降血脂單味中藥回顧探討

The Review of Traditional Chinese Medicine Used for Hyperlipidemia

陳昭先(Chao-Hsien Chen) ； 高宗桂(Tsung-Kuei Kao)

《臺灣中醫科學雜誌》 5卷2期 (2011/02) Pp. 47-57

https://doi.org/10.29810/SJTTCM.201102.0007

摘要

高血脂症在西醫以statin類藥物治療為主，中醫藥可選擇的藥物則較為繁多，其藥理作用是藉由中藥裡所含皂苷類、黃酮類、酚類、生物鹼類、多醣類……等成分，來完成降血脂目的，其中機轉仍多數未明。在降血脂之臨床應用上，可以依西醫的檢驗報告，對高膽固醇型、高三醯甘油型、混合型等不同類型的高血脂症給予針對性的用藥；或者，在高血脂症的基礎下，依照中醫辨證理論，針對個人體質及表現證候，分別投予解表、清熱、瀉下、理氣、消食、活血化瘀、化痰平喘、養心安神、平肝、補氣、補陽、補血、或補陰降脂藥物，以期能為病患量身打造最適合之降脂用藥。

關鍵字

高血脂 ； 中醫藥 ； 辨證分型

並列摘要

Hyperlipidemia is blood status when one or several of lipids in serum are higher than normal level. Statins are one class of drug that are commonly used to treat hyperlipidemia. In Chinese medicine, we can reduce the serum lipids by saponins, flavonoids, phenols, alkaloids, polysaccharides, those are found in traditional Chinese medicine. But most of the mechanisms are still unknown. For different types of hyperlipidemia (hypercholesterolemia, hyperlipidemia grade triglycerides, and mixed hyperlipidemia), we may have one or more medicine to use at the same time by checking the laboratory datas. We can also choose medicines by TCM theory. So we may find out most appropriate prescription for individual patient.

並列關鍵字

Hyperlipidemia ； traditional Chinese medicine ； differentiation of symptomcomplexes