, such as fewer side effects and lower costs compared to Western medicines.
One study used network meta-analysis (NMA) to review and rank the effects of currently available TCMs on weight loss and compare the effects of TCMs with different intervention durations. The results showed that TCMs, especially when the treatment duration was ≤6 months, were more effective in both body weight and Body Mass Index (BMI) reduction than non‐pharmacological interventions and placebo/no treatment. Acupotomy was ranked as the most effective TCM treatment in reducing both body weight and BMI.
Read also: Enjoy Chinese Food on Keto
Another study compared the effectiveness of Chinese herbal medicine (CHM) to Western medicine (WM) in promoting weight loss among an obese population. The study revealed that CHM was significantly more effective in achieving substantial weight reduction. According to the research published in Frontiers in Pharmacology, 53.21% of individuals using CHM achieved at least a 5% reduction in body weight, while only 22.46% of those using WM reached the same milestone.
RCM-104: A Chinese Herbal Medicine Formula for Obesity Management
RCM-104 is an RMIT Chinese herbal medicine formula with three herbal ingredients that are commonly used in daily practice: Camellia sinensis (Lu Cha Ye), Cassia obtusifolia (Jue Ming Zi), and Sophora Japonica (Huai Hua). A double-blinded, randomized, placebo-controlled clinical trial evaluated the efficacy and safety of RCM-104.
The results showed that the weight and BMI in the RCM-104 group were reduced significantly more than in the placebo group. Eleven items of the Weight-Loss Quality of Life questionnaire were significantly improved in the RCM-104 group, while only 2 items were significantly improved in the placebo group. Adverse events were minor in both groups.
Cautions and Considerations
While TCM offers a natural and holistic approach to weight loss, it is important to consult with a qualified practitioner before starting any new treatment. When properly guided by a licensed TCM physician, herbal formulas and treatments are gentle, gradual, and safe. However, overuse or unsupervised consumption of slimming herbal products on the market can pose risks, especially formulas that excessively purge bowels or drain fluids.