In recent decades, with the improvement of people's material living standards and changes in lifestyle, the prevalence of dyslipidemia has increased sharply. Therefore, dyslipidemia should arouse our great attention.
Lipids are a general term for neutral fats (triglycerides, cholesterol) and lipids (phospholipids, glycolipids, sterols, steroids) in plasma. Lipids are insoluble in water and must be combined with a special protein, apolipoprotein, to form lipoproteins to dissolve in the blood and be transported to tissues for metabolism. Lipoprotein is a spherical macromolecular complex composed of protein and triglycerides (TG), cholesterol (TC), phospholipids, etc., and plasma lipoproteins are divided into 5 categories: chylomicrons, very low-density lipoproteins, intermediate-density lipoproteins, low-density lipoproteins (LDL-C) and high-density lipoproteins (HDL-C). Dyslipidemia usually refers to elevated cholesterol and triglycerides in plasma, commonly known as hyperlipidemia. In fact, it also refers to various dyslipidemias, including low-density lipoproteinemia and low-density lipoproteinemia. As a manifestation of lipid metabolism disorders, dyslipidemia is a metabolic disease that can lead to coronary heart disease and other atherosclerotic diseases, mainly damaging the cardiovascular system. In the 2007 Guidelines for the Prevention and Treatment of Dyslipidemia in Adults in China, the criteria for dyslipidemia are: TC≥6.22 mmol/L is hyperTCemia, HDL <1.04 mmol/L is hypoHDLemia, LDL ≥4.14 mmol/L is hyperLDLemia, and TG ≥ 2.26 mmol/L is hyperTGemia. Hyperlipidemia, hyperTGemia, hypoHDLemia, or hyperldalemia are dyslipidemia, of which dyslipidemia characterized by elevated LDL-C or TC is an important risk factor for atherosclerotic cardiovascular disease (ASCVD).
Therefore, experts recommend that daily screening of blood lipids is very important: adults aged 20 to 40 years must measure lipids at least once every 5 years (including TC, LDL-C, HDL-C and TG); men over 40 years old and women after menopause should be measured every year; asCVD patients and their high-risk groups should be measured every 3 to 6 months. The basic items of clinical lipid testing are TC, TG, LDL-C, and HDL-C. The clinical application value of other lipid programs such as Apo A1, Apo B, and Lp(a) has also attracted increasing attention.
What are the causes of dyslipidemia?
Dyslipidemia has secondary hyperlipidemia and primary hyperlipidemia, which refers to dyslipidemia caused by other diseases, such as obesity, diabetes, hypothyroidism, renal failure, systemic lupus erythematosus, polycystic ovary syndrome and so on. In addition, certain drugs can also cause secondary dyslipidemia, such as diuretics, non-cardioselective β-blockers, glucocorticoids, etc. Therefore, treatment of secondary hyperlipidemia should begin with a solution to the primary disease. Primary hyperlipidemia is mostly related to poor lifestyles, such as high energy, high-fat and high-sugar diets, excessive alcohol consumption, etc., and most primary hyperlipidemia is also caused by single or multiple gene mutations. Therefore, among the influencing factors of dyslipidemia, the factors we can intervene in include weight control, avoiding obesity or excessive obesity, exercising frequently, avoiding high-fat diet on the diet, quitting smoking, drinking less alcohol, in short, developing good living habits is an important step in our fight against dyslipidemia.
Chinese medicine does not have the exact name of the disease of dyslipidemia, according to its clinical manifestations, the dyslipidemia belongs to "vertigo", "chest paralysis", "stroke", "phlegm turbidity", "blood stasis", "blood turbidity", "pulse paralysis", "gangrene", "forgetfulness", "spleen deficiency" and other evidence. External factors are mostly caused by uncontrolled diet, ease and less work, and poor emotions, and internal causes include deficiency of the spleen, kidneys, heart and other organs, liver loss and leakage, and stagnation of pathological products such as wet turbidity, phlegm, and blood stasis. Modern studies have shown that acupuncture can effectively reduce TC, TG, LDL-C and increase HDL-C, acupuncture treatment of dyslipidemia, multi-selection of spleen and stomach meridians, Ren pulse and bladder meridian on the acupuncture points, such as Fenglong, Zu Sanli, Sanyin Intercourse, Neiguan, Tianshu and other acupuncture points, and warm acupuncture for dyslipidemia also has a better effect. Therefore, you can also usually rub the acupuncture points on the spleen and stomach meridian to protect against dyslipidemia.
