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Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

author:Mr. Zhang, a Chinese medicine practitioner

High blood pressure is actually a self-help of the body, and blindly lowering blood pressure is harmful and unprofitable! High blood pressure is the body sending a health warning to the human body, if we blindly lower blood pressure, it is equivalent to ignoring this early warning, thinking about it is extremely scary!

Traditional Chinese medicine believes that high blood pressure is not a disease, high blood pressure is a natural existence, our blood pressure is changing all the time, like the tide rises and falls, like the clouds in the sky, our blood pressure is different, morning, noon and night when we sleep, our blood pressure is different, young children, young people, and old people are also different, and our blood pressure is also very different when we sit still, exercise, hunger, and food.

Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

Why do people get high blood pressure? Why do so many people keep complaining that my blood pressure is well controlled, why does my head become more and more dizzy and my limbs feel numb? Why do I get cardiovascular and cerebrovascular diseases the more normal my blood pressure is controlled? Why is it that the more normal the blood pressure control, the more likely it is to have a stroke?

Nowadays, people have only one word for the treatment of high blood pressure, and that is "down". Some patients are effective at the beginning, but then they can't go down, so they take other antihypertensive drugs at the same time, and even some take several together, so we often see that some patients with high blood pressure take antihypertensive drugs in batches. Isn't this a great torture for the patient's body and mind!

As the saying goes, "the cure requires the root", and this "root" is not the disease itself, not what disease to be cured, but refers to the root cause of the disease, the root cause is found, and the method of drawing money from the bottom of the kettle is taken from the source of the disease to cure it.

Traditional Chinese medicine believes that hypertension is a self-help, a self-protection mechanism of the body, and the body accelerates the formation of qi, blood and fluid through pressure to meet all the needs of life activities.

Therefore, high blood pressure should never be treated by taking antihypertensive drugs.

Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

Traditional Chinese medicine believes that hypertension is located in the heart, liver and kidneys, and its pathogenesis is mostly hyperactivity of liver yang and inflammation of liver fire. But in fact, whether it is a hypertensive patient or other patients, the disease is nothing more than the symptoms of the six meridians, based on the syndrome differentiation of the six meridians in clinical practice, the treatment is not simply to reduce blood pressure as the goal, but to improve the overall state as the basic goal, flexible use of the prescription, the clinical effect is excellent.

The following is a brief analysis of the pathogenesis and representative prescriptions of hypertension from the dialectical scope of the Six Classics:

1. Sun disease: Published the method of dispersing evil and relieving pressure

After sun disease, headache, even to the neck, dizziness, poor urination, edema, cough due to shortness of breath, white and slippery tongue, slow or floating pulse are the key points of syndrome differentiation.

If the yang qi is insufficient, the bladder vaporization is unfavorable, the water fluid is lost, or the water is overflowing, flowing throughout the body causing edema, or it is reversed, then spitting and dizziness, and urination is not good. Phlegm and drinking water stop when wet, and blood pressure rises due to poor blood flow, resulting in dizziness. The treatment is to warm yang and reduce blood pressure, and the prescription is Wuling San, Zhenwu Tang, Lingguishu Gantang and other prescriptions.

In modern pharmacological studies, cinnamon dilates blood vessels, improves circulation, and enhances renal blood flow; Atractylodes atractylodes and Ze Epsom also have the effect of reducing triacylglycerol in the blood and anti-atherosclerosis. Poria cocos, Zhu Ling, Ze Yuan, and Atractylodes macrocephalus all have different degrees of diuretic effect and reduce blood volume; The combination of five medicines can turn qi and water into water, and effectively treat hypertension]. At the same time, the prescription uses Poria cocos, Atractylodes macrocephalus, and cinnamon branches to strengthen the spleen and warm yang, and at the same time, according to the characteristics of water stopping the bladder, urination is unfavorable, and water has no way to go.

2. Yang Ming disease: beneficial to the lungs and attack evil and lower blood pressure.

Before Yang Ming disease, forehead headache and brow bone, accompanied by abdominal distension and stool blockage, even stroke hemiplegia, manic coma, yellow tongue, and slippery pulse are the key points of syndrome differentiation.

Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

Yangming's intestines are hot and dry, dry feces are knotted in the intestines, the intestines are blocked, the organs are dysfunctional due to turbidity and evil fumigation and Qingyang, the middle coke and qi organs are disordered, the phlegm and heat are intertwined, and the stool is dry and constipated; The qi of the intestines is blocked, the turbidity and evil are committed, and the blinding of the clear mind can be seen as a coma. The treatment is to cleanse the stomach and intestines, regulate qi and lower blood pressure, and use the three Chengqi soup prescriptions.

Dachengqi decoction is often used to treat the acute phase of hypertensive cerebral hemorrhage, dispel its gastrointestinal stagnation, make the evil heat have nothing to rely on, and play the role of drawing wages from the bottom of the kettle and storing yin in a hurry.

According to modern pharmacological research, Dachengqi decoction preparation has the effect of significantly reducing intracranial hypertension, and has obvious protective effect on important organs such as brain, lungs, liver, kidneys, and pancreas.

Rabbit experiments with a model of intracranial hypertension caused by acute intracerebral hematoma showed that Dachengqi mixture had a slower effect on reducing intracranial pressure than mannitol, but the reduction amplitude and duration of action were better than mannitol.

Zhang Xichun's invention of ginseng ochre zhengan decoction, ginseng ochre peiqi decoction and other prescriptions to lower stomach qi also have a good therapeutic effect on the treatment of this type of hypertension.

3. Shaoyang disease: soothing the liver, regulating qi and decompressing the method.

Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

Shaoyang disease is characterized by lateral headache, obvious mood fluctuations, bitter mouth and dry throat, dizziness and redness, insomnia and upset, chest and flank depression, and moss yellow pulse strings as the key points of syndrome differentiation.

Shaoyang's liver and gallbladder meridian qi is unfavorable, depressed and turns into fire or gallbladder loses glory, and phlegm and heat disturb for hypertension. The treatment is to regulate and treat Shaoyang, soothe the liver and lower blood pressure, and use Xiao Chai Hu Tang, Si Zhi San and other prescriptions.

Bupleurum is the main henchman with qi in the stomach and intestines, the accumulation of food and drink, cold and heat, and the evil qi, pushing through the old to the new. Skullcap bitter cold, clear the heat of Shaoyang, the two medicines are compatible, so that the evil heat reaches from the outside.

Blind lowering of hypertension and ignoring the etiology and pathogenesis (2)

A large number of studies have been conducted on Xiao Chai Hu Tang, which has confirmed that Xiao Chai Hu Tang regulates the blood coagulation fibrinolytic system and inhibits the aggregation of platelets through: a; b. Promote cholesterol metabolism in the body, increase high-density lipoprotein, and improve hyperlipidemia; c. Maintain the elasticity of the blood vessel wall, inhibit the infiltration of fat into the blood vessel wall, and inhibit the foaming of macrophages to improve arteriosclerosis and reduce blood pressure.

A number of clinical experiments have shown that the use of Xiao Chai Hu Tang combined with Western medicine in the treatment of essential hypertension can significantly improve the cerebral blood flow indicators in the treatment group compared with before treatment, Xiao Chai Hu Tang can significantly improve the symptoms of vertigo in patients with essential hypertension, increase cerebral blood flow, significantly reduce the frequency of vertigo attacks, and have no adverse reactions.

If accompanied by insomnia and other neuropsychiatric symptoms, you can use chaihu plus keel oyster soup, if accompanied by dry stools and other yang Ming scriptures, you can use Dachaihu soup.