原发性高血压病“本虚标实”的中医病机与治疗  

Treatment and TCM Pathogenesis of “Deficiency in Nature and Excess in Superficiality” for Primary Hypertension

作　　者：蔺晓源[1,2] 杨晓丹 姚福胜 谭元生[2] LIN Xiaoyuan;YANG Xiaodan;YAO Fusheng;TAN Yuansheng(The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, China;Hunan University of Chinese Medicine, Changsha 410208, China)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学,湖南长沙410208

出　　处：《中医药学报》2018年第6期10-12,共3页Acta Chinese Medicine and Pharmacology

基　　金：国家自然科学基金项目(81473616)

摘　　要：文献调研和临床研究显示,原发性高血压病为"本虚标实"之证,以肝肾阴虚为本,肝阳上亢、瘀血阻络为标。治宜治虚、治瘀与治风相结合,创养阴柔肝、化瘀通络法疗效显著,可为原发性高血压病的临床辨治提供有益借鉴。Literature and clinical studies have shown that“deficiency in nature and excess in superficiality”is the main pathogenesis of primary hypertension.The root cause of the disease is yin-deficiency of Liver and Kidney as the basis;the superficiality is the hyperactivity of Liver-yang and blood stasis obstructing collaterals.Therefore,the combination treatment for deficiency,blood stasis,and internal wind should be applied.The therapy of nourishing yin and soothing Liver,removing blood stasis and dredging collaterals has achieved a significant effect,which can provide reference for clinical differentiation and treatment of primary hypertension.

关 键 词：原发性高血压病 肝肾阴虚 肝阳上亢 瘀血生风 眩晕 

分 类 号：R255.3[医药卫生—中医内科学] R544.1[医药卫生—中医学]