以血浊理论为指导,针灸治疗高血压病思路探讨

Idea of treatment of hypertension by acupuncture and moxibustion,under the guidance of blood turbidity theory

高血压病病位在脑,但和心、肝、脾、胃、肺、肾及目、耳等脏腑、器官的功能相关。血浊蒙蔽脑窍、髓海失养、经络痹阻是其病机。治疗上拟定益气健脾、理血化浊治本和镇静止眩、通络止痛治标的治法,运用近部选穴、远部选穴相结合的选穴原则,采取即刻降压、巩固疗效和自我按摩3个步骤,施治以针刺、刺血、拔罐和按摩4种治疗方法。方案在即刻降压,改善眩晕、头痛、头昏脑胀等症状和远期疗效方面均有一定的优势,并能提高患者的生活质量。

The location of hypertension is in the brain,but the disease is also related to the function of heart,liver,spleen,stomach,lung,kidney,eyes,ears and other viscera and organs.Its pathogenesis includes blood turbidity clouding brain orifice,marrow-sea losing nutrient and meridian and collateral obstruction.For the treatment,the root causes of the disease should be treated with methods of strengthening the spleen to invigorate qi and regulating blood circulation to remove turbidity,while the symptoms of the disease should be treated with methods of tranquilizing mind and stopping dizziness,freeing the collateral vessels and relieving pain,following the principle of adjacent points selection combined with distant points selection.In detail,the treatment takes three steps,including immediate depressurization,consolidation of curative efficacy and self-massage,with acupuncture,pricking bloodletting,cupping and massage as the methods.This therapeutic schedule has certain advantages in immediate depressurization,relief of dizziness,headache,brain swelling and other symptoms and long-term curative efficacy.It also can improve the life quality of the patients.