血脂异常中医诊疗标准(初稿)

Consensus on diagnosis and treatment of dyslipidemia by TCM (First Draft)

血脂异常是由于脂肪代谢或运转异常使血浆胆固醇或甘油三酯出现异常的一种病症。高脂血症是目前公认的动脉粥样硬化和心脑血管疾病的主要危险因素。有效地防治血脂异常是防治心脑血管疾病的重要途径。中医药适用各种血脂异常患者,通过改善血脂状况而达到减少心血管事件发生并减少西药副作用。中华中医药学会心病分会聚集了专家的经验和智慧,主要根据近年的研究成果及临床实际进行证候分类和论治制定了初步诊疗方案。经过6轮的专家意见征询及修改,这次发表进行全国范围的意见征询和临床验证,以提高临床疗效。为了防止和减少血脂异常病及其并发症的发生,诊疗方案中还加入了调摄预防及康复措施等措施。

Dyslipidemia is one of metabolic disorder of blood lipids including cholesterol or triglycerides. Based on the close relationship with the atherosclerosis, there is little doubt that hyperlipidemia is the major risk factor for morbidity and mortality of cardiovascular diseases. To control dyslipidemia is one of the most important measures to prevent and cure the cardiovascular diseases. The patients with dyslipidemia will take life-term western medicine. However Chinese medicine does well in treating light and middle grade dyslipidemia, which can reduce development of cardiovascular incidents and adverse reactions of western medicine. This guideline assembled all the experts＇ experience and expertise from Cardiopathia Committee of China Association of Chinese Medicine, which was also based on nearly thirty-year literature searching about essential hypertension home and abroad. Furthermore, we mainly classified TCM syndromes and made treatment principles according to our achievement in the last decade and six expert consensus conferences. This article will introduce such a guideline that we want to gather different opinions and suggestions all over our country in order to improve curative effect in practice. Besides, some information about nursing, prevention and rehabilitation is also discussed for the sake of preventing and reducing essential dyslipidemia and its complications, which is according to the theory of ＂Preventive Treatment of Disease＂ of Nei Jing.