高血压病肝阳上亢证与血瘀病机的相关研究

Research of Correlation between the Hyperactivity of Liver Yang in Hypertensive Disease and the Pathogenesis of Blood Stasis

目的 :证实高血压病肝阳上亢证与血瘀病机的相关性。方法 :临床调查症状出现率及多项实验室检测 ;镇肝活血组与镇肝组的临床观察。结果 :证明高血压病肝阳上亢证多伴有血瘀病机 ,镇肝熄风汤与活血化瘀药配伍使用 ,在改善高血压病肝阳上亢证及其血瘀证的相关症状和指标方面优于单纯用镇肝熄风汤。结论 :在高血压病肝阳上亢证辨证时 ,应注意血瘀病机 ;配伍活血药物可增强疗效。

Objective: To verify the correlation between the hyperactivity of liver yang in hypertensive disease and the pathogenesis of blood stasis. Methods: Through clinical investigation of patients the occurrence rate of symptoms and microcirculatory changes in Zhengan Huoxue group and Zhengan group were recorded before and after treatment. Results: It was demonstrated that the hyperactivity of liver yang in hypertensive disease often accompanied with the pathogenesis of blood stasis. Zhengan Xifeng Decoction combined with Chinese herbs that can promote blood circulation and remove blood stasis was superior to Zhengan Xifeng Decoction in terms of improving hyperactivity of liver yang and the blood stasis relevant symptoms or indices. Conclusion: While differentiating the hyperactivity of liver yang in hypertensive disease more attention should be paid to the pathogenesis of blood stasis. Treatment matching with circulation-promoting herbs can enhance the therapeutic effect.