引火归元法辨治高血压头痛  

Treatment of Hypertensive Headache with Yin Huo Gui Yuan Method

作　　者：邰晚秋 姜德友[1] 郎笑飞 TAI Wanqiu;JIANG Deyou;LANG Xiaofei(Heilongjiang University of Chinese Medicine,Harbin Heilongjiang China 150040;Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar Heilongjiang China 161000)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]齐齐哈尔市中医医院,黑龙江齐齐哈尔161000

出　　处：《中医学报》2025年第2期309-312,共4页Acta Chinese Medicine

基　　金：国家中医药管理局龙江医学流派传承工作室建设项目(LPGZS2012-14)。

摘　　要：高血压头痛为肝阳上亢,下不制上,虚火扰神而致,多为本虚标实证。肾虚水不涵木,下虚不能制上为高血压头痛的核心病机。该病发病虽多因火热炎上,但起病之源在肾水缺乏,故在治疗时应滋阴潜阳,引火归元,将浮游于上之相火引归本位。引火归元方剂配伍特点一是应用大量的壮水药;二是使用少量的引火归元药。阳得阴则可潜伏于下,阴得阳则泉源不竭,阴阳互生。同时,滋补肾阴药用量应大于引火之温热药,如此可防温热之品过热之弊,以达阴阳调和之境。Hypertensive headache is caused by hyperactivity of Liver yang.When the lower Yin can′t control the upper Yang,the deficiency Fire would disturb the spirit,which is mostly the syndrome of deficiency in root and excess in symptoms.Kidney deficiency causes Water cannot contain Wood,or the lower deficiency cannot the upper part of body.This is core pathogenesis of the hypertension headache.Although the onset of the disease is mostly due to Fire and Heat,but the source of the disease is in the lack of Kidney Water,so the treatment should be nourishing Yin and submerging Yang,to lead to the Fire to return to the source,or to lead the floating Xiang Fire in the upper to the original position.The formula is characterized using a large amount of Water-strengthening herbs and a small amount of Fire-inducing herbs.Yang can be submerged in the lower part of the body if there is suitable amount of Yin,so that Yin and Yang can be born from each other.At the same time,the amount of nourishing Kidney Yin medicine should be larger than that of the warming medicine,so as to prevent the disadvantages of overheating and eventually to achieve Yin and Yang harmonization.

关 键 词：高血压头痛 引火归元法 相火 

分 类 号：R255.9[医药卫生—中医内科学]