In part one I wrote that combination therapy with antihyperlipidemic drugs increase the risk for adverse reactions from any one of them individually. Acupuncture, Chinese herbal medicine, and food as medicine can be use to minimize the need for combination therapy. When initiating Chinese herbal therapy, it is helpful to know what herbs will be beneficial for the combination of dyslipidemia one has (elevated total cholesterol, LDL, VLDL, TG; low HDL etc):
WHAT IS DYSLIPIDEMIA?
Dyslipidemia is a general term that means abnormal levels of lipids and/ or lipoproteins in the blood. Many people are concerned with lowering their bad cholesterol, which is hyper-LIPOPROTEINemia (elevated LDL/low density lipoproteins). And elevating their good cholesterol, which is HDL/high-density lipoptrotein. This is because too much LDL and/or too little HDL (LDL>HDL ratio) is the main predictor of cardiovascular and peripheral vascular diseases.
Cholesterol & triglycerides (TG) are lipids, meaning they do not dissolve in water. The liporproteins bind with cholesterol and triglycerides (TG) to carry them through the aqueous environment of blood & cells, and transport them to various places in the body.
Certain drugs such as some high blood pressure medication and psychotropics can also cause any combination of dyslipidemia. Primary Familial Hyper-cholesterolemia is caused by over production or inadequate clearance of lipoproteins (LDL, HDL). It is a genetic disorder with some variants causing LDL to escalate to 600mg/dl or higher at a very early age (30s). Secondary dyslipidemias are caused by underlying diseases such as hypothyroid, diabetes, renal insufficiency, hepatitis, hypertension etc. Hypolipidemias can be induced or can be genetic.
NOT SUCH A BAD GUY?
Western medicine likes TG level to be below 150 mg /dL. But there is no clarity on what too low is - 50, 35, and 10 mg/dL are some set points. A Naturopath might scoff at a TG level of 50. This is because TGs, 1) store unused calories (as adipose tissue/ fat) for energy, 2) benefit brain growth, development & function, 3) benefit the flow of fat and glucose to and from the liver.
Cholesterol is the chemical backbone of steroid hormones (DHEA, progesterone, estrogens, testosterone, vitamin D etc). It is a component of bile, which is needed for the complete digestion and assimilation of fats, and fat soluble vitamins (A, E, D). It is essential for cell membrane structure, integrity, and flexibility.
The liver produces cholesterol, so a deficiency is unlikely. But certain nutrients and medications can challenge cholesterol levels as well, with overuse or improper dosage. Low TG levels is cause by low fat or vegetarian diets, malnutrition. Or excessive amounts of vitamin C, fish oils, and lecithin. Or and improper use of nicotinic acid/niacin and fibrate drugs (e.g. Lopid and Tricor).
DYSLIPIDEMIA IN CHINESE MEDICINE
Dyslipidemia, atherosclerosis and obesity are roughly translated to "the accumulation of Dampness and Phlegm" in Chinese Medicine. Dyslipidemia is a function of what is not in ones diet (e.g. fruits, vegetables, fatty acids etc.). As well as suboptimal digestion, absorption, assimilation, and utilization of food stuffs. Lastly, the "when, what & how" one eats is the feng shui of health....
High fructose syrup (HFCS) is a most notable cause of damp & phlegm accumulation in our modern day and age. Unlike cane sugar, HFCS is not assimilated very well by the Liver and is quickly converted to damp and phlegm [fat]. Plain cane sugar is much less problematic.
Irregular eating patterns confuses the digestive system via many complex mechanisms. According to the Horary clock [the Chinese circadian rhythm of qi flow], Stomach time (7 a.m. to 9 a.m) and Spleen time (9 a.m. to 11) are optimal for priming the digestive system. Not warming/nurturing the digestive tract at these times sets one up for poor digestion. This timing is also supported by Western observations on the body's ability to generate glucose surges after meals vs. glucose storage for later use as energy.
Starting the day with a warm cup of water or ginger tea primes the Stomach qi (digestive enzymes). A whole grain congee primes the Spleen qi (assimilation for energy). The hardiest meal of the day should be lunch. And late night eating should be avoided. In Chinese Nutritional therapy, as well as holistic nutrition, there are many ways to choose then prepare food stuff in order to optimize/ maximize/ preserve nutrient value. It is most important to eat in a unhurried manner, and chew ones food thoroughly.
HERBS FOR DYSLIPIDEMIA
Xu, Shi & Che (2012) found that Chinese herbs that Activate Blood Circulation (ABC) could treat atherosclerotic plague [AS] in multiple ways: lowering blood lipids, inhibiting platelet adhesion & aggregation, and improving blood viscosity. The final effect of ABC herbs on stabilizing AS was slightly less than that of Simvastatin, but showed superior effects on increasing HDL. The ABC herbs studied were Radix Salviae Miltiorrhizae (dan shen), Radix Paeoniae Rubra (chi shao) , Rhizoma Chuan xiong, Radix Notoginseng (san qi), Semen Persicae (tao ren), Wine steamed Rhizoma Rhei (da huang).
Below is a list of herbs and the aspects of dyslipidemia they are shown to benefit. Shan zha and tea (camillia leaf) stand out as a versatile herbs to self-treat with. Shan Zha (Chinese hawthorne berry) is traditionally soaked in wine or liquor then imbibed for almost all aspects of dyslipidemia. Oolong tea [neutral], Black tea [warming], or Green tea [cooling] facilitate the digestion of fats after a rich meal. It is important to take a bedtime dose of for elevated total cholesterol. This is because cholesterol is synthesized at night.
TEAS FOR DYSLIPIDEMIA
There are many Chinese and Western herbals and formulas for the patterns associated with dyslipidemia (see below). Simplicity is important because any intervention must become part of a person's lifestyle choices on a daily basis. Using food-as-medicine is a good way to accomplish this! Seek a healthcare professional's consult before using any herbs for cardiovascular health (especially if you are already taking medication for CVD; take a blood thinner; are/or expect to get pregnant):
PATTERNS ASSOCIATED WITH DYSLIPIDEMIA
Causes (diet, lifestyle, aging, genetics):
Branch Patterns (manifestations or sequela of dyslipidemia)
Integrative Medicine Tip: Vitamin K is highly anti-atherosclerotic, inhibiting the deposition of calcium in vessel walls, with subsequent hardening of vessels walls. A combination of vitamin K and D3 is recommended for both cardiovascular disease and osteoporosis (there are combination D3/K supplements). D3 facilitates the absorption of calcium from the GI tract into the blood. K2 facilitates the transport of calcium from the blood into bones. Rich sources of vitamin K1 are green leafy vegetables, brussels sprouts, watercress, avocados, kiwi fruit, and olive oil. Sources of vitamin K2 are meats, eggs & certain cheeses. Vitamin K3 is the prescription form given via IM injection (Professional Medical Education).
Pang, J. Dietetics: Cardiovascular & digestive. In HealthCMi.
Weber, D. Mai men dong. Dui Yao: The Art of Formula Construction. Retrieved from
Xu, H., Shi, D., & Che, K. (2012). Atherosclerosis: An integrative east-west medicine
perspective. Evidence-Based Complementary & Alternative Medicine 2012. Retrieved
Luria, U., & Zelicha, K. (2009). Cholesterol and Chinese medicine. Journal of Chinese Medicine
Professional Medical Education. Nutrition for hepatitis C. In Hepatitis C Professional Training and Certification program.
(double click on videos for full screen view)
An Apple, Beet & Carrot A Day Hawthorne-Western
Hawthorne- Chinese San Qi
Culinary Herbs & Oils for CVD Dan Shen (Note"blood stasis". See
blood flow & velocity improve
when plaque is reduced.
Ku Ding Cha- this tea is very bitter