The cause of obesity includes genetic and environmental factors, including adipocyte-derived cytokines (adipocytokines). Although pharmacological treatment for obesity is available, it is very risky. In the treatment of obesity. Two Kampo formulations, i.e., bofutsushosan (防風通聖散) and boiogito (防己黄耆湯), are covered by national health insurance in Japan for the treatment of obesity.
Several questions remain to be resolved regarding their mechanisms of action. With these in mind, we describe the results of basic experiments and present clinical evidence and case reports on osteoarthritis as examples of clinical application of their two Kampo medicines. 
Traditional medicine is used not only for treatment but also for prevention. In clinical practice, it is of great importance to demonstrate the efficacy of combinations of traditional medicine and Western medicine and the usefulness of traditional medicine in attenuating the adverse effects of Western medicine.

Historical Background:

Until the 20th century, Japanese herbal medicine (Kampo medicine) had not been recognized as a useful tool for the treatment of obesity. Since the second half of the 20th century, great attention has been paid to upper body obesity or visceral obesity as a risk factor for various lifestyle-related diseases. In the 1980s and 1990s, several investigators proposed that dyslipidemia, hyperglycemia, and high blood pressure were important risks for cardiovascular disease due to metabolic disorders [1-3].

Currently, this combination of disorders (i.e., dyslipidemia, hypertension, and hyperglycemia) is indicative of the “metabolic syndrome.” The initial cause of metabolic syndrome or abdominal obesity is likely to be the accumulation of visceral fat (which is regulated by both genetic and environmental factors).
It is generally recognized that visceral fat accumulation causes adiponectin secretion to decrease and so-called bad adipocytokines (angiotensinogen, etc.) to increase. Proper diet and exercise are the basic therapeutic approaches to reduce abdominal obesity. Medications are considered later.


The Definition of Obesity:

In 1997, the World Health Organization (WHO), in cooperation with the International Obesity Task Force (IOTF), defined normal weight as body mass index (BMI) from 18.5 to <25 kg/m2 and obesity as BMI ≥25 kg/m2. According to the Japan Society for the Study of Obesity criteria, obesity disease is diagnosed when individuals have obesity-associated disease or visceral fat area on abdominal CT scan equal to or greater than 100 cm2 .

8 Herbs that Can Give Your Weight Loss Plan a Boost:

Turmeric

According to a 2009 study by Tufts University, turmeric can help your body burn fat. In the study, there were two groups of mice, one was fed curcumin while the other wasn’t. The results were that the group of mice that had curcumin lost more weight than the other group that did not have it. Turmeric is a warming spice, it increases the body heat which can boost your metabolism and provide other health benefits.

Cinnamon

Cinnamon is said to curb hunger cravings, control blood sugar level and make you feel fuller for longer. You can add cinnamon to your oatmeal, mix it in yoghurt or put it in your tea. It is also a great addition to meat and chicken.

Cayenne Pepper

Cayenne pepper raises the body temperature which boosts your metabolism. The higher the metabolism, the more calorie you burn. Adding this spice to your meal can help you burn up to 100 calories per meal. You can sprinkle cayenne pepper on nuts, soup, eggs and dips for that extra kick.

Cumin

Adding one tablespoon of cumin seeds to all your primary meals every day can help you burn three times more fat, says a recent study conducted on overweight women. Also, cumin adds great flavour to your food. You can add it to almost everything, including soups, dressings, veggies, pulses and bread.

Ginger

Ginger helps to control blood sugar level, which means it can prevent a spike in your glucose levels after taking a carb or a sugar rich diet. Same like turmeric and cayenne pepper, ginger also has thermogenic (fat-burning) property. Add it to your tea, salads, fish, fruits and more.

Rosemary

Rosemary helps to increase your metabolic rate. It also aids digestion and weight loss. These green pointed leaves are to be soaked in boiling water for a few minutes. The strained water can be consumed lukewarm at any time of the day but not empty stomach.

Cardamom

Cardamom, also called elaichi, is a popular Indian spice with a unique flavour. It is thermogenic in nature and that is why it helps you in losing weight. It also prevents the formation of gas, which makes you feel bloated and uneasy. You can add a pinch or two of cardamom powder to your food to lose weight faster.

Black Pepper

How can we not mention black pepper while talking about Indian spices! Cousin to cayenne pepper, black pepper is rich in piperine, which gives black pepper its unique flavour. This one ingredient prevents the formation of fat cells and thus, helps you to lose, and later maintain, that weight. One can combine black pepper and cayenne pepper for better weight loss results!.