期刊论文

TCM Syndrome Differentiation and Treatment of Fluctuant Hypertension in “Wind Agitation” and “Phlegm Retention”

中文

中国中医药信息杂志

1005-5304

2019

26

6

5-9

10.3969/j.issn.1005-5304.2019.06.002

中医内科学省部共建教育部重点实验室开放基金(ZYNK201502) 湖南省重点研发计划项目(2017SK2111) 浙江省中医药科技计划项目(2018ZB095).

本校为其他机构

近年来临床研究表明,血压变异性是预测脑卒中、冠心病与慢性肾脏病等疾病风险与靶器官损害的独立危险因素。血压变异性超过正常范围即称为波动性高血压,晨峰血压增高、餐后血压低、隐蔽性夜间高血压是其主要特征性表现。神经反射、体液调节和血管系统受体调控作用目前被认为是波动性高血压的可能发病机制,而中医学对波动性高血压的认识尚不深入。根据其临床表现与发病机制,结合古代文献及近年临床研究证据,本文认为波动性高血压的关键“枢机”是肝阳亢逆风动,而主要的有形癥结是痰浊积聚,其发生发展是在“风动”“痰结”基础上引发阴虚、火(热)、血瘀与之相互兼化的病变进程。本文以风与痰为核心...

In recent years, a large number of clinical studies have confirmed that blood pressure variability (BPV) is an independent factor for predicting the risk and target organ damage of stroke, coronary heart diseases and chronic kidney diseases. Fluctuant hypertension is defined as that BPV above the normal level complicates with hypertension, and the major characteristic clinical symptoms of fluctuant hypertension are morning blood pressure peak, postprandial hypotension and covert nocturnal hypertension. At present, neural reflex, humoral regulation, and vascular system receptor regulation are c...