TCM Treatment for High Density Lipoprotein:
Plant Sterols and Stanols (Phytosterols)
Some foods, such as margarine and orange juice, are fortified with plant sterols. Plant sterols are a group of substances called phytochemicals that occur naturally within plants and some foods including: nuts, seeds, legumes, fruits, vegetables. The substances are believed to reduce cholesterol.

Red Yeast Rice
Red yeast rice is known to lower LDL and triglycerides (blood lipids or fatty acids) in the blood. The beneficial components of red yeast rice are monacolins. These chemicals interfere with cholesterol formation.

Omega-3 Fatty Acids
Omega-3 fatty acids, also known as fish oil, may slow the buildup of plaque in the arteries. When taken at high doses, fish oil can also lower elevated triglycerides.

Niacin
Niacin may increase levels of "good" high-density lipoprotein (HDL). One of the B vitamins, niacin is available in multivitamins, meats, fish, dairy products, and eggs. Niacin must be taken at high doses to benefit cholesterol levels.


Treatment in Western Medicine:
Lifestyle changes such as exercising and eating a healthy diet are the first line of defense against high cholesterol. But, if you've made these important lifestyle changes and your cholesterol levels remain high, your doctor may recommend medication. The specific choice of medication or combination of medications depends on various factors, including your individual risk factors, your age, your current health and possible side effects. Common choices include:

Cholesterol absorption inhibitors
Your small intestine absorbs the cholesterol from your diet and releases it into your bloodstream. The drug ezetimibe (Zetia) helps reduce blood cholesterol by limiting the absorption of dietary cholesterol. Ezetimibe can be used in combination with a statin drug.

Injectable medications
A new class of drugs can help the liver absorb more LDL cholesterol - which lowers the amount of cholesterol circulating in your blood. Alirocumab (Praluent) and evolocumab (Repatha) may be used for people who have a genetic condition that causes very high levels of LDL or in people with a history of coronary disease who have intolerance to statins or other cholesterol medications.

Statins
Statins block a substance your liver needs to make cholesterol. This causes your liver to remove cholesterol from your blood. Statins may also help your body reabsorb cholesterol from built-up deposits on your artery walls, potentially reversing coronary artery disease. Choices include atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor).

Bile-acid-binding resins
Your liver uses cholesterol to make bile acids, a substance needed for digestion. The medications cholestyramine (Prevalite), colesevelam (Welchol) and colestipol (Colestid) lower cholesterol indirectly by binding to bile acids. This prompts your liver to use excess cholesterol to make more bile acids, which reduces the level of cholesterol in your blood.