Hyperlipoproteinemia

General

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	PC-6, ST-36, ST-40

Tai Yang, Yang Ming, Shao Yin Heat

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	Fang Feng Tong Sheng San
Points

Shao Yang Fu

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	Da Chai Hu Tang
Points	To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Qi Stage: Spleen And Stomach Damp-Heat

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	An Ho Tea
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

Damp-Heat Injures The Spleen

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	Yin Chen Wu Ling San
Points

Spleen Qi Deficiency With Dampness Or Phlegm Stagnation

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	Bao Jian Mei Jian Fei Cha
Points

Spleen And Kidney Yang Deficiency

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	You Gui Wan  modified
Points	Moxa or moxa needle DU-4, PC-6, REN-4, ST-36 With Phlegm: + SP-9, ST-40 With dizziness and a headache: + GB-20 With Blood Stagnation: + SP-6 With nausea, a poor appetite and Stomach fullness: + REN-12, SP-4 With Liver Stagnation: + LIV-3, LIV-13 With severe Qi Deficiency: + SP-3, UB-20 With severe Kidney Deficiency: + KI-7, UB-23 With Blood Deficiency: + UB-15, UB-17, UB-18    Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Heart Blood Stagnation

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	HLP #1 Xue Fu Zhu Yu Tang For Heart Blood Stagnation due to Heart Qi Deficiency: Shu Xin Huo Xue Tang
Points	LI-4, PC-6, SP-6, ST-36 For severe Heart pain: + REN-14, UB-15 For severe Blood Stagnation: + UB-15, UB-17 With Liver Yang Rising: + GB-20, LIV-3 With Spleen Qi Deficiency: + SP-3 With Blood Deficiency: + UB-15, UB-17, UB-18 With Phlegm Accumulation in the chest: + ST-40

Liver Qi Stagnation With Spleen Qi Deficiency

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	Xiao Yao San modified
Points	LIV-3, PC-6, ST-36, ST-40 With Damp Accumulation: + SP-9 With severe Liver Stagnation: + LIV-13, UB-18 With Liver Stagnation Transforming into Fire: + LIV-2 With severe Qi Deficiency: + SP-3, UB-20 With severe Blood Deficiency: + UB-15, UB-17, UB-18 With Blood Stasis due to Liver Qi Stagnation: + SP-6

Damp-Heat In The Liver And Gall Bladder

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	Yin Chen Hao Tang
Points

Damp-Heat In The Liver With Food Stagnation

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	Yin Chen Jiang Zhi Tang
Points

Liver And Kidney Yin Deficiency

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	Qi Ju Di Huang Wan  modified Hyperlipoproteinemia #1
Points	KI-7, PC-6, ST-36, UB-23 With Liver Yang Rising: + GB-20, LIV-3 With Spleen Qi Deficiency: + SP-3 With severe Liver and Kidney Yin Deficiency: + SP-6, UB-18 With Blood Deficiency: + UB-15, UB-17, UB-18 With Blood Stagnation: +SP-6 KI-3, LIV-3, SP-6, UB-18, UB-23

Liver And Kidney Yin Deficiency With Spleen Qi Deficiency And Heart Blood Stasis

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	Bao Xin Jiang Zhi Tang
Points

Kidney Yin And Yang Deficiency With Blood Stasis

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	Jiang Zhi Dan
Points

Qi And Blood Deficiency

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	Fu Fang Jiang Zhi Tang
Points

Blood Stagnation

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	Dai Di Dang Wan With Blood Deficiency: Tao Hong Si Wu Tang
Points

Damp-Heat

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	Jue Ming Xie Gan Jiang Zhi Tang Xiao Zhi Tang Hyperlipoproteinemia #2
Points	PC-6, SP-9, ST-36, ST-44 With dizziness and a headache: + GB-20 With severe Damp-Heat Accumulation: + GB-34, SJ-6 With Yin damage: + KI-7 For Yin Deficiency with Fire Rising: + KI-2 With nausea, a poor appetite and Stomach fullness: + SP-4 With Phlegm-Heat: + REN-12, ST-40 With Liver Qi Stagnation: + LIV-3 With Qi Deficiency: + SP-3, SP-6 With Blood Deficiency: + UB-15, UB-17, UB-18

Phlegm-Damp

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	Er Chen Tang  modified
Points	PC-6, SP-9, ST-36, ST-40 With Liver Stagnation: + LIV-3, LIV-13 With severe Qi Deficiency: + SP-3, UB-20 With Blood Deficiency: + UB-15, UB-17, UB-18 With Blood Stagnation: + SP-6 With dizziness and a headache: + GB-20 With nausea, a poor appetite and Stomach fullness: + REN-12, SP-4 PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Phlegm Accumulation

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	Gua Lou Xie Bai Ban Xia Tang  modified
Points	LI-4, PC-6, SP-6, ST-36, ST-40 With Liver Qi Stagnation: + LIV-3, LIV-13 With dizziness and a headache: + GB-20 With nausea, vomiting or Stomach fullness: + REN-12, SP-4 With severe Heart pain: + REN-14, UB-15 With severe Blood Stasis: + UB-15, UB-17 With Spleen Qi Deficiency: + SP-3, UB-20 With Blood Deficiency: + UB-15, UB-17, UB-18

Phlegm In The Liver And Gall Bladder

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	Chai Hu Jia Long Gu Mu Li Tang
Points

Phlegm Heat In The Stomach And Intestines

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	Da Cheng Qi Tang  modified
Points	LI-4, LI-11, LU-5, ST-40, UB-13, UB-25 For more severe Yang Ming Heat: + ST-25, ST-44 For more severe Phlegm: + REN-12 For Phlegm-Heat affecting the Heart: + PC-8