青少年高血压中医病因病机探析

Discussion on Etiology and Pathogenesis of Hypertension in Adolescents

结合古代文献及青少年生理病理特点,分析青少年高血压的中医病因病机。青少年高血压的病因主要包括:饮食不节、七情内伤、先天不足、后天失养,病机分为虚实两端,实者多与风、火、痰、瘀等病理因素有关,虚者多与精气血等因素有关,主要有脾失健运、肝失疏泄、痰瘀互结、先天不足、气血亏虚等。青少年高血压病位主要涉及肝脾,以脾失健运、肝失疏泄为本,痰瘀互结为标,标本相互影响,互为因果,加之先天禀赋不足,后天气血化生乏源,共同促进本病的发生、发展。

Combined with ancient literature,physiological and pathological characteristics of adolescents,the etiology and pathogenesis of adolescent hypertension in tradition Chinese medicine were investigated.The etiology of adolescent hypertension mainly includes:improper diet,internal impairment of seven emotions,congenital deficiency and acquired malnutrition.The pathogenesis are divided into excess and deficiency syndrome.The excess syndrome mainly relate with some pathological factors like wind,fire,phlegm,blood stasis,etc.The deficiency syndrome is much related to essence Qi and blood,like spleen dysfunction,liver dysfunction,phlegm-blood stasis,mutual congenital deficiency,Qi and blood deficiency,etc.the location of adolescent hypertension mainly involves the liver and spleen,Taking spleen dysfunction,liver dysfunction as the basis,phlegm and blood stasis as the the criteria,The basis and criteria were influenced and to be the casuse and result with each other.In addition,the congenital deficiency and acquired malnutrition will promote the occurrence and development of adolescent hypertension.