基于"阳化气,阴成形"理论辨治高血压左心室肥厚
Treatment of Hypertensive Left Ventricular Hypertrophy Based on the Theory of"Yang Leading to Qi and Yin Leading to Formation"
马成 1胡俊 2连文静 2王阶2
作者信息
- 1. 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
- 2. 中国中医科学院广安门医院,北京 100053
- 折叠
摘要
左心室肥厚是高血压常见靶器官损害之一."阳化气,阴成形"是人体物质、能量代谢与疾病发生发展的基本形式,高血压左心室肥厚病机离不开阴阳失衡."阳化气"不足导致脏腑功能减退,气血亏虚,"阴成形"相对偏盛导致痰饮、瘀血等病理产物堆积,二者均是高血压左心室肥厚的重要病机.高血压左心室肥厚患者初起可见阴虚阳亢、肝亢风动、气血两虚等证,后期可见阴阳两虚、痰瘀互结等证.治疗上,早期应以滋阴熄风、调和气血为主,后期应在阴阳双补、祛痰活血基础上着重补益心肾之阳,可提高中医治疗本病的临床疗效.
Abstract
Left ventricular hypertrophy(LVH)is one of the common target organ damage of hypertension."Yang leading to qi and yin leading to formation"is the basic form of human material and energy metabolism and disease development.The pathogenesis of hypertension LVH is inseparable from the imbalance of yin and yang.The deficiency of"yang leading to qi"leads to the decline of zang-fu function,deficiency of qi and blood,and the excess of"yin leading to formation"leads to the accumulation of pathological products such as phlegm and fluid,both of which are important pathogenesis of hypertensive LVH.Hypertensive LVH can be seen at the beginning of yin deficiency and yang hyperactivity,liver hyperactivity and wind movement,qi and blood deficiency,and later yin and yang deficiency,phlegm and blood stasis interjunction and other symptoms.In the treatment of hypertensive LVH,the early stage should be based on nourishing yin and extinguishing wind,regulating qi and blood,and the later stage should be based on supplementing yin and yang,expelling phlegm and promoting blood,so as to improve the clinical efficacy of TCM treatment of this disease.
关键词
高血压左心室肥厚/阳化气,阴成形/理论探讨Key words
hypertensive left ventricular hypertrophy/yang leading to qi and yin leading to formation/theoretical discussion引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
万方数据