Managing Appetite Loss and Low Weight: Traditional Chinese Medicine Insights

Loss of appetite and underweight?

Hello Doctor: For many years, I have been struggling with a loss of appetite every summer.
Sometimes, even when I am clearly hungry, I can't eat anything.
I often experience flatulence upon waking up in the morning, and occasionally I feel nauseous before eating, but I can't vomit anything.
Over the past month, I have lost several kilograms (currently 160 cm tall and weighing 40 kg).
I have been experiencing these symptoms almost every summer.
The inability to gain weight and gastrointestinal issues have been troubling me for many years.
Could you please advise on how to treat this? Thank you.

Stacy, 20~29 year old female. Ask Date: 2008/05/26

Dr. Chu Baiqing reply Traditional Chinese Medicine

Dear Stacy,
In response to your question, the "Treatise on Typhoid and Miscellaneous Diseases" states: "In summer, the yang energy is on the surface, while the yin energy is weak internally." In simpler terms, during summer, the blood vessels at the surface of the body dilate, resulting in a relatively lower blood volume internally, which leads to insufficient nutrient supply.
Therefore, gastrointestinal function tends to be poorer in summer, making it more prone to issues.
It also mentions: "Humidity grows in summer, and diseases affect the spleen and stomach." The term "long summer" refers to the transitional period between summer and autumn, characterized by hot and humid weather, which can lead to spoilage and gastrointestinal problems.
Furthermore, it states: "Strong fire consumes qi, and the heart and small intestine are the first to suffer." Based on your concerns, in addition to gastrointestinal issues, you may also experience chest tightness, palpitations, and shortness of breath.
If the spleen does not nourish the blood, you might experience dizziness, fatigue, migraines, menstrual pain or mild cramping, insufficient menstrual flow with blood clots, and if not diarrhea, then infrequent bowel movements (once every 2-3 days).
I recommend minimizing the intake of cold foods.
You may consume a small amount of sour plums, but avoid vinegar.
You can try some spleen-nourishing herbal dishes, such as Four Gods Soup, Black Fungus with Rock Sugar and Lotus Seed Soup, or Red Dates Tea.
Of course, a detailed examination is necessary for proper diagnosis and treatment.
This response is provided by Dr.
Chen Chao-Hsun, Director of Internal Medicine, as a substitute for Dr.
Chu, who has left the position.
Changhua Hospital is concerned about your well-being.

Reply Date: 2008/05/26

More Info

Managing appetite loss and low weight can be particularly challenging, especially when these issues are recurrent and linked to seasonal changes, as you described. Traditional Chinese Medicine (TCM) offers a holistic approach to address these symptoms, focusing on the balance of the body's internal systems and the interplay between physical and emotional health.

Understanding Your Symptoms
From your description, it seems you are experiencing a combination of appetite loss, gastrointestinal discomfort, and significant weight loss. In TCM, these symptoms can be attributed to various imbalances, often related to the Spleen and Stomach, which are crucial for digestion and nutrient absorption. The Spleen is responsible for transforming food into Qi (energy) and Blood, while the Stomach is where food is initially processed. When these organs are weak or imbalanced, it can lead to symptoms like poor appetite, bloating, and even nausea.

TCM Diagnosis and Treatment
1. Diagnosis: A TCM practitioner would likely conduct a thorough assessment, which includes observing your tongue, checking your pulse, and asking about your overall health, lifestyle, and emotional state. This holistic view helps in identifying whether your condition is due to Spleen Qi deficiency, Stomach Yin deficiency, or perhaps even Liver Qi stagnation, which can lead to emotional stress affecting your appetite.

2. Herbal Medicine: TCM often utilizes herbal formulas to strengthen the Spleen and Stomach. Common herbs that might be included are:
- Ren Shen (Ginseng): To boost energy and improve appetite.

- Bai Zhu (Atractylodes): To strengthen the Spleen and promote digestion.

- Shan Yao (Chinese Yam): To nourish the Spleen and Stomach, helping with appetite and digestion.

- Chen Pi (Dried Tangerine Peel): To regulate Qi and alleviate bloating.

These herbs can be combined into a formula tailored to your specific needs, and they can help restore balance and improve your appetite over time.

3. Acupuncture: Acupuncture can also be beneficial in managing appetite loss and digestive issues. Specific acupuncture points can help stimulate the digestive system, alleviate nausea, and promote a sense of well-being. Points such as Stomach 36 (Zusanli) and Spleen 6 (Sanyinjiao) are commonly used to enhance digestive function and overall energy.

4. Dietary Recommendations: In TCM, diet plays a crucial role in health. It is recommended to consume warm, cooked foods that are easy to digest, such as soups and stews. Incorporating foods that are sweet in nature (like sweet potatoes and carrots) can help nourish the Spleen. Avoiding cold and raw foods, especially during the summer when your digestive system may be more sensitive, can also be beneficial.

5. Lifestyle Adjustments: Managing stress through practices such as Tai Chi, Qi Gong, or meditation can help improve your overall well-being and support digestive health. Regular, gentle exercise can stimulate digestion and improve appetite.

Conclusion
In summary, TCM offers a comprehensive approach to managing appetite loss and low weight through herbal medicine, acupuncture, dietary changes, and lifestyle modifications. It is essential to consult with a qualified TCM practitioner who can provide a personalized treatment plan based on your unique symptoms and constitution. Addressing these issues holistically can lead to improved appetite, better digestion, and ultimately, a healthier weight. If your symptoms persist or worsen, it is crucial to seek further medical evaluation to rule out any underlying conditions.

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