Long-term dyslipidemia can cause hypertension, coronary heart disease, atherosclerosis and other diseases, so controlling the normal blood lipid level in the body is one of the prerequisites to prevent or delay other cardiovascular diseases.
Clinically, according to the patient's own physical condition, the type of dyslipidemia and other factors, statins, butyric acid, nicotinic acid and other chemical lipid-lowering drugs are often given to control the blood lipid level.
Of course, in addition to these chemical lipid-lowering drugs, lipid-lowering Chinese patent medicines are often within the choice of patients with hyperlipidemia. Traditional Chinese medicine often divides hyperlipidemia into phlegm turbidity, blood stasis, stroke and lipid turbidity, and Chinese patent medicines can be used according to different syndromes of patients.
Today, we will learn how to choose Chinese patent medicine based on syndrome differentiation for hyperlipidemia.
First, spleen deficiency and phlegm turbidity type
Etiology:
Spleen governs transport and transformation, and the production and transport of ointment and fat all depend on the transport and transformation function of spleen. The weakness of spleen and stomach leads to the imbalance of transport and transformation, which hinders the transport and transformation of ointment and fat.
Syndrome differentiation:
Hyperlipidemia due to spleen deficiency and phlegm turbidity is mainly dyslipidemia due to spleen deficiency. The physical manifestations are obesity, dizziness, weakness of limbs, general weakness, chest tightness, nausea, abdominal distension, pale tongue with greasy fur and teeth marks on the edge of the tongue.
Treatment: strengthening the spleen to help transport, eliminating phlegm and resolving turbidity.
Drugs:
Zhibituo tablets, Xuezhikang capsules, Yizhiping capsules, Jing Ling capsules, garlic oil soft capsules, Zhibitai capsules, etc.
Interpretation of representative drug (Xuezhikang capsule);
Xuezhikang is mainly composed of monascus, which has the functions of invigorating spleen, promoting digestion, promoting blood circulation and removing blood stasis, and can improve the syndrome of spleen deficiency and phlegm turbidity. Modern research has found that monascus is rich in many natural statins, mainly lovastatin, which can obviously reduce cholesterol in human body, but we should also pay attention to avoid repeated use with other statins to avoid aggravating liver and muscle toxicity.
Second, phlegm-turbid internal resistance type
Etiology:
Eating too much sweets and fat will damage the spleen and stomach, so that the cream can not be distributed normally, and the cream will become phlegm due to dampness, leading to internal resistance of phlegm and poor blood circulation in the pulse.
Syndrome differentiation:
Hyperlipidemia caused by phlegm and turbid internal resistance is mainly manifested as obesity, chest tightness, excessive phlegm and saliva, heavy head, dizziness, cough and asthma, excessive expectoration, lethargy of limbs, fat tongue and greasy fur.
Treatment: resolving phlegm and reducing turbidity
Recommended drugs:
Granule Jiangzhi Capsule, Jiangzhi Tongmai Capsule, Luohuashen Tablet, Hawthorn Refined Jiangzhi Tablet, Perilla Oil Soft Capsule, Gynostemma pentaphyllum Total Glycosides Capsule, Paiduqingzhi Tablet, etc.
Interpretation of representative drug (Gynostemma pentaphyllum saponin capsule);
Gynostemma pentaphyllum total glycoside is an extract of Gynostemma pentaphyllum. Gynostemma pentaphyllum has the effects of invigorating qi and spleen, resolving phlegm and removing blood stasis. It is a nourishing and expectorant medicine, which can improve various diseases caused by phlegm turbidity.
Modern pharmacological studies have found that gypenosides, the effective component of Gynostemma pentaphyllum, can reduce the contents of serum cholesterol and triacylglycerol, effectively reduce blood lipid and inhibit the formation of atherosclerosis.
Third, phlegm and blood stasis type
Etiology:
Spleen loses health, and phlegm is blocked by qi and blood stasis in blood vessels. Long-term stagnation leads to blood stasis, which is combined with phlegm and turbidity.
Syndrome differentiation:
Hyperlipidemia caused by phlegm and blood stasis is mainly manifested as chest tightness, hypochondriasis, abdominal distension, dull pain, occasional tingling, palpitation and shortness of breath, which can be induced or aggravated by emotional discomfort, and the tongue coating is white and dark purple or ecchymosis.
Treatment: reduce turbidity and phlegm, promote blood circulation and remove blood stasis.
Drugs:
Yindan Xinnaotong Soft Capsule, Jiangzhi Tongmai Capsule, Xinmaitong Capsule, Yixintong Tablet, Zhijiangning Tablet, Xuezhitong Capsule, Baolier Capsule, Xinnaoqing Soft Capsule, Dunye Guanxinning Tablet, Xiaoshuan Tongluo Capsule, Zang Jiangzhi Capsule, He Dan Tablet, Xinkeshu Capsule, Pushen Capsule, Siwei Tongluo Capsule, etc.
Stands for drug interpretation (Jiangzhi Tongmai Capsule);
Jiangzhi Tongmai Capsule consists of Semen Cassiae, Curcuma Rhizome, Alisma orientalis, Notoginseng Radix and Radix Clematidis. In this composition, Semen Cassiae promotes diuresis to relieve constipation, Curcuma Rhizome breaks blood and promotes qi circulation, dredging menstruation and relieving pain, Notoginseng Radix promotes blood circulation to remove blood stasis and relieve pain, and Clematis Radix removes blood stasis and unblocks collaterals. The combination of the four herbs can achieve the functions of eliminating phlegm and dampness, promoting blood circulation and dredging veins, and can be used for hyperlipidemia caused by phlegm and blood stasis.
Four, liver and kidney yin deficiency type
Etiology:
Kidney governs body fluid and has the function of regulating body fluid metabolism. Yin deficiency of liver and kidney leads to imbalance of body fluid, endogenous phlegm and dampness, and coagulation into fat.
Syndrome differentiation:
Hyperlipidemia caused by liver and kidney yin deficiency is mainly caused by kidney yin deficiency, accompanied by symptoms of yang hyperactivity. The main manifestations are soreness of the waist and knees, dizziness and tinnitus, insomnia and forgetfulness, memory loss, night sweats and nocturnal emission, dry mouth at night, urine like ointment, and red tongue with little fur.
Treatment: nourish liver and kidney, nourish blood and nourish yin.
Recommended drugs: Jiangzhiling Tablet, Shouwu Pill, Huang Chuan Oral Liquid, Dantian Jiangzhi Pill, etc.
Stands for drug interpretation (Jiangzhiling tablets);
Jiangzhiling tablet is composed of Radix Polygoni Multiflori Preparata, Fructus Lycii, Rhizoma Polygonati, Fructus Crataegi and Semen Cassiae. In the prescription, Radix Polygoni Multiflori Preparata, Radix Polygoni Multiflori and Fructus Lycii are used for invigorating qi, nourishing yin, nourishing liver and kidney, strengthening spleen and stomach, promoting digestion, promoting qi circulation and removing blood stasis, while Semen Cassiae is used for clearing liver, relaxing bowels and diuresis. The combination of various drugs can tonify liver and kidney, nourish blood, improve eyesight and reduce blood fat.