Background: The purpose of this study was to study a combination of high-fiber combination diet acupuncture therapy to increase cholesterol in hyperlipidemic women at the Posyandu elderly Mojosongo Village, Jebres Surakarta City. Method: Quasi experimental with one Grous research design pretest - post test design. The focus of the study was the use of a combination of high fiber diet acupuncture therapy to improve blood cholesterol in hyperlipidemic women. Acupuncture therapy is carried out by acupuncture health therapists who have an official permit or license from a supported body. Data retrieval is done by interview / history and observation and fill out the questionnaire after getting acupuncture therapy. Data analysis will use t-test for pre-justification of data and acupuncture therapy post, then processed with SPSS series 16.0 program. Result: Acupuncture in combination with high fiber diet can reduce total cholesterol and triglycerides. Ling Li further explained that the effect of electroacupuncture stimulation on the ST40 point could induce the expression of nNOS and Mt1 enzymes. The NNOS enzyme mediates nitric oxide (NO) signals and plays an important role in cellular signals, vascular tone, blood pressure, insulin hormone secretion, respiratory tract tone, angiogenesis and intestinal peristalsis. Mt1 plays an important role in protecting cells against the body's oxidative attacks, therefore electroacupuncture is effective in reducing cholesterol and triglycerides. Conclusion: A combination of high fibrous diet in improving blood cholesterol in hyperlipidemic women at the posyandu lansia kelurahan Mojosongo, jebres, Surkarta City

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Backround: Diabetes mellitus with hyperuricemia causes the accumulation of monosodium urate crystals in the synovial joint tissue. The incidence of gout in Indonesia according to the Indonesian Rheumatology Association, namely: gout 1-2 percent of adults, is the most cases of arthritis in men and is estimated to be between 13.6 per 1,000 men and 6.4 per 1,000 women. The prevalence of gout increased with age, an average of 7 percent of men >75 years and 3 percent of women >85 years. Subjects dan Method: Quasi Experimental with pre and post test designs. The research time is between March to September 2021 at the Posyandu for the elderly in Surakarta City. The population of this study were all objects with fasting blood sugar levels between 100 mg/dl -125 mg/dl and above 126 mg/dl, female blood uric acid levels exceeding 5.6 mg/dl in men and exceeding 6.5 in the city. Surakarta, sample selection using purposive sampling, sample size 40 subjects. The dependent variable is uric acid, cholesterol and total blood levels, the independent variable is combination acupuncture therapy with a low purine diet. The research instrument used a checklist for blood analysis and physical examination. Data analysis using t test. Results: Uric acid levels after acupuncture therapy in the intervention group were lower (Mean= 3.31; SD= 0.61) than the control group (Mean= 5.83; SD= 1.29), and not statistically significant (p= 0.935). Total cholesterol level after acupuncture therapy in the intervention group was lower (Mean= 166.00; SD= 34.20) than the control group (Mean= 222.30; SD= 55.43), but it was statistically non-significant (p= 0.676). Conclusion: Acupuncture therapy can reduce uric acid levels and total cholesterol levels.