Can people with "three highs" eat perilla?
Jun 20, 2025
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
People with slightly elevated blood pressure, blood lipids, or blood sugar but without specific physical discomfort can benefit from moderate consumption of perilla. Perilla is rich in dietary fiber, vitamins, and various active components; dietary fiber can delay carbohydrate absorption, assisting in post-meal blood sugar control; its unsaturated fatty acids help regulate blood lipids; and its essential oil components can promote digestion, improve circulation, and contribute to maintaining stable blood pressure.
The "three highs" refer to hypertension, hyperlipidemia, and hyperglycemia. Individuals with these conditions generally can consume perilla without specific contraindications, provided it is consumed in moderation. However, perilla is not recommended for those allergic to it, those with poor gastrointestinal function, or those taking specific medications. If in doubt, it is advisable to consult a healthcare professional in advance. Detailed explanations are as follows:
For individuals whose blood pressure, lipid levels, and blood glucose are elevated but who experience no particular discomfort, moderate consumption of perilla can be beneficial. Perilla is rich in dietary fiber, vitamins, and various active components. Dietary fiber can delay carbohydrate absorption, assisting in post-meal blood sugar control; unsaturated fatty acids help regulate blood lipids; and the volatile oil component can promote digestion, improve circulation, and help maintain stable blood pressure. Additionally, perilla is low in calories and does not adversely affect indicators of the "three highs."
However, if individuals with the "three highs" are allergic to perilla, consuming it may trigger allergic reactions such as rashes, itching, or even difficulty breathing. Patients with weak gastrointestinal function may find that the warm, drying nature of perilla irritates the intestines, causing abdominal pain, diarrhea, and impaired nutrient absorption. For individuals taking medications to lower blood pressure, blood sugar, or lipids, interactions between perilla and the medications may interfere with drug efficacy or increase the risk of adverse reactions, which would be detrimental to disease management.
Before consuming perilla, individuals with hypertension, hyperlipidemia, or hyperglycemia should ensure they have no history of allergies and consult a physician to confirm there are no interactions with any medications they are currently taking. During consumption, intake should be controlled, with a daily limit of no more than 15 grams of fresh perilla. It is advisable to use light cooking methods such as stir-frying or making soup. If discomfort or fluctuations in health indicators occur after consumption, it should be stopped immediately and medical attention sought.
