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高血压病防治现状分析及中西联合治疗方案OA

Analysis of the Current Status of Hypertension Prevention and Treatment and Therapeutic Regimens of Integrated Traditional Chinese and Western Medicine

中文摘要英文摘要

高血压病是中老年人群中最普遍的慢性疾病之一,是导致脑卒中、冠状动脉粥样硬化性心脏病等疾病的主要致病因素.西医治疗长期使用利尿剂、血管阻滞剂等联合降压治疗,但常有各种不良反应且需终身服药的问题;中医主要从肝肾论治,但方药疗效有限,常作为西药的辅助治疗.笔者记录王进教授逐步完善中医诊治高血压病的三焦辨证体系,治心顺应其火脏、阳脏的生理特性以维持良好的心脏搏动,治脉重在针对血管的自我新陈代谢系统重建和控制炎性反应,治血需要充盈血容量、良好物质交换能力和血液中代谢废物"奇邪"的有效清除;同时利用五脏五行理论,积极控制肝、脾、肺、肾通过母子相及和乘侮传变作用于心而影响血压.

Hypertension is one of the most common chronic diseases in the middle-aged and elderly population,and a major pathogenic factor leading to stroke,coronary atherosclerotic heart disease and other diseases.In Western medicine,combined antihypertensive therapy such as diuretics and vascular blockers is used for a long time,but it is often accompanied by various adverse reactions and requires lifelong medication.Traditional Chinese medicine(TCM)mainly treats hypertension from the liver and kidney,but the efficacy of prescriptions is limited and it is often used as an adjuvant therapy to Western medicine.The authors recorded the systematic development of the sanjiao syndrome differentiation system for the TCM diagnosis and treatment of hypertension gradually improved by Professor Wang Jin as follows:treating the heart in accordance with its physiological characteristics as a fire-yang organ to maintain satisfactory cardiac impulse,treating the vessels focusing on the reconstruction of vascular self-metabolic system and the control of inflammatory response,treating the blood requiring sufficient blood volume,good substance exchange capacity,and effective removal of metabolic wastes and"abnormal pathogens"in the blood.Meanwhile,based on the five-zang and five-element theory,active control is implemented on the liver,spleen,lung and kidney,which affect the heart and thus blood pressure through mother-child involvement and subjugation-transmission changes.

胡展鹏;张睿哲;刘炎炎;黄欣;李冲;周扬翊;王进

湖北中医药大学,湖北 武汉 430065湖北中医药大学,湖北 武汉 430065湖北中医药大学,湖北 武汉 430065湖北中医药大学,湖北 武汉 430065湖北中医药大学,湖北 武汉 430065武汉素问中医门诊部,湖北 武汉 430060湖北中医药大学基础医学院,湖北 武汉 430065

医药卫生

高血压病中西医结合疗法络通阳和

hypertensiontherapy of integrated traditional Chinese and Western medicineunblocked collaterals and harmonious yang

《光明中医》 2026 (2)

120-124,5

10.70976/j.issn.1003-8914.2026.02.027

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