4. Taiyin disease: warm spleen and stomach and pressure method. Taiyin disease is characterized by dizziness, fatigue, lack of breath and lazy speech, abdominal distension and poor appetite, loose stools, pale or pale face, pale tongue, fat tongue with tooth marks, and weak pulse.
Medium coke deficiency and cold, spleen and stomach qi deficiency, qi deficiency then clear yang does not rise, turbid yin is empty, clear the body is blinded, the head is the meeting of all yangs, clear yang does not rise, dizziness, dizziness, headache, dazzling, vision rotation. To ascend and clear and reduce turbidity, the spleen and stomach must be the hub. Zhongzhou deficiency is clear yang subtlety can not be nourished and cleared, turbidity yin is dizzy, treatment to replenish the qi, temperature to lower blood pressure, the use of tonic qi soup.
Astragalus has obvious diuretic effect, and its decoction has the effect of strengthening the heart, slowing down the heart rate and increasing cardiac output, and has the effect of directly dilating blood vessels and lowering blood pressure.
Codonopsis has the effect of lowering blood pressure, and according to preliminary analysis, it is considered to be distal; and has certain anti-adrenergic effects. Atractylodes macrocephalus can significantly promote the excretion of electrolytes, especially sodium, and promote the excretion of water in the human body, thus having the effect of regulating blood pressure. Angelica decoction has a two-way regulatory effect of excitation and inhibition on the heart, and a two-way regulatory effect on blood pressure that first decreases and then rises. Most of the drugs in Buzhong Yiqi decoction have a direct or indirect effect on blood pressure.
Of course, clinically, all high blood pressure caused by the weakness of Zhongqi and the reversal of lung qi and stomach qi, and many prescriptions in the spleen and stomach theory, such as Shengyang Yigao Tang and Zhang Xichun's Shengsheng Tang, can be added or subtracted, not just limited to the above limited prescriptions.
5. Shaoyin disease: Wenli latent yang suppression method
(1) Less shade and cold. Headache or dizziness, chest pain, chills, sleepiness, fine pulse, fat or dull tongue, pale and slippery tongue, and even cold limbs, cold sweat, fatigue, palpitations and coma are the key points of syndrome differentiation.
Less yin and yang qi declines, yin and cold are abundant, yang is more than void and yin is cold, yin is cold and yang is weak, limbs are not yang and warm, yin is shenggeyang, and yin and yang are separated. The more the deficiency and yang are outside, the blood pressure increases, and even the shock coma. Clinically, the treatment principle is to return to the yang to save the adversity, and the warm yang to lower blood pressure is the treatment principle, and the four inverse decoction is thrown in an emergency.
Studies have confirmed that Siyi decoction can dilate blood vessels and inhibit the growth of vascular smooth muscle cells and cardiomyocytes. In modern pharmacological studies, the intravenous injection of aconite injection reduces the vascular resistance of anesthetized dogs, and has a significant effect of vasodilation. Raw aconite has a transient antihypertensive effect, and the main ingredient for lowering blood pressure is racemic norugine. Paeonia alba extract paeoniflorin also has a dilating effect on coronary blood vessels and causes a drop in blood pressure.
(2) Less yin and heat Less yin and heat to headache, upset and insomnia, paleness, listlessness, dry mouth and throat, hot hands and feet, tinnitus, red and dizzy, short and yellow urine, erosion of the mouth and tongue, thorns on the edges, red or dark red tongue, thin yellow cracks, and thin pulses are the key points of syndrome differentiation.
The evil heat penetrates deep into the Shaoyin, the kidney yin is lost, and the heart fire is hyperactive, resulting in the heart and kidney not communicating, the water and fire are not good, and the hyperactivity is uncontrollable, so there is upset and sleeplessness. Yang water is insufficient, yin fire is more than enough, and yang cannot be submerged. Yang energy is not latent and yin fire is overpowering, and blood pressure is raised. In clinical practice, the treatment principle is to nourish blood and nourish yin, diarrhea and lower blood pressure, and Huanglian Ejiao decoction is selected.
In modern pharmacological research, skullcap contains baicalin to inhibit the blood vessel motility center, directly dilate blood vessels, stimulate vascular receptors and reflexively cause blood pressure to drop. Berberine contained in Coptis chinensis can reduce arterial blood pressure, especially diastolic blood pressure, widen pulse pressure, and the antihypertensive effect is positively correlated with dose, and its antihypertensive mechanism is to competitively block the receptors on smooth muscle, so that the peripheral vascular resistance decreases. Ejiao can dilate blood vessels, improve microcirculation disorders and stabilize blood pressure.
6. Yin and Yang Disease: Yin and Yang Intersection Flat Pressure Method
The main evidence of syncope is dizziness, headache at the peak, severe cold and pain, vomiting and sputum salivation, cold hands and feet, poor appetite, clear and long urine, loose stool, pale tongue, pale moss, and tight pulse.
The evil of turbidity and yin follows the liver meridian to clear the body, then dizziness and tinnitus; The Yin and Liver Meridians of the Foot and the Pulse will be at the top, and the cold and evil will be mixed with the turbidity of the Yin Qi and the stomach, and sometimes the meridians will be reversed, and the Qingyang will be disturbed, so the headache will occur repeatedly, and the pain will even reach the top. If the spleen is weak and cold, the spleen and yang are weak, then the cold and the limbs are cold; Cold condensation is scorched, the spleen is trapped by dampness, and the stomach is not affected by the valley, so it vomits immediately after eating, and spits saliva when it is eaten, and the tongue is light and white and greasy. The treatment is to warm the liver and warm the stomach, raise the clear and reduce the turbidity, and use the Wu Zhu soup.
Evodia warms the liver and stomach and lowers turbidity yin; With ginger, ginseng and jujube, it has the effect of warming the liver and reducing turbidity, and lowering blood pressure when turbidity is lowered. Modern pharmacological experimental studies have shown that Evodia decoction to dogs gavage or intravenous injection of distillate has a significant antihypertensive effect, can fight adrenaline, norepinephrine caused by the pressor reaction, the mechanism is related to excitatory β receptors, prostaglandin synthesis, histamine system, peripheral vasodilation, in terms of improving symptoms, Evodia decoction can raise the pain threshold, reduce pain sensitivity, and have a sedative effect on the brain to treat headache.
From the current clinical point of view, traditional Chinese medicine has made great progress in the treatment of hypertension, the efficacy is reliable, and it has the advantages of significantly improving clinical symptoms and adjusting the balance of yin and yang, but because hypertension is a risk factor and comorbidity of a variety of cardiovascular diseases, in the complex condition, the application of the typhoid six meridian syndrome differentiation system to the treatment of hypertension can improve the obvious TCM symptoms and lower blood pressure better.
Zhongjing's "Treatise on Typhoid Fever" believes that the etiology and pathogenesis of vertigo (hypertension) can be that the evil attacks the sun, and the yang qi is depressed and cannot be extended; or the evil depression and lack of yang, and the upper dry and empty holes; or there is dry feces in the intestines, and the turbidity qi rushes to the top; or the stomach is deficient in yang, and the clear yang does not rise; or the yin fluid has been exhausted, and the yang dies on the top; or the illness is protracted, which damages the yuan yang; or yin deficiency and fire, upset and dizziness, etc., which can be summarized as the cause of vertigo is mostly caused by feeling external evils or due to mistreatment. The overall pathogenesis is not external deficiency and reality, and Zhongshi's discussion of the pathogenesis of vertigo, wind, fire, phlegm, deficiency, external sense, and internal injuries are all involved, which basically covers the common factors that cause vertigo, and the understanding of the pathogenesis of vertigo, diagnosis and the use of prescriptions have played a good guiding role.
The symptoms of hypertensive patients correspond to the characteristics of the six meridians, and the six meridian syndrome differentiation system can be used to treat hypertension, so that the typhoid prescription can be well used in the treatment of hypertension, and give full play to the advantages of traditional Chinese medicine in hypertension.
Ke Qinyun: "The Six Classics of the original husband Zhongjing legislate for all diseases, not for typhoid fever, typhoid fever and miscellaneous diseases, and there is no other reason to treat them. ”