血脂异常中医病因病机探讨

An Approach to Etiological Factors and Pathogenesis of Dyslipidemia in TCM

血脂异常的病机核心为脾虚运化失司、升降失常,饮食、劳倦、情志为主要致病因素;痰、瘀为血脂异常的主要病理产物;痰瘀阻络,络脉不畅为引发动脉粥样硬化的病机关键。治疗可以脾论治,内清外柔。

The core pathogenesis of dyslipidemia is deficiency of spleen resulting in dysfunction of transformation and transportation and adverse ascending and sinking of spleen Qi. The main pathogenic factors are improper diet, maladjustment of work and rest, excessive emotions. Phlegm and blood stasis are both pathological products of dyslipidemia. The key pathogenesis of the causing of atherosclerosis is stagnation of phlegm and blood stasis in collateral and subcollaterals, which leads to obstructing the collaterals. The therapeutic principle could be dealing with the treatment of spleen, and clearing phlegm and blood stasis interiody and softening blood vessel or collaterals exteriorly.