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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.
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