杜廷海基于气血水理论论治妊娠期高血压经验介绍  

Introduction of DU Tinghai's Experience in the Treatment of Gestational Hypertension

作　　者：陈莞雪 杜梦微 崔静青 杜廷海(指导)[1] CHEN Wanxue;DU Mengwei;CUI Jingqing;DU Tinghai(Cardiovascular Center,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院心脏中心,河南郑州450000

出　　处：《新中医》2025年第6期188-192,共5页New Chinese Medicine

基　　金：国家重点研发计划课题(2020YFC2006605);河南省中医药科学研究专项课题(2019JDZX2009)。

摘　　要：介绍杜廷海教授基于气血水理论论治妊娠高血压的临床经验。杜廷海教授基于妊娠生理过程的特殊性及病机实质,提出妊娠高血压的病机主要为“气郁化火耗损肝阴致阳亢,气血亏虚致瘀而清窍不利,肾水失调致水湿上蒙清窍”,治疗上注重行气、化瘀、利水分而治之。行气则理气不伤气、安胎为根本,化瘀则活血不破血、化瘀须祛风,利水则治水须固肾、水利胎安宁。关键在于治气调肝、治血健脾、治水固肾,同时勿忘祛风,用药平和,以安胎为本。To introduce Professor DU Tinghai's clinical experience in the treatment of gestational hypertension based on qi,blood,and water theory.Professor DU Tinghai's approach to treating gestational hypertension is rooted in the unique physiological processes of pregnancy and the underlying pathogenesis.He proposes that the main pathogenesis of gestational hypertension includes"qi constraint transforming into fire and consuming liver yin,leading to yang hyperactivity;qi and blood deficiency causing stasis and obstructing the clear orifices;and kidney water imbalance leading to water-damp obstructing the clear orifices."His treatment emphasizes regulating qi,resolving stasis,and promoting water metabolism,with a focus on individualized treatment.Regulating qi involves harmonizing qi without damaging it and ensuring fetal safety;resolving stasis involves invigorating blood without removing it and dispelling wind to resolve stasis;promoting water metabolism involves treating water retention by strengthening the kidneys and ensuring fetal safety.The key is to regulate qi and soothe the liver,treat blood and strengthen the spleen,and treat water and consolidate the kidneys,while also dispelling wind and using mild nature medications to ensure fetal safety.

关 键 词：妊娠期高血压 气血水理论 病因病机 辨证论治 杜廷海 

分 类 号：R249[医药卫生—中医临床基础] R714.246[医药卫生—中医学]