从脾论治高血压  

Treatment of Hypertension from the Spleen

作　　者：王健[1] 田博[2] 

机构地区：[1]沧州中西医结合医院,河北沧州061001 [2]中国中医科学院,北京100700

出　　处：《河南中医》2015年第12期2885-2886,共2页Henan Traditional Chinese Medicine

摘　　要：高血压患者血压波动频繁,反复突发头晕、头痛等不适,其基本病机为肝阳上亢,肝阳化风,而肝阳化风的关键在于脾虚。脾土亏虚,常致肺金不足,金行亏虚,则肝木无所制,从而导致血压波动频繁,头晕、头痛反复发作。肝行亢盛,倍乘脾土,而致脾病加重;肝行亢盛,又可反侮肺金,而使肺病加重。故脾脏不复,肺金不实,则肝木无制,病必不愈。因此,对于此类病证,当健脾益肺以制肝。The blood pressure of some hypertension patients frequently fluctuates and thus leads to concurrent sudden dizziness,headache. The basic mechanism is the hyperactivity of liver-yang transforming to wind,while the key to liver-yang transforming to wind lies in spleen deficiency. The spleen deficiency can often cause lung insufficiency,and the insufficient lung fails to restrict liver and thus the recurrence of fluctuation of blood pressure,dizziness and headache. The hyperactivity of liver can doubly overwhelm the spleen and the spleen disease gets aggravated. The hyperactivity of liver can counter-rebell the lung and the lung disease gets aggravated. So the unrecovered spleen and insufficient lung results in unrestricted liver and uncured disease. Generally,for this sort of syndrome,the spleen should be strengthened and the lung be replenished to restrict the liver.

关 键 词：高血压 从脾论治 补中益气汤 逍遥散 半夏白术天麻汤 理中汤 

分 类 号：R259.441[医药卫生—中西医结合]