How to Choose Medications for High Blood Viscosity
High blood viscosity, often caused by elevated levels of triglycerides and cholesterol in the bloodstream, can contribute to cardiovascular complications if left unmanaged. Treatment typically involves a combination of pharmaceutical interventions and lifestyle modifications. Among the most commonly prescribed medications are statins, which help lower cholesterol levels and reduce the risk of heart disease.
Integrating Traditional Chinese Medicine Approaches
In Traditional Chinese Medicine (TCM), high lipid levels are often seen as a condition of "deficiency at the root and excess in the manifestation." The root causes may involve weakness in the spleen, stomach, heart, or liver, while the manifestations can include phlegm-dampness and blood stasis. Depending on the patient's specific symptoms and constitution, different treatment strategies are applied.
Common TCM Patterns and Corresponding Treatments
Damp-Heat Accumulation: This pattern is characterized by internal accumulation of dampness and heat. The therapeutic approach focuses on clearing heat and resolving dampness, often using modified Yin Chen Hao Tang (Capillaris Yinchen Decoction).
Spleen Deficiency with Dampness: When the condition is rooted in spleen weakness with excessive dampness, the treatment aims to strengthen the spleen and harmonize the stomach while eliminating dampness. Shen Ling Bai Zhu San (Atractylodes and Platycodon Formula) with modifications is typically used.
Phlegm Obstruction: For individuals presenting with phlegm accumulation and impaired qi flow, the formula Du Tan Tang (Phlegm-Resolving Decoction) may be prescribed to promote qi circulation and remove phlegm.
Qi Stagnation and Blood Stasis: This condition involves impaired liver function and poor blood circulation. Xue Fu Zhu Yu Tang (Blood Mansion Stasis-Resolving Decoction) is often used to regulate liver qi and invigorate blood circulation.
Deficiency of Kidney Essence: In cases where kidney deficiency is the underlying cause, the treatment focuses on nourishing kidney essence and enriching the brain marrow. You Gui Yin (Right Restoration Beverage) may be used with appropriate modifications.
Yin Deficiency with Yang Hyperactivity: This pattern often presents with internal heat and hyperactive liver yang. The treatment emphasizes nourishing yin and calming liver yang, typically using modified Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction).
Modern Medical Treatments
In addition to herbal treatments, Western medicine offers a range of effective medications. Statins remain the cornerstone of lipid-lowering therapy. Other options include fibrates (such as fenofibrate) and niacin, which can help manage triglyceride levels and improve overall lipid profiles.
Choosing the Right Treatment Plan
The primary goal of treating high blood viscosity is to prevent cardiovascular diseases, especially coronary artery disease. Therefore, the selection of medication should be based on a comprehensive assessment that includes the patient's existing cardiovascular risk factors, lipid levels, and overall health status.
Complementary Lifestyle Changes
Regardless of the medication used, lifestyle modifications are essential. These include adopting a heart-healthy diet, engaging in regular physical activity, maintaining a healthy weight, and avoiding tobacco and excessive alcohol consumption. These foundational changes can significantly enhance the effectiveness of any pharmacological treatment.