Treating hypertension complicated with insomnia based on the theory of"Normal spleen pivots other four viscera,and Qi circulates around the body"
Hypertension is a kind of cardiovascular syndrome with increased systemic arterial pressure as the main clinical manifestation,and is an important risk factor for organ function damages of the heart,brain,and kidney,and organic diseases.In recent years,the incidence of hypertension in our country has gradually increased,and slowly has become a common chronic disease that affects people's life.Insomnia is a common sleep disorder with an increasing incidence.Hypertension is often accompanied by insomnia.Based on the five elements theory in Huangdi Neijing(《黄帝内经》),HUANG Yuanyu,a famous TCM practitioner in the Qing Dynasty,summarized previous academic research and clinical thoughts,integrated his own medical insights,elucidated the pivotal role of spleen and stomach in Qi movement(气机)in the human body,and proposed the famous theory of"Normal spleen pivots other four viscera,and Qi circulates around the body".Based on HUANG's theoretical system of"Normal spleen pivots other four viscera,and Qi circulates around the body",the author discusses and analyzes the pathogenesis of hypertension plus insomnia from the four aspects as follow:Jueyin meridians(厥阴)liver-wind,Taiyang meridians(太阳)cold-water,Shaoyin meridians(少 阴)monarch-fire,and Taiyin meridians(太 阴)earth-dampness.The treatment focuses on spleen soil as the hub of the rise and fall of Qi movement.The treatment strategies such as soothing liver and fortifying spleen,warming kidneys and water,clearing away heat and nourishing Yin(阴),and drying soil to remove dampness are adopted,and HUANG's ideas are integrated throughout the treatment of hypertension plus insomnia,in order to provide a reference for the clinical diagnosis and treatment of this disease.
Normal spleen soil pivots other four visceraQi circulates around the bodyHypertensionInsomnia