从血水理论辨治高血压病

The theoretical discussions and clinical applications of blood and water treatment in hypertension

关键词:  血水辨治  津血同源  血水同病  高血压病

Key words:  blood and water treatment method  body fluid and blood being derived from the same source  simultaneous blood and water syndromes  hypertension

摘要:

高血压病不完全等同于眩晕、头痛，单纯从中医症状论治，有时难以准确贴合病机，甚或无症可辨。文章认为血脉属于高血压病的基础病位，血水同病是其重要临床特点，而水气亢逆、血热驰张，阳不化饮、血涩失和，精微胶滞、痰阻血浊是其主要病机特点。高血压病的治疗应在调节脏腑阴阳的基础上，参以血水论治，临证可施以泻水凉血法、散水和血法、化浊行瘀法。血水同治法对于血压的控制和症状的改善具有显著意义，值得临床推广应用。

Abstract:

Hypertension is not as the same as vertigo or headache in traditional Chinese medicine(TCM). We will be struck in trouble that the pathogenesis is inappropriate or patients have no sickness to be checked up if it is treated by main symptoms merely. This article discussed that hypertension whose basic disease location includes blood vessel and one of the significant clinic characteristics is simultaneous blood and water syndromes, could be diagnosed as water-up and blood-heat, deficiency of yang to drinks and blood stasis, as well as over nutrition with phlegm, turbidity mixed up blood. And the key treatment are supposed to regulate yin and yang of viscera basically, at the same time use both blood and water remedy to assist, such as removing water to cool blood, dispelling water to calm blood, digesting water and promoting blood. There is a remarkable efficiency about both water and blood remedy in hypertension including the number of blood pressure and common symptoms, which is worth promoting in the modern application of TCM.