刘春华教授从肝脾论治代谢性高血压经验  

Professor LIU Chunhua′s experience in treating metabolic hypertension based on liver and spleen theory

作　　者：刘飞 刘春华[2] LIU Fei;LIU Chunhua(Graduate School,Hunan University of Chinese Medicine,Changsha410208,China;Department of Cardiovascular Medicine,the Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha410005,China)

机构地区：[1]湖南中医药大学研究生院,湖南长沙410208 [2]湖南中医药大学第二附属医院心血管内科,湖南长沙410005

出　　处：《中国现代医生》2022年第7期150-153,196,共5页China Modern Doctor

基　　金：湖南省教育厅科学研究项目(19A385);湖南中医药大学校级科研基金项目(2019XJJJ004)。

摘　　要：介绍刘春华教授从肝脾论治代谢性高血压经验。刘教授认为多食少动、情志不畅是本病基本病因,病位与肝脾相关,本病总以脾失健运、痰浊内生为主,兼有肝郁气滞血瘀,久则化热生满,本虚而标实多见,并将本病分为肝胃郁热、痰湿壅盛、阴虚阳亢、肝郁脾虚、痰瘀互结五种证型论治。临床常予以自拟晕清降压方化裁以达益气升阳、化瘀泄浊之效。附验案一则,以资佐证。This paper intends to introduce professor LIU Chunhua′s experience in treating metabolic hypertension based on liver and spleen theory.Professor LIU believes that the underlying cause of the disease is excessive food and less movement as well as gloomy mood,and the location of the disease is related to the liver and spleen.The disease is always characterized by the dysfunction of spleen in transportation and endogenous phlegm,and also complicated with liver depression,blood stagnation,and blood stasis,which will lead to heat and fullness.The asthenia in origin and asthenia in superficiality is common.Professor LIU treats this disease based on five syndromes:stagnated-heat syndrome in the liver and stomach,profuse phlegm dampness,asthenic Yin causing predominant Yang,liver depression and spleen deficiency,and phlegm-blood stasis.In clinical practice,the treatment is often based on the self-prepared Yunqing Jiangya Prescription to achieve the effect of benefiting Qi and raising Yang,removing blood stasis and clearing away turbidness.A consilia is attached for support.

关 键 词：晕清降压方 代谢性高血压 脾瘅 名医经验 

分 类 号：R249[医药卫生—中医临床基础]