从厥阴“络”“风”角度探讨高血压

Exploring Hypertension from "Collateral" and "Wind" of Jueyin

高血压是心脑血管疾病最主要的危险因素,影响心、脑、肾等人体重要脏器的结构和功能。目前,我国高血压患病率居高不下,如何有效遏制高血压的发病率,减轻高血压患者靶器官损害,是眼下亟需解决的难题。中国传统医学,因为其独特的疗效和优势,目前正越来越多地在世界各地广泛应用。中医认为"风邪"是高血压发生发展的主要因素,且贯穿始终;与此同时,也有学者认为高血压位在络,络脉病变亦是高血压发生发展的重要原因。络病、风邪与高血压发生发展及心、脑、肾等靶器官损害疾病密切相关。从伤寒六经辨证角度来看,"络""风"与厥阴关系密切,络病属厥阴,风邪始于厥阴,高血压的发生发展、持续存在与厥阴病密切相关。本文从厥阴"络""风"角度浅析高血压的病机与论治,具体论述厥阴"络""风"与高血压的关系,认为厥阴风火内郁,肝火上冲;厥阴虚损,肝风内动、络虚风动;厥阴外感,外风引动是导致高血压发生发展,心、脑、肾等靶器官损害的重要病机,并基于厥阴主方乌梅丸探讨厥阴"络""风"同治之法。六经统百病,开后世之门径,基于厥阴"络""风"角度探讨高血压病机与论治,对指导高血压的防治、减轻高血压患者靶器官损害、持续改善心脑血管病预后具有重要意义。

Hypertension is the most important risk factor for cardiovascular and cerebrovascular diseases,affecting the structures and functions of important organs of the body,such as the heart,brain,and kidney. At present,the prevalence of hypertension in China remains high. How to effectively curb the incidence of hypertension and reduce target organ damage in patients with hypertension is an urgent challenge that needs to be addressed. Traditional Chinese medicine(TCM),by virtue of its unique efficacies and advantages,is increasingly applied around the world. In TCM, "wind" is considered as a major constant factor in the development of hypertension. Some scholars believe that hypertension is located in collaterals,and the lesions of collaterals are also important reasons for the occurrence and development of hypertension. Collateral diseases and pathogenic wind are closely related to the development of hypertension as well as target organ damage in the heart,brain,and kidney. From the six-meridian syndrome differentiation for febrile diseases,"collateral" and"wind" are closely related to the Jueyin,with collateral diseases classified into Jueyin diseases and pathogenic wind beginning in the Jueyin. The occurrence,development,and persistence of hypertension are closely related to Jueyin diseases. The present study analyzed the pathogenesis and treatment of hypertension from "collateral"and "wind" of the Jueyin,and specifically discussed the relationship between hypertension and "collateral" and"wind" of the Jueyin. It is believed that the internal depression of wind and fire in the Jueyin results in the upward impulse of liver fire,and the deficiency of Jueyin can trigger the internal movement of liver wind and stirring wind due to collateral deficiency. External contraction in the Jueyin due to the induction of external wind is the important pathogenesis of the development of hypertension and the damage to target organs such as the heart,brain,and kidney. The therapeutic methods for both "collateral" and "wind" were also discussed based on the primary prescription for Jueyin,Wumei Pills. Six-meridian syndrome differentiation can guide the therapeutic principles for all diseases and inspire posterity. Exploring the pathogenesis and treatment of hypertension from“collateral" and "wind" of the Jueyin is of great significance in guiding the prevention and treatment of hypertension,reducing target organ damage in patients with hypertension,and improving the prognosis of cardiovascular and cerebrovascular diseases.