从脾论治原发性高血压病的经验总结  

Summary of experience in treating primary hypertension from spleen

作　　者：何欣蓉 吴荣[2] 胡启芬 HE Xinrong

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃省中医院,甘肃兰州730050

出　　处：《中医临床研究》2023年第23期74-77,共4页Clinical Journal Of Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)。

摘　　要：原发性高血压病是心血管系统中的常见病,近年来其发病率逐渐增高,且患者呈现出年轻化的趋势。由于高血压病前期无明显症状,因此极易导致高血压病并发症的发生。西医主要通过口服药物降低血压,需要患者长期坚持服药,缺点是患者依从性差,易发生不良反应。中医治疗高血压病擅于从整体辨证论治,根据患者具体情况制定个体化治疗方案,临床疗效明显,在减轻患者临床症状的同时可以改善预后,延缓靶器官损害进程。中医认为高血压病的发生与肝、脾、肾有关。甘肃省中医院吴荣主任认为脾为后天之本,气血化生之源,脾脏功能受损与高血压病的发生密切相关。文章通过阐述脾脏与高血压病的关系,分享吴荣主任从脾论治高血压病成功经验,以期为临床提供参考。Primary hypertension is a common disease in the cardiovascular system.In recent years,the incidence of primary hypertension is gradually increasing,and the patients show a trend of younger age.Because prehypertension has no obvious symptoms,it is easy to lead to hypertension complications.Western medicine mainly reduces blood pressure by oral drugs,which requires patients to adhere to medication for a long time.The disadvantage is poor patient compliance and easy to have adverse reactions.Traditional Chinese medicine is good at treating hypertension based on overall syndrome differentiation and making individualized treatment plans according to specific conditions.The clinical efficacy is obvious,which can improve prognosis and delay the process of target organ damage,while reducing clinical symptoms of patients.Traditional Chinese medicine thinks that the occurrence of hypertension is related to liver,spleen and kidney.Director WU Rong of Gansu Hospital of Traditional Chinese Medicine believes that spleen is the source of Qi and blood,spleen function damage is closely related to the occurrence of hypertension.This article discusses the relationship between spleen and hypertension,shares the successful experience in treating hypertension from spleen,and provides reference for clinical practice.

关 键 词：脾 原发性高血压病 辨证分型 经验总结 

分 类 号：R544.1[医药卫生—心血管疾病]