首页|基于子午流注理论探讨围绝经期高血压病的中医防治策略

基于子午流注理论探讨围绝经期高血压病的中医防治策略

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围绝经期高血压病的基本病机以肾虚为本、肝郁为标.子午流注理论是中医学中关于人体气血运行与 自然界周期同步的重要学说基础,揭示了人体功能活动、病理变化受自然界影响而呈现的规律.子午流注理论的产生以时辰更迭变化为前提,子午流注理论的运用以气血流注变化为基础,在围绝经期高血压病的辨识中,应关注气血流注时辰的盛衰变化,注重辨时辰、辨气血;在围绝经期高血压病的防治中,应从"顺-养-治"三方面着手,适时调养、针药并济、因时辨治.同时,可将子午流注理论应用于调整服用降血压药的用药时间,采用在夜间给药的方法,观察用药疗效.
Study on Traditional Chinese Medicine Strategies for the Prevention and Treatment of Perimenopausal Hypertension Based on the Theory of Midnight-Midday Ebb Flow
The fundamental pathology of perimenopausal hypertension is due to kidney deficiency as the root cause and liver stagnation as the manifestation.The theory of midnight-midday ebb flow is a vital concept in TCM that explains the synchronization of human qi and blood flow with natural cycles,revealing the laws of functional activities and pathological changes influenced by the natural environ-ment.The development of this theory is predicated on the change of time periods,while its application relies on the variations in qi and blood flow.Therefore,in recognizing perimenopausal hypertension,attention should be paid to the fluctuation of qi and blood flow at dif-ferent times,focusing on temporal differentiation and the state of qi and blood.For the prevention and treatment of perimenopausal hy-pertension,strategies should encompass three aspects:"harmonization-nourishment-treatment"This involves timely adjustment of life-style,combining acupuncture and medication,and tailoring treatment according to seasonal changes.Additionally,the theory of midnight-midday ebb flow can be applied to optimize the timing of antihypertensive medications,such as administering doses at night and observ-ing the therapeutic effects.

perimenopausal hypertensionmidnight-midday ebb flowpreventive treatmentchronomedicine

李毓彬、欧莉莉、陈睿、黄雨轩、郑芳萍、李娜芬、何其达、陈学勤

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福建中医药大学附属厦门中医院,福建厦门 350122

厦门大学附属第一医院,福建厦门 361001

厦门市中医药疗效证据研究重点实验室,福建厦门 361003

福建中医药大学,福建 福州 350122

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围绝经期高血压病 子午流注 治未病 时间医学

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(11)