作者：王佟，罗云鹏，贾君迪，徐浩

单位：

1.北京中医药大学2.中国中医科学院西苑医院心血管科3.中国中医科学院西苑医院内分泌科

Units：

1.Beijing University of Chinese Medicine, Beijing 100029, China 2.Department of Cardiology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China 3.Department of Endocrinology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China

关键词：

高血压; 血不利则为水; 理论探讨;

Keywords：

　Hypertension; Unsmooth blood circulation results in water retention; Theory discussion

CLC：

R 743

DOI：

10.12114/j.issn.1008-5971.2023.00.053

Funds：

国家中医药管理局2020年中医药古籍文献和特色技术传承专项项目（GZY-KJS-2020-074）

摘要：

《金匮要略》提出“血不利则为水”理论，“血不利”是血液运行不畅的病理状态，多指血瘀；“水”即痰湿水饮等病理产物，是病理性津液。“血不利”及“水不利”贯穿高血压始终，而肝脾是重要脏腑。高血压初期以痰湿为主，治当化痰不忘祛瘀；中期痰瘀并重，治当活血化痰以通利血脉；后期虚实夹杂，以虚为主，治当益气养血，活血和络以和血脉。本文立足于“血不利则为水”理论分期辨治高血压，为中医辨治高血压提供了新的思路。

Abstract：

　The theory of "unsmooth blood circulation results in water retention" is put forward by Synopsis of Golden Chamber. "Unsmooth blood circulation" a pathological state of poor blood circulation, mainly refers to blood stasis. "Water retention" , the pathological products such as phlegm-dampness and retained fluid, refers to pathological body fluid. "Unsmooth blood circulation" and "water retention" run through hypertension, and the liver and spleen are important viscera. In the early stage of hypertension, phlegm-removing is a pathological manifestation, and removing blood stasis should be simultaneously emphasized during the treatment of resolving phlegm. In the middle stage, the principle of treatment is to promote blood circulation and remove phlegm so as to smooth the blood vessels. Patients mainly occur intermingled phlegm and blood stasis in the later period of disease, mainly manifesting as deficiency. Therefore, the principle of treatment is to replenish qi and activate blood as well as promote blood circulation and collaterals in order to smooth blood vessels. This article discussed the evolution of the pathogenesis of hypertension based on the "unsmooth blood circulation results in water retention" theory, and explored new ideas for the treatment of hypertension in traditional Chinese medicine.

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