首页|从痰湿论治临界性高血压合并代谢紊乱

从痰湿论治临界性高血压合并代谢紊乱

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临界性高血压是指血压在理想血压和确诊高血压之间的血压值,即收缩压(SBP)120~139 mmHg和/或舒张压(DBP)80~89mm Hg之间。代谢紊乱相关疾病包括高脂血症、糖尿病、高尿酸血症、超重肥胖等。当临界性高血压和代谢紊乱同时存在时,患者进展为高血压及发生心血管事件的危险性明显增加。痰湿为临界性高血压合并代谢紊乱的关键病理要素,该病可分为5种不同痰湿相关证型,并提出相应治则:脾虚湿盛证治宜健脾益气、燥湿化痰,湿阻热盛证治宜清热燥湿、化痰和中,湿瘀互结证治宜清痰化瘀、活血祛湿,湿阻气郁证治宜疏肝运脾、理气化痰,湿阻阴伤证治宜滋阴养血、清热除湿。附验案1则以佐证。
Study on the Treatment of Borderline Hypertension with Metabolic Disorders Based on Phlegm Dampness Theory
Borderline hypertension refers to blood pressure values between ideal blood pressure and diagnosed hypertension,namely systolic blood pressure(SBP)between 120-139 mm Hg and/or diastolic blood pressure(DBP)between 80-89 mm Hg.Metabolic disorders related diseases include hyperlipidemia,diabetes,hyperuricemia,overweight and obesity,etc.When borderline hypertension and metabolic disorders coexist,patients have a significantly increased risk of developing hypertension and experiencing cardiovascular events.Phlegm and dampness are the key pathological elements of borderline hypertension combined with metabolic disorders.This disease can be divided into 5 different types of phlegm and dampness related syndromes,and corresponding treatment principles are proposed:For spleen deficiency and dampness excess syndrome,it is recommended to strengthen the spleen and Qi,dry dampness and phlegm.For dampness obstruction and heat excess syndrome,it is recommended to clear heat and dry dampness,and dissolve phlegm and dampness.For dampness stasis syndrome,it is recommended to clear phlegm and remove blood stasis,promote blood circulation and dispel dampness.For dampness obstruction and Qi depression syndrome,it is recommended to regulate the liver and spleen,regulate Qi and phlegm.For dampness obstruction and Yin injury syndrome,it is recommended to nourish Yin and blood,and clear heat and dampness.One medical case was attached to support this view.

borderline hypertensionnormal high blood pressureprehypertensionmetabolic disordersphlegm dampnesstraditional Chinese medicine

徐思雨、周思敏、林建国、操蕾、张海宇、姚魁武

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北京中医药大学,北京 100029

中国中医科学院广安门医院,北京 100053

中国中医科学院眼科医院,北京 100040

临界性高血压 正常高值血压 高血压前期 代谢紊乱 痰湿 中医药

中国中医科学院科技创新工程北京市自然科学基金资助项目

CI2021A009067232324

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)