How does Chinese medicine treat hypertension? Talking about the experience of dialectical medication for common hypertension.

Hypertension is the name of western medicine, and the concept of Chinese medicine is called "wind dizziness", which generally belongs to the category of dizziness, headache, stroke and other internal medical diseases. It is generally believed that the main cause of hypertension is internal injury, including emotional imbalance, improper diet, overwork due to long illness, and insufficient congenital endowment. The main pathological links are wind, fire, phlegm, blood stasis and deficiency, which are closely related to liver, spleen, heart and kidney. The main basic types of pathogenesis are hyperactivity of liver yang, phlegm-dampness internal resistance, blood stasis internal resistance, yin deficiency of liver and kidney, and yang deficiency of kidney. So what are the characteristics of various syndromes? What drugs are there? Let's summarize.

Type of hyperactivity of liver yang: The main symptoms of patients are dizziness, headache, abdominal distension, red face, impatience and irritability, as well as red eyes, tinnitus, insomnia, red tongue with yellow fur and thready pulse.

Common in people with yin deficiency due to yang excess, yin deficiency is lower, yang excess is higher, and yin and yang are out of balance. Such patients may be in a state of tension or depression for a long time, and liver disorder leads to stagnation of liver qi, which in turn leads to yin injury, liver yin consumption injury, wind and yang disturbing the head, dizziness and headache.

The basic prescription can be modified with Tianma Gouteng Decoction, and commonly used Chinese patent medicines include Niuhuang Jiangya Tablet and Tianma Gouteng Granule.

Phlegm-dampness internal resistance type: The main symptoms of patients are dizziness, headache, stuffy head, chest tightness, nausea and vomiting, insomnia, palpitation, anorexia, greasy tongue coating and slippery pulse.

Such patients often suffer from spleen deficiency, dampness and phlegm because of improper diet and excessive drinking, or because of anxiety and fatigue. Or phlegm may be caused by stagnation of liver qi and stagnation of qi and dampness. Phlegm and turbidity disturb people, improve eyesight and clear orifices, manifested as headache, nausea and dizziness.

To treat phlegm turbidity, Banxia Baizhu Tianma Decoction can be used as a basic treatment.

Blood stasis type: the main symptoms of patients are dizziness, headache, numbness of hands and feet, cyanosis of mouth and lips, chest tightness, chest pain, insomnia, tinnitus, dark tongue or ecchymosis, pulse knot or astringency.

The so-called "initial illness in the meridian, chronic illness in the collaterals, initial illness in the qi, chronic illness in the blood" can cause dizziness due to persistent illness, qi stagnation and blood stasis.

Promoting blood circulation and removing blood stasis can be modified by Xuefu Zhuyu decoction. Available Chinese patent medicines include Xuefu Zhuyu oral liquid and Songling Xuemaikang.

Yin deficiency of liver and kidney: the main symptoms of patients are dizziness, headache, backache, knee weakness and palpitation; Or dry mouth, tinnitus, forgetfulness, red tongue with little coating, rapid pulse, etc.

Liver controls blood storage, kidney controls sperm storage, and liver and kidney are homologous and influence each other. For example, if the hyperactivity of liver yang persists for a long time, it will damage liver yin and kidney yin; Or deficiency of kidney yin or excessive exuberance of essence, water without wood, hyperactivity of yang disturbing the orifices, resulting in dizziness, headache and other symptoms.

Appropriate treatment of liver and kidney, commonly used Qijudihuang pills, or Tianma Gouteng granules, Qijudihuang pills and other proprietary Chinese medicines.

Kidney yang deficiency type: the main symptoms of patients are dizziness, headache, chills and cold limbs, nocturia and loose stools; Or see symptoms such as edema, palpitation, fatigue, pale and fat tongue and weak pulse in both lower limbs.

This type is more common in patients with grade ⅲ hypertension, high risk and extremely high risk. Most of them are due to long-term illness and physical weakness, involving kidney yang, kidney yang damage or long-term yin deficiency, which leads to loss of self-restraint and dizziness in the medullary sea.

For kidney yang, Jisheng Shenqi Pill and Jingui Shenqi Pill can be used.

In addition to the above five common basic types of hypertension, there are also disorders of chong and ren, which are more common in female patients with hypertension; Deficiency of both qi and yin is more common in patients with grade ⅲ hypertension, high risk and extremely high risk; Heart-kidney disharmony type, etc. Chinese medicine based on syndrome differentiation has a good effect on improving the clinical symptoms caused by hypertension, is conducive to improving the quality of life of patients, and has a good antagonistic effect on the adverse reactions caused by western medicine antihypertensive drugs. Chinese patent medicines or prescriptions are routinely used in prehypertension of Grade I and II, and western medicines are used for a long time. If the blood pressure is normal in spring and summer, it can be maintained with traditional Chinese medicine. It can also intervene in people over 40 years old, obesity, smoking, hyperlipidemia, disorder of glucose metabolism regulation, family history of hypertension and other high-risk groups. Moreover, the price of traditional Chinese medicine antihypertensive drugs is close to the people, and some Chinese patent medicines have a certain market, such as apocynum venetum tablets, Zhenju antihypertensive tablets, Tianma Gouteng granules and so on.

Of course, Chinese and western medicine have their own advantages and disadvantages in anti-hypertension, and they are more inclined to complement each other in clinic. For example, Chinese medicine is used to treat the clinical symptoms caused by hypertension, Chinese medicine is used to combat the adverse reactions of western medicine, such as electrolyte disorder caused by diuretics, and Shen Ling Baizhu Powder is used to strengthen the spleen and eliminate dampness; For dry cough caused by ACEI, Ziyin Qingfei decoction can be used to nourish yin and moisten lung.

Finally, TCM syndrome differentiation treatment can improve the quality of life of patients with hypertension, and it is of positive significance to cooperate with western medicine to treat hypertension.