To analyze the effect of Fangji Huangqi Decoction（防己黄芪汤）combined with acupuncture and Tuina on simple obesity in children with spleen deficiency and dampness-blocking syndrome based on“correspondence of prescription and syndrome”.

A total of 80 children with simple obesity with spleen deficiency and dampness-blocking syndrome treated in the hospital from January 2023 to December 2024 were included as the study objects.They were divided into two groups by random number table method.Forty cases in the control group were given basic sports nutrition treatment，and the other forty cases in the observation group were combined with acupuncture and Tuina treatment based on“prescription and syndrome corresponding”.The treatment effect and obesity indexes including weight，waist circumference，body mass index，TCM syndrome score，blood lipid level and glucose metabolism related indexes were compared between the two groups.

The total effective rate of the observation group was 95.0%（38/40），which was much higher than that of the control group（72.5%，29/40），and the difference was significant（P<0.05）.After treatment，the scores of obesity，edema，body weight，fatigue，waist circumference，hip circumference，body mass index（BMI）and waist-hip ratio in the observation group were lower than those in the control group（P<0.05）.After treatment，the levels of total cholesterol（TC），triglycerides（TG）and low-density lipoprotein cholesterol（LDL-C）in the observation group were lower than those in the control group，and high-density lipoprotein cholesterol（HDL-C）was higher than that in the control group（P<0.05）.After treatment，the levels of fasting plasma glucose（FPG），fasting insulin（FINS）and homeostatic model assessment of insulin resistance（HOMA-IR）in the observation group were lower than those in the control group（P<0.05）.

For simple obesity children with spleen deficiency and dampness-blocking syndrome，Fengji Huangqi Decoction combined with acupuncture and Tuina based on“correspondence of prescription and syndrome”can effectively reduce body fat parameters such as body mass，waist circumference and BMI，regulate blood lipid levels，improve glucose and lipid metabolism，and help to reduce health risks brought by obesity，improve the quality of life and overall health level.