Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies

In the last few decades, the incidences of obesity and related metabolic disorders worldwide have increased dramatically. Major pathophysiology of obesity is termed “lipotoxicity” in modern western medicine (MWM) or “dampness-heat” in traditional Chinese medicine (TCM). “Dampness-heat” is a very com...

Full description

Bibliographic Details
Main Authors: Chang-hua Zhang, Jun-qing Sheng, Wei-hua Xie, Xiao-quan Luo, Ya-nan Xue, Guo-Liang Xu, Chen Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.615895/full
_version_ 1818558747794997248
author Chang-hua Zhang
Jun-qing Sheng
Wei-hua Xie
Xiao-quan Luo
Ya-nan Xue
Guo-Liang Xu
Chen Chen
author_facet Chang-hua Zhang
Jun-qing Sheng
Wei-hua Xie
Xiao-quan Luo
Ya-nan Xue
Guo-Liang Xu
Chen Chen
author_sort Chang-hua Zhang
collection DOAJ
description In the last few decades, the incidences of obesity and related metabolic disorders worldwide have increased dramatically. Major pathophysiology of obesity is termed “lipotoxicity” in modern western medicine (MWM) or “dampness-heat” in traditional Chinese medicine (TCM). “Dampness-heat” is a very common and critically important syndrome to guild clinical treatment in TCM. However, the pathogenesis of obesity in TCM is not fully clarified, especially by MWM theories compared to TCM. In this review, the mechanism underlying the action of TCM in the treatment of obesity and related metabolic disorders was thoroughly discussed, and prevention and treatment strategies were proposed accordingly. Hypoxia and inflammation caused by lipotoxicity exist in obesity and are key pathophysiological characteristics of “dampness-heat” syndrome in TCM. “Dampness-heat” is prevalent in chronic low-grade systemic inflammation, prone to insulin resistance (IR), and causes variant metabolic disorders. In particular, the MWM theories of hypoxia and inflammation were applied to explain the “dampness-heat” syndrome of TCM, and we summarized and proposed the pathological path of obesity: lipotoxicity, hypoxia or chronic low-grade inflammation, IR, and metabolic disorders. This provides significant enrichment to the scientific connotation of TCM theories and promotes the modernization of TCM.
first_indexed 2024-12-14T00:16:22Z
format Article
id doaj.art-419b6a79268f4fb08f8c3155ba7ba0fc
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-12-14T00:16:22Z
publishDate 2021-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-419b6a79268f4fb08f8c3155ba7ba0fc2022-12-21T23:25:31ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-03-011210.3389/fphar.2021.615895615895Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment StrategiesChang-hua Zhang0Jun-qing Sheng1Wei-hua Xie2Xiao-quan Luo3Ya-nan Xue4Guo-Liang Xu5Chen Chen6College of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaCollege of Life Science, Nanchang University, Nanchang, ChinaCollege of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaExperimental Animal Science and Technology Center of TCM, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaCollege of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaResearch Center for Differentiation and Development of Basic Theory of TCM, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaSchool of Biomedical Sciences, University of Queensland, Brisbane, QLD, AustraliaIn the last few decades, the incidences of obesity and related metabolic disorders worldwide have increased dramatically. Major pathophysiology of obesity is termed “lipotoxicity” in modern western medicine (MWM) or “dampness-heat” in traditional Chinese medicine (TCM). “Dampness-heat” is a very common and critically important syndrome to guild clinical treatment in TCM. However, the pathogenesis of obesity in TCM is not fully clarified, especially by MWM theories compared to TCM. In this review, the mechanism underlying the action of TCM in the treatment of obesity and related metabolic disorders was thoroughly discussed, and prevention and treatment strategies were proposed accordingly. Hypoxia and inflammation caused by lipotoxicity exist in obesity and are key pathophysiological characteristics of “dampness-heat” syndrome in TCM. “Dampness-heat” is prevalent in chronic low-grade systemic inflammation, prone to insulin resistance (IR), and causes variant metabolic disorders. In particular, the MWM theories of hypoxia and inflammation were applied to explain the “dampness-heat” syndrome of TCM, and we summarized and proposed the pathological path of obesity: lipotoxicity, hypoxia or chronic low-grade inflammation, IR, and metabolic disorders. This provides significant enrichment to the scientific connotation of TCM theories and promotes the modernization of TCM.https://www.frontiersin.org/articles/10.3389/fphar.2021.615895/fulltraditional Chinese medicinemetabolic disordersinflammationdampness-heat syndromehypoxiaobesity
spellingShingle Chang-hua Zhang
Jun-qing Sheng
Wei-hua Xie
Xiao-quan Luo
Ya-nan Xue
Guo-Liang Xu
Chen Chen
Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
Frontiers in Pharmacology
traditional Chinese medicine
metabolic disorders
inflammation
dampness-heat syndrome
hypoxia
obesity
title Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
title_full Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
title_fullStr Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
title_full_unstemmed Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
title_short Mechanism and Basis of Traditional Chinese Medicine Against Obesity: Prevention and Treatment Strategies
title_sort mechanism and basis of traditional chinese medicine against obesity prevention and treatment strategies
topic traditional Chinese medicine
metabolic disorders
inflammation
dampness-heat syndrome
hypoxia
obesity
url https://www.frontiersin.org/articles/10.3389/fphar.2021.615895/full
work_keys_str_mv AT changhuazhang mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT junqingsheng mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT weihuaxie mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT xiaoquanluo mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT yananxue mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT guoliangxu mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies
AT chenchen mechanismandbasisoftraditionalchinesemedicineagainstobesitypreventionandtreatmentstrategies