Hyperlipemia is
included in the category of the following syndromes of TCM:
"phlegm-dampness," "blood stasis," etc.
Etiology and Pathogenesis
This
disease is closely related to the liver, spleen and kidney.
Dysfunction in transportation and transformation of the
spleen due to insufficiency or over-intake of rich fatty
food tends to cause accumulation of excessive heat in the
middle-warmer and production of phlegm-dampness in the
interior. Hyperactivity of the liver-Ying due to much
dampness resulting from obesity or due to Yin-deficiency of
the liver and kidney will affect the functioning of the
spleen and stomach in transporting and transforming
nutrients, leading to accumulation of heat in the spleen and
stomach and production of phlegm-heat in the interior.
Abnormal transportation and distribution of food qi may also
result in retention of phlegm-dampness in the interior.
Meanwhile, stagnation of qi is following by stasis of blood.
"Phlegm", "dampness" and " blood stasis" are responsible for
this disease.
Type and treatment
1.
Type of Yin-Deficiency of the Liver and Kidney
Symptoms: High blood-lipid level, fatigue, acratia, soreness
and weakness of the loins and legs. infirmity with age,
tinnitus, blurred vision. reddened tongue with thin white
coating, and deep thready pulse.
Therapeutic Method: Nourishing the liver and kidney
Prescription: Yiguan Jian ( An Ever Effective Decoction for
Nourishing the Liver and Kidney) and Liuwei Dihuang Tang (
Six-drug Decoction with Rehmannia).
Ingredients:
Shudi
Radix Rehmanniae Preparata
Beishashen Radix Glehniae
Gouqi
Fructus Lycii
Maidong Radix Ophipopogonis
Danggui Radix Angelicae Sinensis
Chuanlianzi Fructus Toosendan
Shanzhyuyu Fructus Corni
Sanyao
Rhizoma Dioscoreae
Danpi
Cortex Moutan
Zexie
Rhizoma Alismatis
Fuling
Poria
Administration: Decocted in water for oral use, 1 dose
daily.
Modification: In case of headache and vertigo due to
hyperactivity of the liver-yang, the herbs added are Tianma
Rhizoma Gastrodiae (10g), Gouteng Ramulus Uncariae cum Uncis
(30g).
In
case of constipation, the drugs added are Caojueming Semen
Cassiae (30g) and Shengshouwu Radix Polygoni Multiflori
(15g).
Chinese Paten Medicine: Qi Ju Dihuan Wan (Bolus with
Wolfberry, Chrysanthemum and Rehmannia).
Administration: Taken with warm boiled water, 1 bolus each
time, twice daily.
2.
Type of Phlegm-dampness due to Deficiency of the Spleen
Symptoms: High blood-lipid level, lassitude of the limbs,
abdominal distention, poor appetite, cough, expectoration,
loose stools, white greasy tongue coating, and slippery
pulse.
Therapeutic Method: Strengthening the spleen to remove
phlegm and dampness
Prescription: Liujunzi Tang (Decoction of Six Ingredients).
Ingredients:
Dangshen Radix Codonoposis
Baizhu
Rhizoma Atractylodis Macrocephalae
Fuling
Poria
Chenpi
Pericarpium Citri Reticulatae
Banxia
Rhizoma Pinelliae
Gancao
Radix Glycyrrhizae
Administration: Decocted in water for oral use, 1 dose
daily.
Chinese Patent Medicine: Liujunzi Wan ( Pill of Six
Ingredients).
Administration: Taken with warm boiled water, 10g each time,
twice daily.
3.
Type of Accumulation of Phlegm0heat in the Interior
Symptoms: High blood-lipid level, obesity, flushed face,
conjuuncitival congestion, dry mouth and tongue,
constipation, abdominal distention, yellow greasy tongue
coating, and taut slippery forceful pulse.
Therapeutic Method: Clearing away phlegm-heat
Prescription: Wendan Tang (Decoction for Clearing away Heat
from the Gallbladder) and Xiao Xianxiong Tang ( Minor
Decoction for Relieving Stuffiness in the Chest).
Ingredients:
Banxia
Rhizoma Pinelliae
Chenpi
Pericarpium Citri Reticulatae
Fuling
Poria
Zhishi
Fructus Aurantii Immaturs
Zhuru
Caulis Bambusae in Taeniam
Huanglian Rhizoma Coptidis
Gualou
Fructus Trichosanthis
Gancao
Radix Glycyrrhizae
Administration: Decocted in water for oral use, 1 dose
daily.
4.
Type of Stagnation of Blood in the Channels
Symptoms: High blood-lipid level, fixed precordial pain due
to obstruction of Qi in the chest, or numbness of the limbs,
dark-purplish tongue or tongue with ecchymosis, thin white
tongue coating, and taut pulse.
Therapeutic Method: Promoting blood circulation to remove
obstruction in the channels
Prescription: Danshen Yin (Red Sage Decoction) and Shixiao
San (Wonderful Powder for Relieving Blood Stagnation).
Ingredients:
Danshen Radix Salviae Militiorrhizae
Tanxiang Lignum Santali
Sharen
Fructus Amomi
Wulingzhi Faeces Trogopterorum
Shengpuhuang Pollen Typhae
Administratiohn: Decocted in water for oral use, 1 dose
daily.
Simple
Prescription: Decocted in water for the decoction which is
drunk as tea, 1 dose daily.
Chinese Patent Medicine 1: Shanzha Pian (Tablets of Hawthorn
Fruit).
Administration:
Taken with warm boiled
water, 10 tablets each time, 3 times daily.
Chinese Patent Medicine 2: Jiangzhi Chongji (Granule for
Lowering Blood-Lipid).
Administration: Taken with warm boiled water, half in one
sack each time, twice daily.
Chinese Patent Medicine 3: Liusei Dihuang Wan ( Bolus of Six
Drugs Including Rehmannia).
Administration: Taken with warm boiled water, 1 bolus each
time, twice daily.
Prevention
1. Be
on a diet with less animal fat and more light food.
2.
Take an active part in physical training and roper physical
labor.
3.
Treat regularly any of the following Chinese herbal
medicines such as
Heshouwu Radix Polygoni Multiflori
Shanzha Fructus Crataegi
Zexie
Rhinzoma Alismatis
Juemingzi Semen Cassiae
since
they have the action of preventing and treating this
disease.
