Note: The following text is selected from A
Practical English-Chinese Library of Traditional Chinese Medicine by
Prof.Dr.
Enqin Zhang(Engin CAN), he was the chief editor&author of the books, now
lecturing and practising Chinese medicine at The Asante Academy of Chinese
Medicine in the Middlesex University Archway Campus, 2-10 Highgate Hill,
N19 5LW, London, U.K.For more information, Tel:0044 7804709475;
E-mail:prof.engincan@yahoo.com.tr
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.
