原发性高血压病分期辨证施治思路

Treatment by Stage According to Identifying Syndrome for Primary Hypertension

根据原发性高血压病的西医病因病理,结合中医理论,认为其中医病机是气血失和、阴阳失调。Ⅰ期以肝气郁滞、脾胃不和、心肾不交为主证,Ⅱ期以气滞血瘀、痰瘀互结、肝郁化火、阴虚阳亢为主证,Ⅲ期以气虚血瘀、气虚痰阻、痰瘀水结、阴虚火旺、气血两虚、阴阳两虚、肝风内动为主证。治疗以调和阴阳气血,疏通血脉为原则。

According to the etiology and pathology of western medicine and traditional Chinese Medicine, the pathogenisis of primary hypertension is mainly induced by the disharmony of Qi and blood, imbalance of Yin and Yang. In the first stage, the main syndromes are the congestion of liver-qi, the incoordination between spleen and stomach and the disintegration between heart and kidney; In the second stage, the blood stasis owing to qi-stagnation, the cementation of phlegm and stasis, the liver-fire changed by congestion of qi and the hyperactivity of yang due to deficiency of yin; and in third stage, the blood stasis caused by qi weakenness, the phlegm obstruction due to qi weakenness, the stagnation of water, phlegm and blood stasis, the hyperactivity of fire due to yin deficiency, the insufficiency in both qi and blood, the deficiency in both yin and yang and the up-stirring of liver. The therapeutic rules are regulating yin-yang and qi-blood and clearing the blood vessels.