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.
Dr. Ming's TCM Medical Center,
Hua Xi Xiao Yuan, Hutian Developing Area,
Huaihua city, Hunan province
China