首页|郭维琴教授分期论治高血压临床经验

郭维琴教授分期论治高血压临床经验

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郭维琴教授是全国名老中医,多年来致力于对心系疾病的研究,且临床疗效显著.经过大量的高血压病例的总结分析,郭维琴教授认为高血压的病机演变有普遍的趋势,可根据临床表现和阶段分为三期论治,如早期病机以肝郁化火,湿浊中阻,瘀血渐生为主,后期病机以阴虚阳亢,脾虚湿溢,瘀血内留为主,晚期病机以阴虚血亏,阴损及阳,络脉瘀阻为主,故针对早期用疏肝泻火,化湿泻浊,兼化瘀血之法,后期用潜阳补阴,健脾祛湿,活血化瘀之法,晚期用益阴养血,补益阳气,搜剔通络之法.三期分治,不仅提高临床疗效,更使高血压辨证论治有章.
Professor Guo Weiqin's clinical experience in staging treatment of hyper-tension
Professor Guo Weiqin is a renowned traditional Chinese medicine practitioner in China who has been dedicated to the study of cardio-vascular diseases for many years and has achieved significant clinical efficacy.After summarizing and analyzing a large number of clinical cases of hypertension,Professor Guo Weiqin believes that there is a general trend in the evolution of the pathogenesis of hypertension,which can be divided into three stages of treatment based on clinical manifestations and stages.For example,in the early stage,the main pathogenesis is liver depression transforming into fire,and obstruction of middle jiao by damp-turbidity,and blood stasis gradually builds up.In the later stage,the main pathogen-esis is hyperactivity of yang due to yin deficiency,spleen deficiency and dampness overflow,and retention of blood stasis.In the late stage,the main pathogenesis is yin deficiency and blood loss,yin deficiency involving yang,and blood stasis blocking collateral.Therefore,in the early stage,the method of dispersing stagnated liver qi for clearing fire,resolving dampness and purging turbidity,and removing blood stasis is used.In the later stage,the method of subsiding yang and nourishing yin,strengthening spleen and eliminating dampness,and promoting blood circulation for remo-ving blood stasis is used.In the later stage,the method of supplementing yin and nourishing blood,supplementing yang qi and search and remove collaterals is used.Three stages of treatment,not only improve the clinical effect,but also make the differentiation of hypertension treatment rules.

HypertensionEvolution of pathogenesisThree phases of treatmentGuo Weiqin

刘德、蒲婷婷、李硕、刘宇

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北京中医药大学东直门医院急诊科,北京 100700

高血压 病机演变 三期论治 郭维琴

国家中医药局全国老中医药专家学术经验继承工作项目(第七批)北京岐黄中医药文化发展基金会项目

QHZYY2022009

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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