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以血浊理论为指导,针灸治疗高血压病思路探讨
贾红玲1, 金妍2, 张永臣3, 王新陆3
1.山东中医药大学第二附属医院, 济南 250001;2.山东中医药大学附属医院, 济南 250014;3.山东中医药大学, 济南 250355
摘要:
高血压病病位在脑,但和心、肝、脾、胃、肺、肾及目、耳等脏腑、器官的功能相关。血浊蒙蔽脑窍、髓海失养、经络痹阻是其病机。治疗上拟定益气健脾、理血化浊治本和镇静止眩、通络止痛治标的治法,运用近部选穴、远部选穴相结合的选穴原则,采取即刻降压、巩固疗效和自我按摩3个步骤,施治以针刺、刺血、拔罐和按摩4种治疗方法。方案在即刻降压,改善眩晕、头痛、头昏脑胀等症状和远期疗效方面均有一定的优势,并能提高患者的生活质量。
关键词:  血浊  高血压病    髓海  针灸疗法
DOI:10.11656/j.issn.1672-1519.2020.04.09
分类号:
基金项目:王新陆全国名中医传承工作室项目(鲁财社指[2018]52号);山东省中医药科技发展计划项目(2019-0015)。
Idea of treatment of hypertension by acupuncture and moxibustion,under the guidance of blood turbidity theory
JIA Hongling1, JIN Yan2, ZHANG Yongchen3, WANG Xinlu3
1.The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China;2.The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China;3.Shandong University of Traditional Chinese Medicine, Jinan 250355, China
Abstract:
The location of hypertension is in the brain,but the disease is also related to the function of heart,liver,spleen,stomach,lung,kidney,eyes,ears and other viscera and organs. Its pathogenesis includes blood turbidity clouding brain orifice,marrow-sea losing nutrient and meridian and collateral obstruction. For the treatment,the root causes of the disease should be treated with methods of strengthening the spleen to invigorate qi and regulating blood circulation to remove turbidity,while the symptoms of the disease should be treated with methods of tranquilizing mind and stopping dizziness,freeing the collateral vessels and relieving pain,following the principle of adjacent points selection combined with distant points selection. In detail,the treatment takes three steps,including immediate depressurization,consolidation of curative efficacy and self-massage,with acupuncture,pricking bloodletting,cupping and massage as the methods. This therapeutic schedule has certain advantages in immediate depressurization,relief of dizziness,headache,brain swelling and other symptoms and long-term curative efficacy. It also can improve the life quality of the patients.
Key words:  blood turbidity  hypertension  brain  marrow-sea  acupuncture and moxibustion
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