Hyperlipoproteinemia is included in the categories of "xu-an yun", "tan zhuo", etc.

1. Inquire closely about positive family history, diabetes, gout, hepatic diseases, nephroses and juvenile coronary hear1 disease.

2. During Physical examination, Pay attention to yellow-ish papules, xanthomas, premature corneal arcus and peripher-al vascular disorders.

3. Hyperlipoproteinemia can be divided into 5 types.

Type I is chylomicronemia, a rare disorder due to congen-ital deficiency of lipoprotein lipase.

Type II is hyperbetalipoproteinemia, which is commonly seen with marked elevation of plasma cholesterol and the disor-der closely related to atherosclerosis and coronary heart dis-ease. Some patients are inherited and others are due to high-cholesterol diet or secondary to myeloma, nephrotic syndrome, hepatic disease, etc. Type II is subdivided into Type IIa and Type IIb.

Type III is an autosomal dominant disorder in which the plasma concentrations of cholesterol and triglyceride are both elevated. The disease occurs mostly after middle age. Patients usually have obesity, disturbance of carbohydrate metabolism, etc.

Type IV is the most common disorder, in which endoge-nous plasma triglyceride is elevated due to the disturbance of carbohydrate metabolism which plasma cholesterol is not nec-essarily elevated.

Type V is very rare, a combination of Type I and Type IV and of little clinical significance.

Differentiation and Treatment of Common Syndromes in Traditional Chinese Medicine

1. Deficiency of the Liver-yin and Kidney-yin :

Clinical manifestations: Dizziness, tinnitus, blurred vi-sion, irritability, amnesia, soreness and weakness of the loins and knees, red tongue with little fur, taut and thready pulse.

Therapeutic method: Nourishing the liver-yin and kid-ney- yin .

Recipe: Modified Pill of Fleece-flower for Longevity.

Ingredients :

Radix Polygoni Multiflori Semen Sesami Fructus Mori Fructus Ligustri Lucidi Herba Ecliptae Flos Lonicerae Flos Chrysanthemi Ramulus Loranthi Fructus Rosae Laevigatae Rhizoma Polygonati Radix Curcumae

20-- 30g 30g 30g 12g 12g 18g 10g 15g 18g 20g 12g

Administration: The decoction of one dose for a day is 200-300ml. Take one half in the morning and the other half in the evening.

Modification: In addition to the above drugs, supplemen-tary ingredients are to be employed with respect to certain symptoms.

In the case complicated with hyperactivity of liver-yang marked by obvious headache and feeling of distension in the head, add

In the case with deficiency of both qi and blood marked by palpitation, insomnia, lassitude and anorexia, add

For the case with numbness and soreness of the limbs, add

2. Retention of Damp-heat in the Interior:

Clinical manifestations: Dizziness, heavy sensation of the head, headache, distension and irritable feverish sensation in the chest, fatigue and listlessness, bitter taste, dry throat, fat stature, or dry stools, slightly red tongue with yellow and greasy fur, and smooth pulse.

Therapeutic method: Eliminating pathogenic dampness and heat.

Recipe: Modified Decoction of Gentian for Purging Liverfire.

Ingredients:

Administration: The decoction of a dose is 200--300ml. Take one half in the morning and the other half in the evening.

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