体检报告出来，胆固醇（尤其是「坏」的 LDL）或甘油三酯偏高，超声还写着「脂肪肝」——人却没什么感觉。这正是血脂异常的特点：安静但重要，长期偏高会悄悄让血管硬化、增加心梗和中风风险，脂肪肝也可能慢慢发展。西医的抽血监测、评估风险和必要时用降脂药是主线。而中医能做辅助：中医多把血脂异常、脂肪肝理解为痰浊、湿、瘀在体内堆积，和脾虚、肝郁有关——脂肪肝就像痰湿瘀积在肝。按体质用化痰祛湿、健脾、疏肝、活血等方向调理，配合饮食、运动、减重一起走。
Your report comes back with high cholesterol (especially the "bad" LDL) or triglycerides, and the ultrasound notes a "fatty liver" — yet you feel nothing. That's the nature of abnormal lipids: quiet but important, quietly stiffening the arteries over years and raising heart-attack and stroke risk, while a fatty liver can slowly progress. Medical blood tests, risk assessment and, when needed, lipid-lowering medication are the main line. TCM offers support: it largely reads abnormal lipids and fatty liver as phlegm-turbidity, damp and stasis accumulating in the body, tied to spleen deficiency and liver stagnation — a fatty liver being like phlegm-damp-stasis lodged in the liver. Treated by constitution with phlegm-resolving, damp-draining, spleen-strengthening, liver-soothing and blood-moving methods, alongside diet, exercise and weight care.
Laporan anda menunjukkan kolesterol (terutama LDL "jahat") atau trigliserida tinggi, dan ultrabunyi mencatat "lemak hati" — namun anda tiada rasa apa-apa. Itulah sifat lipid tidak normal: senyap tetapi penting, diam-diam mengeraskan salur darah dan menaikkan risiko serangan jantung dan strok. Ujian darah, penilaian risiko dan ubat penurun lipid perubatan ialah barisan utama. TCM menawarkan sokongan: ia membaca lipid tidak normal dan lemak hati sebagai kahak, lembap dan darah tersekat yang berkumpul, berkait limpa lemah dan hati tersekat. Dirawat mengikut keadaan badan, seiring diet, senaman dan penjagaan berat.
血脂高、脂肪肝，中医怎么理解？
Lipids and Fatty Liver — the TCM View
Lipid dan Lemak Hati — Pandangan TCM
中医没有「胆固醇」这个词，但很早就讲「膏脂」——身体里滋润、储备用的油性物质，正常有用，过多、代谢不掉就成了「痰浊」这类病理产物。当脾（负责运化水谷、水湿）虚弱、加上长期吃得油腻甜腻、喝酒、久坐、压力大（肝郁），身体处理「膏脂」的能力下降，痰浊、湿、瘀就堆积起来——在血里表现为血脂高，积在肝就是脂肪肝。所以中医调的不是「一个数字」，而是把这套生痰、生湿、生瘀的体质调回来。它建立在西医诊断和监测的基础上，是辅助，不是替代。
TCM has no word for "cholesterol," but long ago spoke of "gao-zhi" — the oily, nourishing, storage substances of the body, useful in the right amount but, when excessive and unprocessed, turning into pathological "phlegm-turbidity." When the spleen (which transforms food and fluids) is weak, and there's long-term greasy, sugary eating, alcohol, long sitting and stress (liver stagnation), the body's handling of "gao-zhi" falters, and phlegm, damp and stasis accumulate — showing as high lipids in the blood, or a fatty liver when lodged there. So TCM adjusts not "a number" but the constitution that keeps generating phlegm, damp and stasis. This is built on medical diagnosis and monitoring — support, not a replacement.
TCM tiada perkataan "kolesterol," tetapi sejak lama menyebut "gao-zhi" — bahan berminyak yang memupuk dan menyimpan, berguna dalam kuantiti betul tetapi, bila berlebihan, bertukar menjadi "kahak keruh" patologi. Bila limpa lemah, dengan makan berminyak dan manis, alkohol, duduk lama dan tekanan (hati tersekat), kahak, lembap dan darah tersekat berkumpul — menunjukkan lipid tinggi dalam darah, atau lemak hati. Jadi TCM menyesuaikan bukan "angka" tetapi keadaan badan yang terus menjana kahak, lembap dan tersekat. Ini sokongan, bukan pengganti.
血脂异常、脂肪肝以西医抽血监测、风险评估和用药为主线；中医从痰浊、湿、瘀、脾虚、肝郁的体质入手做辅助——目标是调稳体质、协助管理，而不是替代降脂药。
Abnormal lipids and fatty liver are led by medical blood tests, risk assessment and medication; TCM works from a phlegm-damp-stasis, spleen-deficient, liver-stagnant constitution as support — to steady the body and assist management, not to replace lipid-lowering drugs.
Lipid tidak normal dan lemak hati dipimpin ujian darah, penilaian risiko dan ubat perubatan; TCM bekerja dari keadaan badan sebagai sokongan — untuk menstabilkan badan dan membantu pengurusan, bukan menggantikan ubat penurun lipid.
中医看血脂异常，常见这几型
The Common Patterns Behind It
Corak Biasa di Sebaliknya
对照看看你更接近哪一型——很多人是混合型，真正的辨证仍要医师面诊。
See which fits best — many people are a mix, and a proper diagnosis still needs a practitioner.
Lihat yang mana paling sesuai — ramai jenis campuran, dan diagnosis sebenar tetap perlukan pengamal.
体型偏胖、头重昏蒙、胸闷、身体沉重、痰多、苔厚腻。方向是化痰降浊，把堆积的「痰湿膏脂」化开。
A fuller build, a heavy foggy head, chest fullness, a heavy body, more phlegm and a thick greasy tongue-coat. The direction is to resolve phlegm and clear turbidity.
Bentuk badan lebih besar, kepala berat berkabus, dada sesak, badan berat dan salut lidah tebal berminyak. Arahnya menghurai kahak dan menjernihkan keruh.
乏力、食后腹胀、大便黏或稀、易水肿、口淡。脾运不足，湿浊内生。方向是健脾祛湿，把代谢的「发动机」修好。
Fatigue, post-meal bloating, sticky or loose stools, a tendency to puffiness and a bland taste. The direction is to strengthen the spleen and drain damp — repairing the metabolic "engine."
Letih, kembung selepas makan, najis melekit atau lembik, cenderung bengkak. Arahnya menguatkan limpa dan membuang lembap.
压力大、情绪不畅、胁肋胀闷、易怒、脂肪肝常见此型。气机不畅，影响疏泄与代谢。方向是疏肝理气，把「气」理顺。
Stress, low mood, rib-side fullness and irritability — common in fatty liver. Stuck qi hampers the liver's regulating and metabolic role. The direction is to soothe the liver and move qi.
Tekanan, mood rendah, rusuk sesak dan mudah marah — biasa pada lemak hati. Arahnya menenangkan hati dan menggerakkan qi.
病程较久、面色晦暗、唇舌暗或有瘀点、有时胸闷刺痛，血脂高日久多兼血瘀。方向是活血化瘀，改善血行、兼顾血管。
Long-standing, with a dull complexion, dark lips and tongue or spots, sometimes chest tightness — high lipids over time often bring stasis. The direction is to move blood and resolve stasis.
Berpanjangan, dengan muka suram, bibir dan lidah gelap, kadang dada sesak — lipid tinggi lama sering membawa tersekat. Arahnya menggerakkan darah dan menghurai tersekat.
安心中医怎么辅助血脂异常、脂肪肝？
How An Xin TCM Supports Lipids & Fatty Liver
Bagaimana An Xin TCM Menyokong Lipid & Lemak Hati
中医辅助血脂异常和脂肪肝，不去「代替降脂」，而是按你的证型把生痰生湿生瘀的体质调稳——该化痰的化痰、该健脾的健脾、该疏肝活血的疏肝活血。方向对了，好转常体现在头重、胸闷、疲倦、胁胀这些不适减轻，人更清爽，配合生活管理，血脂、脂肪肝的改善也更有底气。它和你的降脂药、复查并行不悖。
TCM support for abnormal lipids and fatty liver doesn't "replace lipid-lowering" but steadies the phlegm-damp-stasis-generating constitution to your type — resolving phlegm, strengthening the spleen, soothing the liver and moving blood as needed. Done right, improvement often shows as less head-heaviness, chest fullness, fatigue and rib-side fullness — feeling clearer; with lifestyle management, improvement in lipids and fatty liver has a firmer base. It runs alongside your medication and follow-ups.
Sokongan TCM untuk lipid tidak normal dan lemak hati tidak "menggantikan penurun lipid" tetapi menstabilkan keadaan badan mengikut jenis anda. Bila betul, perbaikan sering menunjukkan kurang kepala berat, dada sesak, letih dan rusuk sesak — berasa lebih segar. Ia berjalan seiring ubat dan pemeriksaan susulan anda.
按辨证用科学中药（浓缩颗粒）：痰浊内阻化痰降浊、脾虚湿盛健脾祛湿、肝郁气滞疏肝理气、气滞血瘀活血化瘀。目标是调稳体质、改善不适、协助长期管理。⚠️安心中医只用中药、不掺任何西药，也不会替你停降脂药。
Matched to the pattern with concentrated herbs (granules): resolve phlegm, strengthen the spleen, soothe the liver or move blood as your type calls for — to steady the constitution, ease symptoms and assist long-term management. Note: An Xin uses only herbs — never blended with any Western drug — and never stops your lipid medication for you.
Dipadan dengan corak menggunakan herba tumpat (granul). Nota: An Xin hanya guna herba — tidak dicampur ubat Barat — dan tidak menghentikan ubat lipid anda.
针灸作为辅助，取健脾、疏肝、化痰相关穴位，帮助改善食欲与消化、缓解胁胀胸闷、放松身心，也常与减重调理配合。规律做效果更稳，同样不替代药物与生活管理。
Acupuncture, as support, uses spleen-strengthening, liver-soothing and phlegm-resolving points to help appetite and digestion, ease rib-side and chest fullness, and relax body and mind — often paired with weight-care. Regular sessions hold better; it too doesn't replace medication or lifestyle.
Akupunktur, sebagai sokongan, membantu selera dan penghadaman, melegakan rusuk dan dada sesak, dan melonggarkan badan — sering dipadan dengan penjagaan berat. Ia juga tidak menggantikan ubat.
这部分最关键：少油炸、少肥肉与动物内脏、少精制糖和含糖饮料、限酒（酒对甘油三酯和脂肪肝影响很大）；多蔬菜、全谷、优质蛋白；规律有氧运动＋减重（体重减一点，甘油三酯和脂肪肝往往就明显改善）；作息规律、别熬夜。这些做好，中药针灸才更有着力点。医师会按你的类型给具体饮食与运动建议。
This matters most: cut deep-fried food, fatty meat and offal, refined sugar and sweet drinks, and limit alcohol (alcohol strongly affects triglycerides and fatty liver); favour vegetables, whole grains and quality protein; regular aerobic exercise plus weight loss (even a little weight off often clearly improves triglycerides and fatty liver); keep a regular routine, avoid late nights. Get these right and the herbs and acupuncture have far more to work with.
Ini paling penting: kurangkan makanan bergoreng, daging berlemak dan organ, gula halus dan minuman manis, dan hadkan alkohol; utamakan sayur, bijirin penuh dan protein baik; senaman aerobik tetap dan turunkan berat (sedikit berat pun sering memperbaiki trigliserida dan lemak hati); rutin tetap, elak berjaga lewat.
血脂管理由西医主导；中医是辅助，不替代他汀类等降脂药。请不要自行停药或减量——尤其已有心血管病、糖尿病或高风险者，降脂药能实实在在降低心梗、中风风险，是否调整由你的西医决定。请定期复查血脂、肝功能，脂肪肝按医嘱做腹部超声等随访。出现以下情况请立刻或尽快就医：突发胸痛、胸口压迫放射到手臂或下巴、气促、冷汗（疑似心梗），或突然一侧肢体无力、口齿不清（疑似中风）——立即急诊；明显右上腹痛、皮肤或眼睛发黄（黄疸）、尿色深、转氨酶大幅升高（肝脏问题）——尽快就医；甘油三酯极高时有急性胰腺炎风险（剧烈上腹痛）。有家族性高血脂、早发心血管病史者更要积极就医。中医与这些检查、治疗从不冲突。
Lipid management is led by doctors; TCM is support and does not replace statins or other lipid-lowering drugs. Please don't stop or cut your medication on your own — especially with existing cardiovascular disease, diabetes or high risk, where these drugs genuinely lower heart-attack and stroke risk; any change is your doctor's call. Keep up lipid and liver-function checks, and ultrasound follow-up for fatty liver as advised. Seek care immediately or promptly if: sudden chest pain or pressure spreading to the arm or jaw, breathlessness, cold sweats (possible heart attack), or sudden one-sided weakness or slurred speech (possible stroke) — go to A&E; marked right-upper-abdominal pain, yellowing of skin or eyes (jaundice), dark urine, or sharply raised liver enzymes (liver problem) — see a doctor promptly; very high triglycerides carry a risk of acute pancreatitis (severe upper-abdominal pain). Those with familial high cholesterol or early cardiovascular history should be more proactive. TCM never conflicts with these.
Pengurusan lipid dipimpin doktor; TCM ialah sokongan dan tidak menggantikan statin atau ubat penurun lipid. Jangan berhenti atau kurangkan ubat sendiri — terutama dengan penyakit jantung, diabetes atau risiko tinggi. Teruskan pemeriksaan lipid dan fungsi hati, serta ultrabunyi susulan untuk lemak hati. Dapatkan rawatan segera jika: tiba-tiba sakit dada merebak ke lengan atau rahang, sesak nafas, peluh sejuk (mungkin serangan jantung), atau tiba-tiba lemah sebelah atau pertuturan tak jelas (mungkin strok); sakit perut kanan atas, kulit atau mata kuning, air kencing gelap (masalah hati); trigliserida sangat tinggi berisiko pankreatitis akut. TCM tidak bercanggah dengan pemeriksaan ini.
常见问题
Frequently Asked Questions
Soalan Lazim
高血脂、脂肪肝看中医有用吗？Does TCM help with high cholesterol and fatty liver?Adakah TCM membantu kolesterol tinggi dan hati berlemak?+
有帮助，中医作为辅助。血脂异常和脂肪肝的诊断、用药与目标以西医和检查（血脂、肝功能、超声）为准，中医从体质入手：多与痰浊、湿、瘀、脾虚、肝郁有关，用化痰祛湿、健脾、疏肝、活血等方向调理，配合少油炸、少精制糖和酒、多运动、控制体重，帮助改善体质、辅助长期管理。它不替代降脂药，也不冲突，可以一起。
It helps as support. Diagnosis, medication and targets for abnormal lipids and fatty liver rest on your doctor and tests (lipids, liver function, ultrasound); TCM works from the constitution — often phlegm-turbidity, damp, stasis, spleen deficiency and liver stagnation — resolving phlegm and damp, strengthening the spleen, soothing the liver and moving blood, alongside less fried food, refined sugar and alcohol, more exercise and weight control. It does not replace lipid-lowering medication and runs alongside it.
Ya, sebagai sokongan. Diagnosis, ubat dan sasaran bergantung pada doktor dan ujian (lipid, fungsi hati, ultrasound); TCM bekerja dari keadaan badan — selalunya kahak-kabur, lembap, tersekat, kurang limpa dan hati tersekat — menyingkir kahak dan lembap, menguatkan limpa, menenangkan hati dan menggerakkan darah, seiring kurang makanan bergoreng, gula halus dan alkohol, lebih senaman dan kawalan berat. Ia tidak menggantikan ubat penurun lipid.
中医怎么看血脂高、脂肪肝？分哪几型？How does TCM view high lipids and fatty liver? What are the patterns?Bagaimana TCM melihat lipid tinggi dan hati berlemak? Apakah coraknya?+
中医多从「痰、湿、瘀」和脏腑虚来看：痰浊内阻（体型偏胖、头身困重、舌苔厚腻）化痰降浊；脾虚湿盛（消化差、易累、大便黏）健脾祛湿；肝郁气滞（压力大、胁胀、情绪影响）疏肝理气；气滞血瘀（病久、舌暗有瘀点）活血化瘀。脂肪肝常是痰湿瘀积在肝，很多人是几型夹杂。分清偏哪型，才知道该化、该健、该疏还是该活血。
TCM reads it through phlegm, damp and stasis with organ deficiency: phlegm-turbidity obstruction (heavier build, a heavy body and head, thick tongue coating) — resolve phlegm and turbidity; spleen deficiency with damp (poor digestion, fatigue, sticky stools) — strengthen the spleen and drain damp; liver-qi stagnation (stress, rib-side fullness, mood-linked) — soothe the liver and move qi; qi stagnation with blood stasis (long-standing, dark spotted tongue) — move blood and resolve stasis. Fatty liver is often phlegm-damp and stasis lodged in the liver; many are a mix.
TCM membacanya melalui kahak, lembap dan tersekat dengan kekurangan organ: sekatan kahak-kabur (badan berisi, badan dan kepala berat, lidah bersalut tebal); kurang limpa dengan lembap (penghadaman lemah, letih, najis melekit); hati tersekat (tekanan, rusuk sesak); tersekat dengan darah beku (kes lama, lidah gelap). Hati berlemak selalunya kahak-lembap dan darah tersekat di hati; ramai jenis campuran.
我在吃降脂药，能同时看中医吗？能停药吗？I'm on lipid-lowering medication — can I also see TCM? Can I stop it?Saya makan ubat penurun lipid — boleh berjumpa TCM juga? Boleh berhenti?+
能同时看。中医调理可以和降脂药（如他汀）、复查同时进行，帮助改善体质。但请不要自己擅自停药或减量——是否调整由你的西医根据血脂和肝功能检查决定；血脂『好』往往是药和生活方式一起在起作用。另外，中西药可能相互影响、都经肝代谢，请把你在用的所有药物和中药告诉双方医师。安心只用干净中药、不掺西药，也别乱买含成分不明的「降脂偏方」。
Yes, together. TCM care runs alongside statins and your check-ups. But don't stop or cut medication on your own — only your doctor, using your lipid and liver-function tests, should adjust it; good numbers usually reflect medication and lifestyle working together. Herbs and drugs can interact and both pass through the liver, so tell both sides everything you take. We use clean herbs only, never mixed with drugs — and don't self-buy unlabelled “cholesterol remedies.”
Ya, bersama. Rawatan TCM berjalan seiring statin dan pemeriksaan anda. Tetapi jangan berhenti atau kurangkan ubat sendiri — hanya doktor anda boleh laraskannya; nombor elok biasanya kerana ubat dan gaya hidup bersama. Herba dan ubat boleh berinteraksi dan kedua-duanya melalui hati, jadi beritahu kedua-dua pihak. Kami guna herba bersih sahaja; jangan beli “petua kolesterol” tanpa label.
血脂高、脂肪肝什么情况要赶紧看西医？When do high lipids or fatty liver need prompt medical care?Bila lipid tinggi atau hati berlemak perlu rawatan segera?+
大部分血脂异常和脂肪肝没有症状，正因如此更要定期抽血、做检查。以下情况请尽快就医：出现胸痛、胸闷并放射到手臂或下巴、气促——恐心血管急症，立刻就医或急诊；明显右上腹痛、皮肤或眼睛发黄（黄疸）、转氨酶大幅升高——查肝；有家族性高血脂或早发心脏病史要更积极处理。脂肪肝也可能进展，需按医嘱复查超声和肝功能。
Most abnormal lipids and fatty liver have no symptoms, which is why regular blood tests and check-ups matter. Seek care promptly if: chest pain or tightness spreading to the arm or jaw, with breathlessness (possible cardiovascular emergency — go at once or to A&E); marked right-upper-abdominal pain, yellowing of skin or eyes (jaundice) or sharply raised liver enzymes (check the liver); a family history of familial hyperlipidaemia or early heart disease warrants closer care. Fatty liver can progress, so keep ultrasound and liver-function follow-ups.
Kebanyakan lipid abnormal dan hati berlemak tanpa gejala, sebab itu ujian darah tetap penting. Dapatkan rawatan segera jika: sakit dada merebak ke lengan atau rahang, dengan sesak nafas (mungkin kecemasan jantung); sakit perut kanan atas yang ketara, kulit atau mata menguning (jaundis) atau enzim hati naik mendadak (periksa hati); sejarah keluarga hiperlipidemia atau penyakit jantung awal. Hati berlemak boleh berkembang, jadi teruskan susulan ultrasound dan fungsi hati.