基于血脉辨证理论构建高血压中医辨证体系  

Constructing the Chinese Medicine Syndrome Differentiation System of Hypertension Based on the Theory of Blood Vessel Syndrome Differentiation

作　　者：袁华[1,2] 朴美虹[3] 王小菊 蔺晓源 陈亚[1,2] 王瑾茜[1,2] 胡国恒[1,2] 王行宽[1,2] Yuan Hua;Piao Meihong;Wang Xiaoju;Lin Xiaoyuan;Chen Ya;Wang Jinxi;Hu Guoheng;Wang Xingkuan(The First Affiliated Hospital of Hunan UniversUy of Chinese Medicine,Hunan,Changsha 410007,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 [3]国家中医心血管病临床医学研究中心分中心,湖南长沙410007

出　　处：《中国中医急症》2023年第4期647-650,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局建设项目(国中医药办人教函[2018]119号);国家中医药管理局建设项目(国中医药人教函[2022]75号);湖南省中医药管理局重点课题(C2022039)。

摘　　要：本课题组系统梳理高血压中医相关文献后,认为现有中医辨证理论不能全面系统地反映高血压病的疾病本质,故提出血脉辨证理论,探讨构建高血压中医辨证体系。血脉辨证理论认为高血压位应在血脉,属中医学“脉胀”范畴;其病因广泛,但核心病机均为“脉络紧缩”和/或“脉络胀满”;其发病特点为“标在血脉,五脏相关,多因影响”;其证型析理宜以脉络紧缩和脉络胀满为纲,邪正虚实为目;高血压及其相关并发症均可用血脉辨证理论解释。After systematically combing the Chinese medicine related literature of hypertension,our research group believes that the existing Chinese medicine syndrome differentiation theory can,t comprehensively and systematically reflect the disease essence of hypertension.Therefore,the theory of blood vessel syndrome difierenti-ation is put forward to explore the construction of Chinese medicine syndrome differentiation system of hypertension.According to the theory of blood vessel syndrome differentiation,hypertension should be located in blood vessels,which belongs to the category of“pulse distention”in Chinese medicine;its etiology is extensive,but the core pathogenesis is"venation contraction"and/or"venation fullnessw;its pathogenesis is characterized by"marked in the blood,five viscera-related,multi-cause impact";the analysis of syndrome types should be based on the contraction and fullness of veins,with evil,positive,deficiency and excess as the objective;hypertension related complications can be explained by blood vessel syndrome differentiation theory.

关 键 词：高血压 血脉辨证 中医 辨证体系 脉胀 中西医结合 

分 类 号：R259[医药卫生—中西医结合]