Your body's ducts and channels of circulation and elimination are severely congested. The lymphatic vessels in particular are unable to successfully remove the daily turned-over 30,000.000.000 cells and the daily produced metabolic waste products, some of which end up passing through the skin via pustules. The pus formed consists of dead, putrefied cells, among other toxins and waste material. The excessive body weight signals weak digestion and cell starvation. As you can derive from my book The Amazing Liver Cleanse (www.1stbooks.com, 1-888-280-7715), most of your problems stem from your liver.
Your liver is enlarged mostly because its bile ducts are congested with thousands of stones. This greatly impairs digestion of food and prevents assimilation of nutrients, regardless how many vitamins and minerals you ingest. It also causes the obstruction of the normal pathways of elimination and detoxification in the body. So I suggest that you cleanse your liver every 3-4 weeks, until no more stones are coming out. In your case of having a fatty, enlarged liver this may take at least 12 cleanses, but you will get there, cleanse by cleanse, each cleanse adding more benefits. All the necessary instructions and guidelines are given in the above book. At the same time, I suggest that you follow the directions for diet and lifestyle according to the Pitta body type, as outlined in my book The Key to Health and Rejuvenation (from www.1stbooks.com). It also contains lots of unusual information why someone puts on weight and how to lose it naturally.
One of the most important things, though, and you will learn more about this in my books, is to start cleansing the colon. The fasted and easiest way to do this is to have a number of sessions of colonic irrigation (colon-hydrotherapy), to flush out waste that otherwise ends up backflushing into your stomach, chest, throat, neck , face and brain (depression). This will also relieve the congested lymphatic system and heart. The joint pain will subside once the liver is able to successfully remove toxins from the blood and the colon is able to remove waste without hindrance.
Make sure to avoid protein foods such as milk, cheese, yoghurt, meat, fish, poultry, eggs, etc. so that your blood vessel walls can become thin and open again and permit nutrients reaching the cells of your body. Also avoid all "light products", low-fat food, diet foods or diet drinks. Artificial sweeteners cause brain damage, shut down serotonin and dopamin production and cause depression in body and mind. Eat mostly fresh foods such as salads, cooked veggies, grain foods, pulses and fruits (no frozen foods). Drink at least 6 glasses of room temperature or warm water. Avoid microwaved food which destroys its life force and prevents any nutrients from entering the cells of the body, starving them; instead the nutrients pile up outside the cells causing major congestion and weight gain. Follow the simple tissue cleansing procedure outlined in my books.
For enhancing your emotional health and to see the real purpose behind your problems I suggest that you also read my latest book Freedom from Judgment (www.1stbooks.com). It will help you to be the fully self-empowered being that you are meant to be. The weight you have surrounded yourself with has so far served you to protect your gentle nature and sentitive heart from emotional assault and abuse, but you don't need this protective mantle anymore because your inner strength is ready to emerge.
You may also wish to consider using Ener-Chi Art (www.ener-chi.com), to quickly restore the Chi-flow through your organs and systems.
With heartfelt wishes,