基于心为生之本论治高血压  

Treatment of hypertension based on the heart as the foundation of life

作　　者：覃锦 杨睿 宗星煜 赵鹏[1] QIN Jin;YANG Rui;ZONG Xingyu;ZHAO Peng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Hubei Minzu University,Enshi 445000,China;Institute of Clinical Basic Medicine of Chinese Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]湖北民族大学 [3]中国中医科学院中医临床基础医学研究所

出　　处：《北京中医药大学学报》2023年第1期42-46,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(No.20118YFC1704400)。

摘　　要：基于心为生之本探讨高血压的病因病机是中医传统辨证论治结合当前西医学认识的有机结合,亦是对中医学“标本论治”的进一步发挥,对于控制、治疗高血压及并发症具有一定的指导和启发意义。本文从现代临床对血压定义的认识出发,结合心主血、主神的理论认识,分别从高血压形成的基本条件、影响因素、损伤脏器等方面进行论述,重点阐述心为生之本对于高血压防治的重要性,及其作为基础治疗法则的必要性,并从心神、血液、心气、血脉等方面提出相应治疗策略,在此基础上结合阴阳五行与人体体质等多个维度标本兼治,因势达变,更加有效地解决高血压“居高不下”“难以速效”的实际问题。对于充分发挥中医学“治未病”与“治病求本”具有重要意义,亦是对中医学与西医学理论认识的有机结合,对于中医学衷中参西提供一定的参考。Exploring the etiology and pathogenesis of hypertension based on the heart as the foundation of life is an organic combination of traditional Chinese medicine(TCM)syndrome differentiation and treatment and current Western Medical understanding.This combination elaborates on the“treatment of symptoms and root causes”of TCM,which has certain guiding and enlightening significance for the effective control and treatment of hypertension and its complications.Starting from the modern clinical understanding of the definition of blood pressure,combined with the theoretical understanding of the heart dominating the blood and the spirit,we discuss the basic conditions,influencing factors,organ damage,and other aspects of the formation of hypertension.Focusing on the importance of the heart as the foundation of life for the prevention and treatment of hypertension,we highlight the necessity that it should be used as a basic treatment rule.In consideration of this,we propose corresponding syndrome and treatment strategies from the aspects of spirit,blood,heart-qi,and blood vessels,among others.On this basis,combined with multiple dimensions such as yin-yang,five elements and constitution,both symptoms and root causes should be treated,and the solution should be changed according to the situation,so as to more effectively solve the challenges of“elevated blood pressure”and“difficult to achieve quick result”associated with hypertension.This is not only of great significance for the“prevention”and“seeking the root of disease”in TCM,but is also an innovative development of the organic combination of TCM and Western medicine theory,which can provide a certain reference value for inherit TCM and learn from Western medicine to develop TCM.

关 键 词：生之本 高血压 标本论治 衷中参西 

分 类 号：R259.441[医药卫生—中西医结合]