Obesity [1] is a group of common and ancient metabolic diseases. Central obesity is common in clinical practice. Due to the simple constitution of adolescents, their pathogenesis is simple and changeable, or there is a mixture of cold and heat, or a mixture of cold and heat, or the same disease on the surface, and the pathogenesis of traditional Chinese medicine is complex and changeable. The pathogenesis of TCM pathogenesis of adolescent central obesity is analyzed with examples to provide new theoretical ideas for the treatment of obesity by Chinese medicine.