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黄精补益肾气在老年高血压病辨治中的临床应用

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老年高血压病是现代社会危害老年人健康的重要因素,随着中药降压在老年高血压病中的广泛应用,补益肾气法辨治老年高血压病正得到大力发展。黄精作为重要的补益肾气药材,具有补气养阴、健脾、润肺、益肾的功效,但当前缺乏黄精补益肾气在辨治老年高血压病中的系统阐释。文章通过查阅古今文献,对黄精的补益肾气功效进行考证,并通过精气互化、先后天相互资生、金水相生理论对其补益肾气功效系统阐释,完善其在补益肾气法治疗老年高血压病中的应用价值。同时结合化学成分及现代药理学研究,阐述其在治疗高血压病中抑制氧化应激、改善胰岛素抵抗、调节肠道内稳态、调节性激素的作用。旨在为进一步研究及药物开发提供理论指导。
Clinical Application of Huang jing(Polygonati Rhizoma)of Tonifying Kidney Qi in the Identification and Treatment of Elderly Hypertension
Elderly hypertension is an important factor that jeopardizes the health of the elderly in modern society.With the wide application of traditional Chinese medicine to lower blood pressure in elderly hypertension the method of replenishing kidney Qi in the treatment of elderly hypertension is being vigorously developed.As an important herb to replenish kidney Qi,Huangjing(Polygonati Rhizoma)has the efficacy of replenishing Qi and nourishing Yin,strengthening the spleen,moistening the lungs and benefiting the kidneys,but there is a lack of systematic interpretation of the method of replenishing kidney Qi by Huangjing(Polygonati Rhizoma)in the treatment of hypertension in the elderly.In this paper,we reviewed the ancient and modern literature to verify the kidney Qi tonifying effect of Huangjing(Polygonati Rhizoma),and systematically interpreted its kidney Qi tonifying effect through the theories of essence-Qi mutualization,successive heavens mutual capitalization,and Jin-water phasicity,so as to improve its value in the treatment of elderly hypertension by tonifying the kidney Qi method.Meanwhile,its effects of inhibiting oxidative stress,improving insulin resistance,regulating intestinal homeostasis,and regulating sex hormones in the treatment of hypertension were also explained in the light of its chemical composition and modern pharmacological studies.It aims to provide theoretical guidance for further research and drug development.

Huangjing(Polygonati Rhizoma)elderly hypertensionvertigotonifying kidney Qi

马旭、于杰、刘迎迎、张磊

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山东中医药大学,山东济南 250355

山东中医药大学附属医院,山东济南 250014

黄精 老年高血压病 眩晕 补益肾气

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)