صفحه 1:
صفحه 2:
EATING DISORDERS AND
TRADITIONAL CHINESE MEDICINE
صفحه 3:
Background:
What is an Eating Disorder?
Four types of eating disorders are looked at in this
study:
*Binge Eating Disorder (BED),
*Bulimia Nervosa (BN),
*Anorexia Nervosa (AN),
*Eating Disorders Not Otherwise Specified (EDNOS).
صفحه 4:
Anorexi
a
Nervosa
Bulimia
Nervosa
Binge
Eating
Disorde
صفحه 5:
WM Relationship of ED to each
2-2 ا ۱
(©000© عسوت) ناذا سج 00 تا
صفحه 6:
Eating Disorders and Chinese Medicine
*Eating disorders are a modern concept
*Critical reviewed research
* Anecdotal evidence
صفحه 7:
To determine:
* The patterns of disharmony involved in eating disorders
*To develop a treatment model based on these findings to help
guide practitioners to treat those with an eating disorder
صفحه 8:
Methodology- PSI
Data is obtained from two surveys
Both surveys had questions on:
+ Individual’s age and gender
* General health
For those with an eating disorder additional questions on:
* Diagnosis and treatment of their eating disorder
* Specific signs
صفحه 9:
Survey
*333 respondents, 137 excluded remaining
respondents, all female
0
+ 13 BED (6.6%)
+ 26 EDNOS (13.3%)
* 36 BN (18.4%)
* 67 AN (34.2%)
+ 54 No ED ((21.4%)
*67.6% had a formal diagnosis
صفحه 10:
ل ایا 1192۵۸
*We identified the Patterns of disharmony relevant to
Eating Disorders
*Pattern allocation according to the three references:
WHO (2007), Deng (2000) and Wiseman (1998)
*Symptoms matched to a checklist according to Berle
et al methodology.
*The check list symptoms are counted (as a
percentage)
Berle, C., Cobin, D., Smith, N., Zaslawski, C. A novel methodological approach to
Fee ete ne-feltetat-VM@iateet= Mee ettat emcee (enat ae cee ste eee
ا
صفحه 11:
Thirst
Foul Breath
Hyperorexia
Oliguria with dark urine
Constipation
Ulceration of the mouth or gingivitis
Scorching pain of the Stomach that refuses pressure
Preference for cold fluids
Acid up flow
Rapid hungering
Swelling and pain of the teeth
Scorched lips
صفحه 12:
Thirst
Foul Breath
Hyperorexia
Oliguria with dark urine
Constipation
Ulceration of the mouth or gingivitis
Scorching pain of the Stomach that refuses pressure
Preference for cold fluids
Acid up flow
Rapid hungering
Swelling and pain of the teeth
Scorched lips
Total 6/12
Conversion to % 6/12 x 100 =
8
صفحه 13:
تنا
Table 1 has the mean PSI's for each of the specific
patterns separately for each eating disorder and those
with no eating disorder.
For those without an eating disorder, the most strongly
expressed patterns were:
1.Liver Qi Depression
2Spleen and Kidney Yang Deficiency
3.Liver Qi invading the Stomach
صفحه 14:
Results
For those with an eating disorder of any type,
*Liver Qi Depression,
*followed by Spleen and Stomach Deficiency Cold,
are the two most strongly expressed TCM patterns
Figures 1-21 shows the mean PSI for each pattern.
صفحه 15:
Results Spleen Qi Deficiency
۳4
صفحه 16:
Results: Comparing those with and
eating disorder to no eating
disorder
The top three patterns for which the differences in
mean PSI's are largest are:
Spleen Qi deficiency, Spleen and Stomach
Deficiency Cold, Heart Qi Deficiency
Liver Qi Stagnation and Stomach Heat, Spleen
Qi Deficiency, and Heart Qi Deficiency
صفحه 17:
Results: Comparing those with and
eating disorder to no eating
disorder
The top three patterns for which the differences in
mean PSI's are largest are:
Spleen and Stomach Deficiency Cold, Liver
Qi Stagnation and Stomach Heat and Spleen Qi
۱9 هریت هار3
Stomach Yin Deficiency, Liver Qi Depression
and Heart Qi Deficiency
صفحه 18:
Application to
treatment
Proposed treatment model:
Combining
* The sufferer’s top PSI patterns
* And the patterns that in general present with
the greatest difference in mean from those with
no eating disorder.
صفحه 19:
۸۵۵۵۱۱6۵۲۱۵۱ ۵ ۲
continued..
¢ Liver Qi Stagnation and Spleen Qi deficiency
* Spleen Qi deficiency, Spleen and Stomach
Deficiency cold and Heart Qi deficiency
صفحه 20:
86۱6۴۲ ۶۵۲ ۲۱۱5 ۲
protocol
Method to focus treatment.
Individual treatment.
Easy to administer
Doesn’t require extensive experience or
understanding of eating disorders.
صفحه 21:
Understanding Eating Disorders
from a TCM perspective
* Eating disorders can be identified as an
autonomous TCM category.
* Liver Qi stagnation and Spleen and Stomach
Deficiency cold are strongly exhibited by
sufferers of eating disorders of any type
صفحه 22:
للة مغ لإاااهء أاععم 5
* Evidence that
- Spleen Qi deficiency and
~ Heart Qi deficiency are involved in AN.
(1+ and 3" highest deviations from those with no eating
disorder)
* Involvement of Spleen and Stomach Deficient
Cold
صفحه 23:
Specifically to BN
* AN and BN present broadly similarly but...
- Liver greater role in BN
- Spleen and stomach greater role in AN
* Stomach heat anecdotal pattern theory partially
يت
صفحه 24:
Specifically to EDNOS and BED
- Evidence supports WM theory that EDNOS is a
way station from BN or AN to recovery
- This could inform how treatment could help
prevent relapses.
- BED separate syndrome to EDNOS, BN and AN.
صفحه 25:
Further Research
Validating the survey
An evaluation of the proposed treatment protocol
Prevention of relapse
Effect of emotional component
صفحه 26:
Conclusion
Added to knowledge on how eating disorders
categories present in TCM.
Support for the WM theory.
Development of a treatment guide for eating
disorder treatment.
Support anecdotal evidence Spleen Qi Deficiency in
AN
Adds others patterns not previously mentioned
(Spleen and Stomach Deficiency Cold)
صفحه 27:
Acknowledgements
VICTORIA ANEW
UNIVERSITY | $001 oF
* British Acupuncture Council- Particularly Nigel
* Acupuncture Research Resource Centre- Particularly
Mark Bovey