安神定志宁魂法论治女性更年期高血压

Method of Spirit-Quieting Mind-Stabilizing and Soul-Calming in Treatment of Female Climacteric Hypertension

更年期高血压是女性更年期患者的常见病,其发病机制主要与心、肝、肾三脏关系密切,主要病机为肝肾阴虚,肝阳上亢,心肝火旺。患者除了血压升高,失眠或睡眠障碍常为女性更年期患者的常见主诉或重要伴随症状。失眠与血压关系密切,吾师王保和教授从改善患者睡眠质量入手,以滋阴降火,平肝潜阳为原则,采用安神定志宁魂法,方药选择天麻钩藤饮、百合地黄汤、栀子豉汤、甘麦大枣汤四方加减的代表方论治女性更年期高血压,临床效果颇佳,并为论治女性更年期高血压提供了新思路。

Climacteric hypertension is a common disease of female climacteric patients in clinic. It has a close relationship with heart, liver and kidney, and the main pathogeneses are yin deficiency of liver and kidney, hyperactivity of liver yang and ex cessive fire in heart and liver. Besides blood pressure rising,insomnia or sleep disorder is the common complaint or the main asso ciated symptom of female climacteric patients. Insomnia is closely associated with blood pressure. From improving sleep quality, the author＇s tutor WANG Baohe puts forward the principle of nourishing yin to lesson fire, calming liver to suppress yang, adopts the method of spiritquieting mind stabilizing and soulcalming, uses representative prescriptions of Tianma Gouteng Decoction, Baihe Dihuang Decoction, Zhizi Chi Decoction and Ganmai Dazao Decoction to treat female climacteric hypertension, which a chieves the remarkable effect, providing a new thought for treating female climacteric hypertension.