Abstract： Objective： To observe the curative effect of acupoint catgut embedment on obesity hyperlipemia of different syndrome types based on theory of “Five Viscera Communication”. Methods：A total of 100 patients with obesity hyperlipemia were selected and divided into the phlegm turbidity obstruction group，the spleen-kidney yang deficiency group，the qi stagnation and blood stasis group，the liver-kidney yin deficiency group， and the yin deficiency with yang hyperactivity group according to the traditional Chinese medicine syndrome types， with 20 cases in each group. The five groups were treated with acupoint catgut embedment based on theory of “Five Viscera Communication” for six weeks. The clinical effects， and the traditional Chinese medicine (TCM) syndrome scores， body mass index (BMI)， body fat percentage (F% ) and the levels of total cholesterol (TC)， triglycerides (TG) and high density lipoprotein cholesterol (HDL-C) were compared before and after treatment between the two groups. Results： After treatment， the TCM syndrome scores in the five groups were decreased when compared with those before treatment (P＜0.05). After treatment，the BMI and F% in the five groups were decreased when compared with those before treatment (P＜0.05). There was significant difference being found in the comparison of F% between the five groups (P＜0.05)，and the F% in the phlegm turbidity obstruction group and the qi stagnation and blood stasis group was respectively lower than that in the liver-kidney yin deficiency group，the difference being significant (P＜0.05). After treatment，the levels of TC and TG in the two groups were decreased when compared with those before treatment (P＜0.05)，and the HDL-C levels were increased when compared with those before treatment，differences being significant (P＜0.05). After treatment， there was significant difference being found in the comparison of TC level between the five groups (P＜0.05)， and the improvement degree in the phlegm turbidity obstruction group was better than that in the other four groups (P＜0.05). The total clinical effective rate was 95.0% in the phlegm turbidity obstruction group， 80.0% in the spleen-kidney yang deficiency group， 85.0% in the qi stagnation and blood stasis group， 90.0% in the liver-kidney yin deficiency group， and 85.0% in the yin deficiency with yang hyperactivity group， there being no significance in the difference (P＞0.05) and in the differences between two groups. Conclusion： Acupoint catgut embedment has a definite curative effect on obesity hyperlipemia of different TCM syndrome types under the guidance of theory of “Five Viscera Communication”，and in addition，it is superior to other syndrome types in improving TC of patients with syndrome of phlegm turbidity obstruction.