基于"肝与大肠相通"理论探讨高血压肝阳上亢证"肝肠同治"策略  

Discussion on the"simultaneous treatment of liver and intestine"strategy for liver-yang hyperactivity syndrome in hypertension based on the theory of"communication between liver and large intestine"

作　　者：金华[1] 张蕾蕾[2] Jin Hua;Zhang Leilei(Gansu University of Chinese Medicine,Lanzhou 730020,Gansu,China;Centers for Disease Control and Prevention of Lanzhou,Lanzhou 730030,Gansu,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730020 [2]兰州市疾病预防控制中心,甘肃兰州730030

出　　处：《中国中西医结合急救杂志》2024年第3期257-261,共5页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家自然科学基金(82160886);甘肃省科技计划项目(23JRRA1524);甘肃省重点人才项目(2023-20);甘肃中医药大学中医学学科“岐黄英才”导师专项基金(ZYXKBD-202203)。

摘　　要：从肝阳上亢到肝阳化风是高血压发生发展的主要病机演变特征,气机升降异常是其核心病机;联系《医学入门》"肝与大肠相通"理论并溯源其依据,分析肝、肠两个器官在解剖学和功能上的关联基础;提出肝升肠降方可调畅气机,阐释肝肠同治是治疗高血压肝阳上亢证的重要策略.This paper holds that the main pathogenesis evolution characteristics of the occurrence and development of hypertension is from hyperactivity of live-yang to liver-yang forming wind syndrome,and abnormal ascending and descending of qi movement is its core pathogenesis.The theory of"communication between liver and large intestine"from"Medical Introduction"can be explored and traced back to its origins and development,also analyzing the anatomical and functional correlation between the liver and intestine.Based on this,it is proposed that regulating the movement of liver ascending and intestine descending,and treating the liver and large intestine simultaneously are important strategies for the treatment of hypertension with liver-yang hyperactivity syndrome.

关 键 词：高血压 肝阳上亢 肝与大肠相通 肝肠同治 

分 类 号：R544.1[医药卫生—心血管疾病]