淺談高膽固醇之二

吳宇琛

SUM WU

Sum Wu

Registered Chinese Medicine Practitioner

Bachelor of Health Science in Traditional Chinese Medicine (UTS)

Bachelor of Science Majoring in Psychology (UOW)

Director of Hurstville Chinese Herbs Centre

Vice Dean of College of Traditional Chinese Medicine Orthopedics Australia

Specialising in pain management and mental wellbeing through Tradition Chinese medicine in combination with modern science in mental health, dieting and nutrition.

吳宇琛，澳大利亞政府注册中醫師、針灸師，五龍崗大學心理學學士、悉尼科技大學中醫系學士，澳大利亞松軒中醫藥中心主任醫師，澳大利亞中醫骨傷專科學院副院長。

擅長用傳統針灸理傷手法和中藥治療各種新舊損傷痛症，特別採用中醫中藥和現代心理學、營養學相結合調理治療各種慢性病和亞健康。

Food Therapy and Cholesterol

中醫食療與膽固醇

Traditional Chinese Medicine views food as an essential part of healing and prevention. In the case of high cholesterol, or hyperlipidaemia in Western medicine, TCM does not focus on cholesterol itself but on the underlying imbalance causing it, often as a result of patterns such as Phlegm-Damp accumulation, Spleen deficiency, and Blood stasis. By choosing foods that harmonize the organs, resolve Phlegm, and promote smooth Qi and Blood flow, diet can become a powerful tool for restoring balance and protecting cardiovascular health.

中醫認為，食物不僅是維持生命的基礎，更是治療與預防疾病的重要組成部分。對於高膽固醇（西醫稱為高脂血症）而言，中醫關注的不是“膽固醇”這一名稱本身，而是導致其升高的內在失衡，如痰濕內蘊、脾虛、血瘀等證型。通過選擇能够調和臟腑，化痰祛濕，疏通氣血的食物，飲食可以成為恢復身體平衡，保護心血管健康的有力手段。

Understanding the TCM View of High Cholesterol

中醫對高膽固醇的理解

In TCM theory, the Spleen is central to digestion and the transformation of food into Qi and Blood. When the Spleen is weakened, which can result by overeating greasy or sweet foods, stress, or lack of physical activity, its function declines. Fluids are not properly transformed and accumulate as Dampness and Phlegm. Over time, these substances may obstruct the vessels and combine with Blood stasis, leading to what Western medicine identifies as high cholesterol or arterial plaque.

在中醫理論中，脾居中焦，是“後天之本”，主運化水穀精微，是氣血生化之源。 當脾氣虛弱時，常由飲食過於油膩，嗜甜，壓力過大或缺乏運動所致，運化功能减退，體內水濕不化，積聚成痰。痰濕日久可阻滯血脈，形成血瘀，與西醫所說的血管斑塊或動脈硬化相似。

Liver disharmony is also common in hyperlipidaemia. Emotional tension or frustration can cause Liver Qi stagnation, which affects digestion and contributes to the build-up of Heat and Phlegm. Therefore, food therapy aims to strengthen the Spleen, regulate Liver Qi, transform Phlegm, and invigorate Blood.

此外，肝氣鬱結也是高脂血症的常見原因。情緒緊張，抑鬱或憤怒會導致肝氣不暢，影響脾胃運化，生內熱，助生痰濕。故食療應以健脾、疏肝、化痰、活血為原則，從根本上調整代謝與情志。

Key Food Principles in TCM for Managing Cholesterol

中醫調理膽固醇的食療原則

Strengthen the Spleen and Resolve Dampness

健脾祛濕

1. • Recommended foods: barley, millet, adzuki beans, mung beans, yam, carrots, and pumpkin.
   • Benefits: These foods are light and easy to digest, helping the Spleen metabolize fluids and reduce the accumulation of Phlegm and Dampness.
   • Avoid: greasy, fried, or overly sweet foods that burden the digestive system and create more internal Dampness.

o推薦食物：薏苡仁、小米、赤小豆、綠豆、山藥、胡蘿蔔、南瓜。

o功效：這些食物清淡易消化，可健脾利濕，化痰除濁。

o忌食：油膩、煎炸及過甜之品，以防加重脾負擔，助濕生痰。

Transform Phlegm and Reduce Fat

化痰消脂

1. • Recommended foods: white radish, celery, lotus root, seaweed, kelp, tofu, and shiitake mushrooms.
   • Benefits: These ingredients clear Phlegm, lower internal Heat, and promote lipid metabolism. Seaweeds, for example, are high in soluble fiber and iodine, which may support healthy thyroid and lipid regulation.

• 推薦食物：白蘿蔔、芹菜、蓮藕、海帶、紫菜、豆腐、香菇。
• 功效：清熱化痰，促進脂質代謝。海藻類富含可溶性纖維及碘元素，有助於調節甲狀腺與脂肪代謝。

Invigorate Blood and Improve Circulation

活血通絡

1. • Recommended foods: black fungus, hawthorn berries, garlic, and onions.
   • Benefits: These foods help reduce Blood stasis, which corresponds to the sluggish circulation and plaque formation seen in Western medicine. Hawthorn berries are particularly valued in TCM for aiding digestion and promoting heart health.

• 推薦食物：黑木耳、山楂、大蒜、洋葱。
• 功效：改善血液循環，减少瘀阻。山楂尤為常用，能消食化積、活血化瘀、養心安神。

Soothe the Liver and Regulate Qi

疏肝理氣

1. • Recommended foods: leafy greens, chrysanthemum tea, green tea, and citrus peel.
   • Benefits: These foods disperse Liver Qi stagnation, reduce stress-related overeating, and help balance emotions.

• 推薦食物：綠葉蔬菜、菊花茶、綠茶、陳皮。
• 功效：疏肝解鬱，調暢氣機，减少因情志失調引起的暴飲暴食或代謝紊亂。

Clear Heat and Detoxify

清熱解毒

1. • Recommended foods: cucumber, bitter melon, celery, and pears.
   • Benefits: These cooling foods help clear excess Heat, often associated with inflammation, hypertension, or irritability that accompanies high cholesterol patterns.
   • 推薦食物：黃瓜、苦瓜、芹菜、梨。
   • 功效：清熱生津，緩解因內熱或炎症引起的血脂异常與血壓升高。

Sample TCM-Inspired Dietary

中醫食療示例

• Morning: Warm barley or millet porridge with adzuki beans and a few slices of Chinese yam.
• Lunch: Stir-fried celery, carrots, and tofu with garlic and a dash of sesame oil.
• Dinner: Seaweed soup with mushrooms and lotus root.
• Tea: Hawthorn and chrysanthemum tea between meals to aid digestion and circulation.
• 早餐：薏苡仁或小米粥，加入赤小豆及山藥片。
• 午餐：芹菜、胡蘿蔔與豆腐清炒，佐以少許蒜末和芝麻油。
• 晚餐：紫菜蘑菇蓮藕湯。
• 茶飲：山楂菊花茶，可於兩餐間飲用，助消化、活血通絡。

Conclusion

結論

In TCM, food therapy for high cholesterol goes beyond nutrient counts and focuses on restoring harmony among the Spleen, Liver, and Heart. By eating light, balanced meals that strengthen digestion, transform Phlegm, and promote smooth circulation, individuals can not only manage cholesterol naturally but also enhance their overall energy and vitality. Regular exercise, emotional balance, and mindful eating complete the TCM approach to cardiovascular well-being.

中醫食療調理高膽固醇，不僅關注營養成分，更注重脾、肝、心三臟的整體協調。通過清淡、均衡的飲食來健脾化痰、疏肝活血、暢通氣血，不僅能自然調節血脂，還能提升整體精氣神與代謝功能。配合適度運動，情志調養與規律作息，方可全面維護心血管健康，實現“治未病”的目標。

如有疑問想咨詢吳宇琛中醫師，可以在微信或whatsapp搜索61 404836368，加吳宇琛中醫師微信或whatsapp，也可以發短信或致電0404836368作語音留言，吳宇琛中醫師有空就會回復。

（吳宇琛中醫師，澳大利亞政府注册中醫師、針灸師，五龍崗大學心理學學士、悉尼科技大學中醫系學士，悉尼好思維松軒藥行主任中醫師，澳大利亞中醫骨傷專科學院副院長，本文僅供參考，具體診療應諮詢專業人士。）