(2) What is secondary obesity?

Secondary obesity is different from simple obesity. They, such as interbrain obesity, pituitary obesity (happen when different kinds of cephalitis, meningitis, brain damage, encephaloma cause damage to interbrain or pituitary body), hypogonadism obesity, hyperadrenalism obesity, hypothyroidism obesity, insulin obesity, and so on, subsequently occur after other diseases. So, many diseases and incorrect use of drugs (abuse of cortin often cause retention of water and sodium, blindly use of sex hormone for a long term, and so on)  can all cause disturbance of incretion, and then cause secondary obesity.

Now, we have found that more and more patients of secondary obesity are in convalescence of acute hepatitis or having chronic hepatitis. Some are diagnosed as hepatocirrhosis, some others are chronically afflicted by chronic hepatitis that which causes damage to different systems of the body. Our institute center has diagnosed 2000 hepatogenic virus disease patients with abnormity at hepatic dullness area in Hong Kong district, and has found that 4.80% (96:2000) of them belonged to secondary obesity.

The most normal liver disease patients always get incretion disturbance for hemo-short of pituitary caused by hemorrhage or chronic hypoproteinemia. Then the body’s safeguard mechanism produces and stores too much fat and this result in obesity. During their infancy of chronic hepatitis patients, they acutely or chronically lose blood (nosebleed and stool bleed) time after time for long-term alimentation handicap or hypohepatia. With menses disturbance, after excessive bleeding during childbearing, severe surgery, bloodshed of trauma, during convalescence of badly disease, after long-term use of cortin, abuse of sex hormone (except sex-hormone-short person to complement it) and before or after menopause of man and woman, one’s weight may increase easily and remarkably in short term. Because it is difficult to define the clues that cause endocinours disorder, which results in secondary obesity, people should judge them carefully. If one person reduces his weight blindly aiming at none assured cause, he might get more and more weight and many diseases. Secondary obesity often goes with other diseases. The retention of water and sodium,cacotrophia, hypoproteinosis and grume accumulation caused by the diseases result in edema. Moreover, that exacerbates the body figure and weight of patient. Sometime it is not easy to differ secondary obesity from edema. In the body of hepatogenic virus disease patient, the complex of antigen and antibody condenses. With time pass by, body fluid is deposited in tissue interspaced, and this results in edema. In other words, virus hepatitis causes secondary obesity. Therefore, it is absolutely right in traditional Chinese medical science that “nine are edema out ten fat persons”. As we all know, edema is not simple obesity caused by super nutrition, and cannot be cured by reducing weight. Patient must be cured aiming at special diseases. So, one must be sure that he is not edema before taking the first step to reduce weight.