摘要
临界性高血压是指血压在理想血压和确诊高血压之间的血压值,即收缩压(SBP)120~139 mm Hg和/或舒张压(DBP)80~89 mm Hg之间。代谢紊乱相关疾病包括高脂血症、糖尿病、高尿酸血症、超重肥胖等。当临界性高血压和代谢紊乱同时存在时,患者进展为高血压及发生心血管事件的危险性明显增加。痰湿为临界性高血压合并代谢紊乱的关键病理要素,该病可分为5种不同痰湿相关证型,并提出相应治则:脾虚湿盛证治宜健脾益气、燥湿化痰,湿阻热盛证治宜清热燥湿、化痰和中,湿瘀互结证治宜清痰化瘀、活血祛湿,湿阻气郁证治宜疏肝运脾、理气化痰,湿阻阴伤证治宜滋阴养血、清热除湿。附验案1则以佐证。
Borderline hypertension refers to blood pressure values between ideal blood pressure and diagnosed hypertension,namely systolic blood pressure(SBP)between 120-139 mm Hg and/or diastolic blood pressure(DBP)between 80-89 mm Hg.Metabolic disorders related diseases include hyperlipidemia,diabetes,hyperuricemia,overweight and obesity,etc.When borderline hypertension and metabolic disorders coexist,patients have a significantly increased risk of developing hypertension and experiencing cardiovascular events.Phlegm and dampness are the key pathological elements of borderline hypertension combined with metabolic disorders.This disease can be divided into 5 different types of phlegm and dampness related syndromes,and corresponding treatment principles are proposed:For spleen deficiency and dampness excess syndrome,it is recommended to strengthen the spleen and Qi,dry dampness and phlegm.For dampness obstruction and heat excess syndrome,it is recommended to clear heat and dry dampness,and dissolve phlegm and dampness.For dampness stasis syndrome,it is recommended to clear phlegm and remove blood stasis,promote blood circulation and dispel dampness.For dampness obstruction and Qi depression syndrome,it is recommended to regulate the liver and spleen,regulate Qi and phlegm.For dampness obstruction and Yin injury syndrome,it is recommended to nourish Yin and blood,and clear heat and dampness.One medical case was attached to support this view.
作者
徐思雨
周思敏
林建国
操蕾
张海宇
姚魁武
XU Siyu;ZHOU Simin;LIN Jianguo;CAO Lei;ZHANG Haiyu;YAO Kuiwu(Beijing University of Chinese Medicine,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Ophthalmology Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)
出处
《中医药导报》
2024年第9期102-106,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
中国中医科学院科技创新工程(CI2021A00906)
北京市自然科学基金资助项目(7232324)。
关键词
临界性高血压
正常高值血压
高血压前期
代谢紊乱
痰湿
中医药
borderline hypertension
normal high blood pressure
prehypertension
metabolic disorders
phlegm dampness
traditional Chinese medicine
