“Can you help me with weight management?” I get that question a lot as a Chinese Medicine doctor and coach. The short answer: Yes. I can support your journey toward a healthier body composition—while also helping you feel better in both body and mind. Now, you might be thinking: 

“No, really. I just want to lose weight.”

But trust me—you want this whole body-mind health approach. Not only because it feels great, but because it’s often the key to maintaining long-term balance and wellness.

What sets what I’m doing apart from other diet and weight-loss plans?

The answer starts with Chinese Medicine and centuries of successful outcomes. It also aligns with cutting-edge science and the new, evidence-based paradigm on eating and metabolism.

In Chinese Medicine, one of our guiding principles is “always seek the root.” This principle is a major reason for its effectiveness, proven over thousands of years.

As Chinese Medicine doctors, we go after the root of the disease rather than focus on symptoms.

We know that treating symptoms alone will never result in sustained wellness. Sure, a bothersome condition might disappear for a while or even for good. But unless we also address the underlying imbalance, new (often worse) symptoms eventually arise.

In seeking and treating the root of disease, we pay attention to connections and patterns.

Rather than look at each symptom, body system, or aspect of health separately, we take a holistic view. One able to explain why seemingly unrelated symptoms appear in constellation. One able to predict and prevent further progression.

Still with me? Now we’ll get back to that weight-loss question:).

In Chinese Medicine, excess body weight is traditionally described under the pattern known as fei pang, often associated with an imbalance of “deficiency at the root and excess at the branch.” This reflects a system-wide imbalance rather than just a surface-level issue.

This last bit is key: deficiency at the root and excess at the branch.

The specifics – and treatment principles – vary from individual to individual. (Indeed, we have at least five patterns of fei pang, each with its own symptoms and each calling for different herbal support strategies and lifestyle guidance)

In general though, we often see impaired digestive and hormonal functioning with a failure to properly metabolize food and drink.

Disease causes and development are highly variable and usually multi-faceted. Common culprits include:

• A diet poor in vital nutrients

• A diet full of sugar, carbs and/or processed foods

• Emotional states, including chronic stress, anger, anxiety or depression

• Prolonged or recurrent illness

• Under- or over-exercise

• Poor, insufficient or irregular sleep

Identifying and addressing these factors is essential to treating underlying deficiencies and the root of the problem.

Whatever the causes, as a consequence we see “excess at the branch.” Impaired digestion and metabolism lead to accumulation of pathological metabolites, including what Chinese Medicine calls “dampness.”

Dampness takes many forms – some more tangible than others. In general, it denotes stagnation and sluggishness in the body-mind. It’s dirty, wet, heavy, slow and lingering and can manifest on physical and mental-emotional levels.

On a physical level, obesity or excess weight gain is one such manifestation. And because things that sit around too long tend to heat up, sSigns of internal imbalance may also include sensations like warmth or digestive discomfort. 

Most mainstream approaches to weight loss totally ignore the “deficiency at the root” part, instead focusing exclusively on draining the branch excess. 

This is why such approaches fail.

Sure, they may cause pounds to drop off in the short term. Ultimately, however, they will fail to produce sustained, healthy weight loss. Every. Single. Time.

And that’s not the worst of it.

Approaches to weight loss that ignore root deficiencies and just drain, drain, drain (for example, by "cleansing," cutting calories or over-exercising) will, in the long run, make root deficiencies worse – leading to slower metabolism and an even bigger weight problem.

Now, many clients who come to me wanting to lose weight aren't clinically “obese.”

Oftentimes, they are 10 to 20 pounds over their ideal weight and frustrated by stubborn fat accumulation around the waist or elsewhere. Many are women who watched pounds accumulate post-menopause. Others are women and men of all ages who, despite regular exercise and dieting, can’t keep excess weight off in a sustained way.

Most are frustrated, exhausted and feel as though they’re fighting themselves.

Prolonged efforts to follow conventional “wisdom” by cutting calories, fats and protein; becoming chronic “juicers”; and engaging in chronic cardio and over-exercise have resulted in diminishing returns rather than lasting results.

Some clients experience wellness challenges alongside weight concerns, which may be supported through holistic care and lifestyle adjustments.

But regardless of where a client falls on this spectrum, the fei pang patterns and treatment principles hold true. In other words, there’s usually an issue of deficiency at the root and excess at the branch.

In treating these clients – and helping them support healthy body composition and feel better overall – I focus on the root, even as I simultaneously address branch symptoms.

That’s the only way treatment will work. And by “work,” I mean keeping excess weight and body fat off in a healthy way over the long haul.

How do I do this?

Dr. Dana Leigh Lyons is Dean of Acupuncture and Chinese Medicine at Pacific Rim College in Victoria, BC. She offers online courses in Chinese Medicine, sobriety, and soulful living at Alchemist Academy. Alchemist Academy features courses for beginners (including on herbs and herbal formulas!) as well as NCCAOM-certified PDA/CEUs for practitioners. If you’re interested in brain shaping, make sure to check out Shifting Currents, Shaping Mind: Neuroplasticity Meets Taoism in Chinese Medicine.