刘志明基于"兰除陈气"辨治肥胖相关性高血压经验OA

This paper summarizes Professor LIU Zhiming's clinical experience in the syndrome differentiation and treatment of obesity-related hypertension based on the theory of"eliminating stale qi with the orchid method".It is proposed that the internal accumulation of stale qi constitutes the essential pathogenesis of obesity-related hyperten-sion.The initial triggering factors include failure of water essence to disperse,the generation of turbid qi,and stagna-tion of stale qi in the sanjiao(三焦).Key steps in disease progression involve obstruction by phlegm-dampness,the confluence of stale qi,and the accumulation of heat that consumes body fluids,while aggravation is mainly characte-rized by deficiency of nutritive qi,blood turbidity,transformation of stale qi into blood stasis,and erosion of the vessels and collaterals.In clinical practice,under the therapeutic principle of"applying the orchid method",a self-formulated Liuqi Yunzhuo Decoction(流气运浊汤)is used in the initial stage,a self-formulated Yujing Huachen Decoction(育精化陈汤)in the recovery stage,a modified Erchen Decoction(二陈汤)combined with Ganlu Drink(甘露饮)in the progres-sive stage,and a self-formulated Tuichen Sanyu Decoction(推陈散瘀汤),with modifications,in the aggravated stage.