针药并用治疗原发性高血压病  

Acupuncture combined with Chinese medicine for the treatment of primary hypertension

作　　者：付琨[1] 洪杰[1] 

机构地区：[1]长春中医药大学,长春130117

出　　处：《长春中医药大学学报》2014年第3期438-439,共2页Journal of Changchun University of Chinese Medicine

基　　金：国家自然科学基金项目(90209011)

摘　　要：目前认为,血管内皮细胞功能紊乱与高血压病的发生发展密切相关,内皮细胞功能障碍可能是其发病的原因之一。中医认为,肝肾阴虚、肝阳上亢是其主要发病机制。临证通过辨证调整脏腑功能,主要以天麻钩藤饮平肝熄风、清热泻火、滋阴潜阳、引血下行,半夏白术天麻汤补脾燥湿、化痰熄风,六味地黄丸滋阴潜阳等。针灸在辨证选穴基础上以治疗头晕头痛、心烦易怒、耳鸣等高血压并发症为主,平肝潜阳、调和气血。针药并用,相辅相成,降压作用快,毒副作用少,能明显提高患者生活质量。At present, the dysfunction of vascular endothelial cells is closely related with the occurrence and development of hypertension. The endothelial dysfunction may be one of the reasons for its occurrence. Yin deficiency of liver and kidney and liver Yang hyperactivity may be the main pathogenesis. The treatment of hypertension is to adjust the internal organs function by means of the syndrome differentiation. The clinical treatments are mainly based on Tianma Gouteng Decoction to suppress hyperactive liver for calming endogenous wind, cleating heat and purging fire, nourishing Yin and suppressing Yang and leading blood down; Banxia Baizhu Tianma Decoction to invigorate the spleen to eliminate damp and resolve phlegm for calming endogenous wind;and Liuwei Dihuang Pill to nourish Yin and suppress Yang and so on. Acupuncture is mainly ap- plied to treat dizziness, headache, irritability, tinnitus and other hypertensive complications based on the point selection of syndrome differentiation to calm the liver, suppress the hyperactive Yang and regulate and harmonize Qi and blood. The effect of the treatment of hypertension by means of the combination of acupuncture and traditional Chinese medicine is significant. There are fewer side effects and the patients＇ qualities of life are improved substantially.

关 键 词：原发性高血压病 针灸疗法 天麻钩藤饮 

分 类 号：R255.3[医药卫生—中医内科学]