从气血失调分型辨治原发性高血压  

Differentiation and Treatment of Essential Hypertension from the Perspective of Qi and Blood Disharmony

作　　者：徐慧[1] 程斌 姜楠[1] 侯小芬 董昌武 XU Hui;CHENG Bin;JIANG Nan;HOU Xiaofen;DONG Changwu(School of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Hefei,230000;Guoyi Tang Medical Center,Anhui University of Chinese Medicine;The Second Affiliated Hospital of Anhui University of Chinese Medicine)

机构地区：[1]安徽中医药大学中医学院,安徽省合肥市230000 [2]安徽中医药大学国医堂 [3]安徽中医药大学第二附属医院

出　　处：《中医杂志》2024年第20期2155-2158,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82174277);安徽省中医药科技攻关专项(202303a07020008);安徽省临床医学研究转化专项(202304295107020107);安徽省中医药管理局名老中医经验方和中医药传承创新政策研究项目(2021ahzgj01);安徽中医药大学教学研究项目(2022xjjy_zd008)。

摘　　要：认为气血失调是原发性高血压的关键病机,主张以平调气血为基本治则。临证根据气血失调的不同病理状态及相关病因,将原发性高血压分为五种证型进行辨治。血虚肝郁证治以养血柔肝、理气解郁,方用逍遥散或自拟经验方七花解郁汤;气滞血瘀证治以调气和血、化瘀通络,方用自拟经验方桂桃通络汤;痰湿内阻证治以行气利水、化痰除湿,方用自拟经验方转气散浊方;痰瘀互结证治以化痰祛瘀、通腑泄浊,方用自拟经验方三仁调脂方;气血两虚证治以益气养血、补虚固本,方用归脾汤或自拟经验方参芪再造汤。It is believed that qi and blood disharmony is the key pathogenesis of essential hypertension,for which mildly regulating qi and blood is recommended.According to the different pathological states and related causes of qi and blood disorders,essential hypertension can be divided into five syndrome types for differentiation and treatment.In terms of blood deficiency and liver constraint,it is recommended to nourish the blood and soften the liver,rectify qi to resolve constraint,using Xiao Yao Powder(逍遥散)or self-made Qihua Jieyu Decoction(七花解郁汤).For qi stagnation and blood stasis,the method of regulating qi and harmonizing blood,dissolving stasis and unblock⁃ing collaterals should be used,with self-made Guitao Tongluo Decoction(桂桃通络汤).For phlegm-dampness internal obstruction,it is recommended to move qi and promote urination,dissolve phlegm and eliminate dampness,using self-made Zhuanqi Sanzhuo Formula(转气散浊方).For binding of phlegm and stasis,dissolving phlegm and dispel⁃ling stasis,dredging the bowels and directing the turbid downward is advised,and self-made Sanren Tiaozhi Formula(三仁调脂方)can be used.In terms of deficiency of both qi and blood,it is recommended to boost qi and nourish blood,supplement deficiency and consolidate the root,using Gui Pi Decoction(归脾汤)or self-made Shenqi Zaizao Decoction(参芪再造汤).

关 键 词：原发性高血压 气血失调 平调气血 

分 类 号：R259[医药卫生—中西医结合]