基于圆运动理论探讨半夏白术天麻汤治疗痰湿证高血压病OA
Exploring Banxia Baizhu Tianma Decoction in Treating Hypertension with Phlegm-Dampness Syndrome:A Perspective from the Circular Movement Theory
半夏白术天麻汤在中医治疗痰湿证高血压中应用较广,该方具有健脾调肝、化痰祛风之功,可恢复脾胃升清降浊之能,同时疏利肝胆左升,协助肺胃右降.其治疗思路与彭子益圆运动理论相契合.基于该理论,笔者认为痰湿证高血压的核心病机在于阳气升降失常,具体表现为太阴脾土失于开,阳明燥金失于阖,少阳相火下潜不利.该文以圆运动理论为指导,系统阐述半夏白术天麻汤治疗痰湿证高血压的作用机制.
Banxia Baizhu Tianma Decoction(半夏白术天麻汤)is widely used in traditional Chinese medicine for hy-pertension with phlegm-dampness syndrome.It can fortify the spleen,regulate the liver,resolve phlegm,and dispel wind,restoring the spleen-stomach's function of ascending the clear and descending the turbid,while promoting the left ascent of the liver-gallbladder and assisting the right descent of the lung-stomach.Its therapeutic principles align with Peng Ziyi's circular movement theory.Combined with this theory,the authors propose that the pathogenesis of phlegm-damp-ness hypertension lies in disordered ascending-descending of yang qi,characterized by failure of Taiyin Spleen-Earth to open,failure of Yangming Lung-Metal to close,and impaired downward sinking of Shaoyang ministerial fire.Guided by the circular movement theory,this article elucidates the mechanism of Banxia Baizhu Tianma Decoction in treating this condition.
于淼;刘宁
山东中医药大学,山东 济南 250355临沂市中医医院,山东 临沂 276000
医药卫生
圆运动高血压病半夏白术天麻汤痰湿证
circular movementhypertensionbanxia baizhu Tianma decoction(半夏白术天麻汤)phlegm-dampness syndrome
《实用中医内科杂志》 2026 (6)
136-139,4
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