HYPERLIPOPROTEINEMIA, HYPERLIPIDEMIA, HYPERCHOLESTEROLEMIA

Clinical Manifestations
  • Hyperlipoproteinemia occurs when there is too much lipid (fat) in the blood. Shorter terms that mean the same thing are hyperlipidemia and hyperlipemia. Dyslipidemia refers to a redistribution of cholesterol from one place to another that increases the risk of vascular disease without increasing the total amount of cholesterol. When more precise terms are needed, hypercholesterolemia and hypertriglyceridemia are used.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Pressure headache - like a bandage
  • Gastric distension
  • Poor appetite
  • Heaviness
  • Body aches
  • Chest distension
  • Diarrhea
  • Dysentery
  • T: Red
  • C: Greasy and yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clean Damp-Heat and toxins
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Fever (maybe chills)
  • Strong thirst with a desire to drink.
  • Vomits immediately after drinking
  • Urinary difficulty
  • Edema
  • General sensation of heaviness
  • Diarrhea
  • Irritability
  • Simultaneous vomiting and diarrhea
  • Throbbing sensations below umbilicus
  • Vomits frothy saliva
  • Vertigo
  • Abdominal pain and/or distention
  • Dark urine
  • Scanty urine
  • Anxiety
  • Jaundice
  • Shortness of breath
  • Cough
  • Urinary retention
  • Lower abdominal fullness
  • Extreme thirst
  • Palpitations
  • Lower abdominal distention
  • Lower abdominal palpitations
  • Dizziness
  • Abdominal pain
  • Restlessness
  • Slightly pale skin tone
  • T: Normal
  • C:Thick, yellow and greasy
  • P: Soft and rapid
Treatment Principle
  • Promote urination
  • Drain Dampness
  • Strengthen the Spleen
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Obesity with a long history of a bad diet
  • Dislike of speaking
  • Sweating on exertion
  • Aversion to Cold
  • Puffy face
  • Poor appetite
  • Abdominal fullness after eating
  • Fatigued spirit
  • Weakness of the extremities
  • Somnolence
  • Loose stools
  • Clear, thin vaginal discharge
  • Bland taste in the mouth
  • T: Pale with teethmarks
  • C: White
  • P: Fine and weak
Treatment Principle
  • Disperse Dampness
  • Move Qi
  • Tonify Stomach and Spleen
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Typically, an older patient
  • Lack of strength
  • Aversion to Cold
  • Body cold
  • Limbs icy
  • Shortness of breath
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Abdominal fullness
  • Anorexia
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Disinclination to speak
  • Tinnitus
  • Blurred vision
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow or Deep and thready
Treatment Principle
  • Warm Yang
  • Transform turbidity
  • Tonify the Spleen
  • Nourish the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Precordial pain
  • Chest pain radiating to the upper back
  • Pain is often worse with taxation
  • Dizziness
  • Eye pain
  • Excruciating hypochondriac or flank pain
  • Bruising
  • Pain along the Liver or Gall Bladder channel
  • T: Dark purplish or Static macules or Spots
  • C: Thin and white
  • P: Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Transform Stasis
  • Discharge turbidity
  • Reduce fat
Herb Formulas
Points
Clinical Manifestations
  • Episodic, bilateral rib or flank pain which is not fixed in location
  • Headache
  • Dizziness
  • Lassitude
  • Poor appetite
  • Emotional instability
  • Frequent sighing
  • Irregular menstruation
  • Breast distention and pain
  • T: Thick
  • C: Thin and white
  • P: Thready and wiry
Treatment Principle
  • Dredge the Liver
  • Resolve Stagnation
  • Tonify the Spleen
  • Nourish the Blood
  • Lower lipids
Herb Formulas
Points
Clinical Manifestations
  • Whole body jaundice (tangerine color)
  • Slight abdominal distention
  • Urinary difficulty
  • Thirst (only wants to sip)
  • Perspiration on head
  • Scanty, dark urination
  • Upper abdominal distention
  • Maybe grayish pale stools
  • Nausea / vomiting
  • Yellow sclera
  • Edema
  • Chest discomfort
  • Constipation
  • Maybe mania
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery and rapid or Deep and Shi or Rolling and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
  • Reduce jaundice
Herb Formulas
Points

Clinical Manifestations
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Yellow vaginal discharge with foul smell
  • Pain, swelling and burning sensations of testicles
  • Pruritis vulvae
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Damp-Heat from the Liver and Gallbladder
  • Guide out Food Stagnation
  • Smooth the flow of Liver Qi
  • Lower serum cholesterol
  • Strengthen Stomach Qi
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Bodily weakness in older patients
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Dry mouth
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Hypertension
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • Palpitations
  • Stabbing pain in the anterior region over the Heart
  • Suffocating sensation in the chest
  • Maybe drawing pain down the internal aspect of arm (especially the left arm)
  • Pain (in chest and/or arm) tends to be severe and intermittent
  • T: Dark red with purple spots or Purple body or Pale and flabby - may have teethmarks or Red
  • C: Little or White
  • P: Minute (scarcely perceptible) and thready or Knotted or Even, forceless and deficient or Thready and rapid
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Nourish the Blood
  • Tonify Liver and Kidney Yin
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Weight loss
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Achy joints
  • Impotence
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Irregular menstruation
  • Dysmenorrhea
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Pale and swollen or Red or Purple, possible purple or red spots
  • C: Thin and white or Little or None
  • P: Choppy or Wiry and choppy or Deep and thready - maybe slow or Thready and rapid
Treatment Principle
  • Strengthen the Kidneys
  • Tonify Yang
  • Nourish Yin
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify the Liver and Kidneys
  • Tonify Spleen Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Decreased urination or
  • Interrupted urination or
  • Constant urination or
  • Anuria
  • Maybe fixed, stabbing pain on urination
  • Lower abdominal fullness
  • Lower abdominal pain which may radiate to the genitals
  • Maybe hematuria
  • Tumor formation
  • Purple urine with blood clots
  • Abdominal spasms and tension
  • Suprapubic fullness, distention and pain
  • Maybe lower abdominal masses
  • Pain in the iliac fossa on palpation
  • Soider naevi on the abdomen, inner ankle and inner knee
  • Headache
  • Sinus congestion
  • Constipation
  • Lower back ache
  • Nervousness
  • Fatigue
  • Skin eruptions
  • Scaly, dry skin
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Wiry or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle
  • Expel Blood Stagnation and Obstruction
  • Promote urination
Herb Formulas
Points

Clinical Manifestations
  • Dizziness
  • Headache
  • Heavy-headedness
  • Vexatious Heat
  • Chest oppression
  • Stomach fullness
  • Nausea
  • Physical fatigue
  • Listlessness
  • Heavy limbs
  • A bitter taste in the mouth
  • A dry throat
  • Obesity
  • Maybe constipation or
  • Dry stools
  • Yellow urine
  • T: Reddish
  • C: Slimy and yellow
  • P: Slippery and rapid or Smooth
Treatment Principle
  • Clear and disinhibit Dampness and Heat
  • Reduce fat
Herb Formulas
Points
Clinical Manifestations
  • Obesity
  • An addiction to fatty, sweet foods
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Chest and epigastric glomus and oppression
  • Dizziness
  • Head distention and heaviness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink or
  • No thirst
  • A sticky feeling in the mouth
  • Palpitations
  • Shortness of Breath
  • Fatigue and/or heaviness of the four limbs
  • Numbness
  • T: Normal
  • C: Thick and slippery or Glossy and slimy
  • P: Slippery, full and maybe wiry or Slippery and wiry
Treatment Principle
  • Strengthen the Spleen
  • Transform Phlegm
  • Dispel Dampness
  • Reduce fat
Herb Formulas
Points
Clinical Manifestations
  • Chest oppression and pain
  • Lassitude
  • Anorexia
  • Abdominal fullness
  • Nausea
  • Dyspnea
  • Shortness of breath
  • Severe pain radiating to the back
  • Severe wheezing
  • Severe cough
  • Disturbed sleep
  • T: Normal or Purplish with maculae or spots
  • C: White and greasy
  • P: Deep and wiry or Tight or Deep, wiry and slippery
Treatment Principle
  • Transform Phlegm
  • Discharge turbidity
  • Invigorate the Blood
  • Transform stasis
Herb Formulas
Points
Clinical Manifestations
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Depression
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Sedate and calm the Spirit
  • Relieve the chest and subcardiac regions
Herb Formulas
Points

Clinical Manifestations
  • A strong, Excess body
  • Obesity
  • Constipation
  • Chest oppression
  • Abdominal distention
  • Increased food intake
  • Rapid hungering
  • Dizziness
  • Maybe thirst
  • Head distention
  • Pounding headache
  • Emotional rashness
  • Impetuosity
  • A bitter taste in the mouth
  • Heart vexation
  • Anxiety
  • A red face
  • Red eyes
  • Restlessness
  • T: Red
  • C: Slimy and yellow
  • P: Slippery, wiry, forceful and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Unblock the bowels
  • Disperse accumulation
Herb Formulas
Points