Cholisma
Cholisma
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Clinical Applications
Clinical Applications
- Dyslipidemia
- Hyperlipidemia (high cholesterol and triglycerides levels)
- Hypercholesterolemia (high cholesterol levels)
- Hypertriglyceridemia (high triglycerides levels)
- Arteriosclerosis and atherosclerosis
Actions
Actions
- Antihyperlipidemic effect to reduce plasma levels of cholesterol and triglycerides;
- Reduces absorption of fatty foods and enhances breakdown of fatty tissues;
- Antiatherosclerotic effect to prevent arteriosclerosis and atherosclerosis;
- Vasodilating, antiplatelet, and anticoagulant effects to prevent angina
Cautions and Contra-Indications
Cautions and Contra-Indications
- Semen Cassiae, Radix Polygoni Multiflori Praeparata and Ju Flos Chrysanthemi may cause loose stools or diarrhea for those with sensitive gastrointestinal tracts. Should this occur, reduce the dosage to 2 capsules three times daily.
- Hypertension should also be suspected if the patient has high cholesterol. Treat both hypertension and dyslipidemia simultaneously for maximum results.
- This herbal formula contains herbs that invigorate blood circulation, such as Radix et Rhizoma Salviae Miltiorrhizae. Therefore, patients who are on anticoagulant or antiplatelet therapies, such as Coumadin (warfarin), should use this formula with caution, or not at all, as there may be a higher risk of bleeding and bruising.
- According to most textbooks and contemporary references, the classic entry of "He Shou Wu" is now separated into two entries: the unprepared Radix Polygoni Multiflori and theprepared Radix Polygoni Multiflori Praeparata, as they have significantly different therapeutic effects and side effects. Radix Polygoni Multiflori is a stimulant laxative that treats constipation, but may cause nausea, vomiting, abdominal pain, diarrhea, and in rare cases, liver disorder (dose- and time-dependent, and reversible upon discontinuation). On the other hand, Radix Polygoni Multiflori Praeparata is a tonic herb that is safe and well-tolerated. The dramatic changes in the therapeutic effect and safety profile are attributed to the long and complicated processing of the root with Semen Sojae through repeated blending, cooking, and drying procedures. When properly processed, the chemical composition of the root changes significantly. Many new compounds are generated from the Maillard reaction (four furanones, two furans, two nitrogen compounds, one pyran, one alcohol and one sulfur compound). Furthermore, the preparation process causes changes in the composition of sugars and 16 kinds of amino acids; it also reduces the pH of the herb from 6.28 to 5.61. In summary, these changes give rise to the tonic effects of the prepared roots, and eliminate the adverse reactions associated with the unprepared roots. Note: Due to medical risks and legal liabilities, it is prudent to exercise caution and not use this herb in either prepared or unprepared forms in patients with pre-existing or risk factors of liver diseases.
Nutrition and Lifestyle Instructions
Nutrition and Lifestyle Instructions
- Increase the daily intake of cholesterol-lowering foods such as apples, bananas, carrots, cold-water fish, dried beans, garlic, grapefruit, olive oil, and fibers such as bran and oats.
- Increase the intake of niacin, which can lower total cholesterol levels by up to 18%, increase HDL cholesterol by up to 32%, and lower triglycerides by up to 26%. Slow
release form of niacin is preferred to minimize side effects such as flushing and stomach pain. - Other supplements that are beneficial are vitamin B5, vitamin C, vitamin E, chromium picolinate, lecithin, and coenzyme Q10.
- Increase the intake of vinegar, as it will help to soften the blood vessels and prevent atherosclerosis.
- Decrease the intake of food that will raise cholesterol levels, including but not limited to: beer, wine, cheese, tobacco products, meat, aged and cured meats, sugar, and greasy or fried foods.
- Avoid greasy, fatty, fried and oily foods. Seafood should also be reduced.
- Exercise is the best way to decrease the buildup of cholesterol in the arteries. It also helps to reduce weight.
- Drink tea on a daily basis, especially after meals, to facilitate the elimination of fatty foods from the diet. Beneficial teas include pu-er, black, oolong or green tea.
- Avoid the use of alcohol and exposure to tobacco. They increase cholesterol buildup and hardening of the arteries.
Dosage
Dosage
Take 3 to 4 capsules three times daily on an empty stomach. For maximum effectiveness, take the last dose one hour prior to bedtime, as synthesis of cholesterol is most active at night. Maintenance dose is 2 capsules two times a day.
Ingredients
Ingredients
- Rhizoma Atractylodis;
- Radix et Rhizoma Salviae Miltiorrhizae;
- Radix Puerariae Lobatae;
- Folium Nelumbinis;
- Rhizoma et Radix Polygoni Cuspidati;
- Rhizoma seu Herba Gynostemmatis;
- Flos Chrysanthemi;
- Semen Cassiae;
- Fructus Crataegi;
- Semen Coicis;
- Rhizoma Alismatis;
- Radix Polygoni Multiflori Praeparata
- Herba Medicaginis)