The hunger caused by the emptiness of the pure yang08/07/2015The consultation reason: the hunger excess and the obesity A 27 years old lady asks a medical advice for her obesity and her hunger excess. Weight Kg 80, Height cm 165, BMI = 29.5. She told me she tried to lose weight through several diets but it was unsuccessful because when she eats less and she has been without food for a few hours many symptoms occur: • Dizziness and frontal headache • Empty-head feeling and difficulty in concentrating • Blurred vision • Epigastralgia and feeling hungry • Asthenia The symptoms regress when she eats something, in particular sweets. Energy diagnosis The emptiness of the pure Yang of the Spleen. Therapy: St 42 e CV 12, to increase the production of the pure Yang St 9, to go up the Pure Yang to the head GB 5, to go deep the pure Yang into the brain. Clinical trend The patient tells me about an improvement since the first session of acupuncture. After the third appointment she is able to follow a diet and she can be without food for hours without the previous problems. After one month of treatment the patient loses 2 kg but I must try not to get hopes up too high. The acupuncture takes off hunger but obese subjects often return to the beginning weight after a while! Discussion If we follow the metabolic line of the fluids we can see that they are absorbed in the stomach area then they are sent to the spleen. In our opinion, St 45, a well point, is the one which sends fluids to the spleen. In this clinical case we used the point St 42 (Chong Yang), associated to CV 12, for its particular action on the production of the pure Yang (pure Yang = light Jin fluids). The “ascent” function of the spleen sends the absorbed fluids to the lung through the diaphragm. The diaphragm divides fluids into Jin and Ye. Jin fluids can be divided into light Jin and dark Jin. The dark Jin are spread to skin and muscles by the upper triple heater together with the Wei Qi. The light Jin fluids (they represent the Pure Yang of the Spleen) are brought up to the orifices of the head and to the brain through St 9: the point window of the sky. What arrives to the brain regulates the sense of hunger (in our case). The Pure Yang goes up from the St 9 point to the head and it comes into brain through two points which have a connection with marrow in their secondary name: St 5, Sui (marrow) Kong (communicate) GB 5, Sui Kong. The clinical case described is not so common. In most cases the hunger depends on an emptiness of the marrow caused by a bad nutrition by the Gao, the dark Ye fluids and the Jing. For those who want to deepen the metabolism of the fluids and the nutrition of the marrow and brain can consult the booklet “Il controllo della fame e obesità in agopuntura” . Dante De Berardinis