What medicine can slow down metabolism? No matter what I eat, I can't gain weight.

Patient's question:

Genetic emaciation is generally 168, only 50 kilograms.

Doctor's answer:

Management of Underweight Children
"Underweight" in children is often caused by three factors or etiologies: ① Nutritional Underweight: Conditions such as prolonged breastfeeding deficiency in infants, early use of rice porridge or congee as staple foods, or poor nutrition in pregnant women leading to low birth weight can cause children to be underweight. ② Disease-Related Underweight: Frequent colds, asthma, chronic enteritis, and other diseases in children can impair digestive capacity and insufficient nutrient absorption, resulting in underweight. ③ Poor Environment-Related Underweight: Lack of care, limited exposure to sunlight and fresh air, and other adverse environmental factors can also lead to underweight. Therefore, for underweight children, symptomatic treatment is necessary, especially cultivating good habits such as eating coarse grains, mixed foods, balanced meat and vegetable intake, and avoiding pickiness to achieve dietary nutritional balance.
?? Children are frail and frequently ill, and parents may think they need to feed them high-end nutritional supplements like snow fungus, bird's nest, ginseng, or deer horn. However, spending a lot of money still doesn’t improve the child’s condition. This is mainly due to a lack of basic knowledge about nutritional diets. Recent surveys across various regions in China show that over half of young children suffer from malnutrition, including anemia, calcium deficiency, and vitamin deficiencies, which are closely related to improper feeding practices. This phenomenon severely harms the health of many only children in urban and rural areas of China. It is essential to popularize scientific parenting knowledge.
?? To achieve nutritional balance, children should eat coarse grains, mixed foods, and a balanced combination of meat and vegetables, as different foods contain varying nutrients. A well-balanced diet can prevent children from becoming either overweight or underweight. In summary, whether a child is overweight or underweight, with patient care and adjustment, improvement will gradually be seen.
?? Traditional Chinese Medicine Differentiation and Treatment for Childhood Underweight
?? This condition has multiple causes, including congenital deficiency, improper feeding, post-illness maladjustment, and exhaustion of qi and blood, which fail to nourish the body. The primary pathogenesis lies in the spleen and kidneys. In pediatric traditional Chinese medicine, it is classified into two types:
?? ① Spleen Deficiency Underweight: Due to the delicate nature of children’s spleen and stomach, they are prone to deficiency or excess. Improper feeding can lead to stagnation of milk and food, damaging the spleen and stomach, resulting in poor appetite or even anorexia. This affects qi and blood production, leading to malnutrition and gradual underweight. Regardless of whether it is due to improper feeding or prolonged illness, it is considered spleen deficiency. Treatment involves strengthening the spleen and stomach, and a commonly used formula is Children’s Spleen-Strengthening Pill:
?? White Atractylodes Rhizome, Poria, Ginseng, Baked Licorice, Platycodon Root, TCM Pinellia Tuber, Fennel, Malt, Haws, Lentil, Tangerine Peel, Chinese Yam, and Lotus Seeds, all in equal parts, ground into fine powder, mixed with honey to form small pills (5 grams per dose, taken three times daily). Alternatively, the powder can be stored in a bottle and taken 3–5 grams per dose, three times daily, with warm water.
?? ② Kidney Deficiency Underweight: Due to congenital deficiency, weak constitution, or poor maternal nutrition during pregnancy, leading to damaged essence and blood, children may be born underweight with weak bones and soft limbs. Treatment should focus on tonifying the kidneys and replenishing essence. A commonly used formula by Liang Jianbo is the Heche Dazao Pill from Jingyue Quanshu (Comprehensive Works of Jingyue):
?? One prepared placenta, Ophiopogon Root, Asparagus Root, Achyranthes Root, Chinese Coptis Rhizome, Eucommia Bark, Rehmannia Root, and Baked Tortoise Shell, each 30 grams, ground into extremely fine powder, mixed with honey to form small pills the size of green beans (5–8 grams per dose, taken three times daily with warm water, with significant efficacy).
?? If a child has spleen and kidney yang deficiency, symptoms may include thinness, fatigue, cold limbs, loose stools, pale complexion, pale tongue, and weak, deep pulse. Treatment should involve warming and tonifying the spleen and kidneys to replenish qi and blood. Over-the-counter traditional Chinese medicine Jinkui Shenqi Pill can be taken regularly for improvement.
Hello, there is no perfect method, but focusing on strengthening nutrition can lead to improvement!

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