摘要
本研究以中医脏腑气血、经络和五行理论为基础,通过针灸治疗原发性高血压病来探讨高血压发病的病因病机。机体脏腑失衡、经络淤堵和气血异常均会引起血压波动,通过针灸临床观察,提出脾胃失调型、肝胆淤堵型、肾气亏虚型、肺阻痰淤型和心火上延型因五脏系统失衡而引起的气滞血瘀型高血压和中枢、脏腑及外周缺血引起缺血型高血压的病因病机假说。基于病证相关、方证相应的辨证要素,我们采取"临床-假说-验证-临床"的设计思路,针对病因病机的不同而采取不同的针灸治疗方案进行效应验证,在总结治疗效应的基础上进行分析、探讨,还原高血压发病的病因和病机。
This research,on the basis of TCM viscera,meridian and the Five Elements theory,was used to explore the etiology and pathogenesis of hypertension through acupuncture treatment for essential hypertension.Imbalance of the viscera,main and collateral channels siltation and abnormality of qi and blood could cause fluctuation of blood pressure.Through acupuncture clinical observation,it put forward the pathogenesis hypothesis of hypertension.It suggested that qi stagnation and blood stasis hypertension which included the type of spleen-stomach disharmony,the type of liver-qi depression,the type of deficiency of kidney-qi,the type of syndrome of phlegm and blood stasis obstructing lung,and the type of flaring up of heart fire,were caused by the imbalance of the five-internal-organs system,and ischemic hypertension was caused by cerebral ischemia,viscera ischemia and peripheral ischemia.Base on the dialectical elements of the correspondence between the prescription and syndromes of a disease,it adopted the design idea of“clinical-hypothesis-verification-clinical”.According to the different etiology and pathogenesis,different acupuncture treatment schemes were adopted to verify the effect.On the basis of summarizing the therapeutic effect,it analyzed and explores the etiology and pathogenesis of hypertension
作者
杨磊
杨彩青
王玮
YANG Lei;YANG Cai-qing;WANG Wei(Medical School,Liaocheng University,Shandong,Liaocheng,252059,China)
出处
《中国初级卫生保健》
2018年第9期70-72,共3页
Chinese Primary Health Care
基金
山东省社会科学规划研究项目(14CXJ02)
关键词
高血压病
病因病机
缺血型
气滞血瘀型
hypertension
the mechanism in the pathogenesis
ischemic type
qi stagnation and blood stasis type
