基于子午流注理论探讨围绝经期高血压病的中医防治策略

Study on Traditional Chinese Medicine Strategies for the Prevention and Treatment of Perimenopausal Hypertension Based on the Theory of Midnight-Midday Ebb Flow

围绝经期高血压病的基本病机以肾虚为本、肝郁为标。子午流注理论是中医学中关于人体气血运行与自然界周期同步的重要学说基础,揭示了人体功能活动、病理变化受自然界影响而呈现的规律。子午流注理论的产生以时辰更迭变化为前提,子午流注理论的运用以气血流注变化为基础,在围绝经期高血压病的辨识中,应关注气血流注时辰的盛衰变化,注重辨时辰、辨气血;在围绝经期高血压病的防治中,应从“顺-养-治”三方面着手,适时调养、针药并济、因时辨治。同时,可将子午流注理论应用于调整服用降血压药的用药时间,采用在夜间给药的方法,观察用药疗效。

The fundamental pathology of perimenopausal hypertension is due to kidney deficiency as the root cause and liver stagnation as the manifestation.The theory of midnight-midday ebb flow is a vital concept in TCM that explains the synchronization of human qi and blood flow with natural cycles,revealing the laws of functional activities and pathological changes influenced by the natural environment.The development of this theory is predicated on the change of time periods,while its application relies on the variations in qi and blood flow.Therefore,in recognizing perimenopausal hypertension,attention should be paid to the fluctuation of qi and blood flow at different times,focusing on temporal differentiation and the state of qi and blood.For the prevention and treatment of perimenopausal hypertension,strategies should encompass three aspects:"harmonization-nourishment-treatment"This involves timely adjustment of lifestyle,combining acupuncture and medication,and tailoring treatment according to seasonal changes.Additionally,the theory of midnight-midday ebb flow can be applied to optimize the timing of antihypertensive medications,such as administering doses at night and observing the therapeutic effects.