女性更年期高血压的中医论治

Treatment of female climacteric hypertension with TCM

女性更年期高血压主要病机为肾虚,治疗注重补肾;肝失疏泄、肝阳上亢、脾虚、痰湿内盛亦为其发病机理,治疗需疏肝、平肝、补脾、化痰湿;脉络瘀阻为其发病过程的重要病理表现,故治疗需配伍活血化瘀药;燥邪致病有着鲜明的地域特点,意义重大,滋阴润燥为主要治疗大法。女性更年期高血压病机治疗均有其特点,从肝脾肾分脏腑论治体现了中医辨证的五脏一体观,瘀、燥作为发病的主要病理因素,在女性更年期高血压的发生发展中有重要作用。

Kidney deficiency is one of the main pathogenesises of female climacteric hypertension, and tonifying kidney is al- so an important treatment. The dysfunction of liver, hyperactivity of liver-YANG, spleen deficiency and phlegm dampness are also its pathogenesises. Therefore, the methods of soothing the liver, calming the liver, tonifying spleen and resolving phlegm dampness should be adopted. Blood stasis is an important pathological manifestation of the disease. The drugs of promoting blood circulation to remove blood stasis should be used. Pathogenic dryness has a distinct regional characteristic. Nourishing Yin and moistening dryness are the main therapeutic methods. Female climacteric hypertension＇s pathogenesis has its own characteristics. The syndrome differentiation of liver spleen and kidney reflects TCM holism concept of five organs. Blood stasis and dryness are the main pathological factors, which play important roles in the development women＇s menopause.