中医治疗原发性高血压伴焦虑状态的研究进展

Research Progress on Traditional Chinese Medicine Treatment for Essential Hypertension with Anxiety State

摘要: 原发性高血压伴焦虑状态是一种常见的心身疾病，西医认为其发病机制主要与神经系统等多方面有关，中医将其归属于“眩晕”“头痛”“郁证”“不寐”等范畴，认为其病机与肝郁化火、痰湿内阻、气血失调等密切相关，临床主要分为肝火亢盛、阴虚阳亢、痰湿壅盛、阴阳两虚等证型。近年来，中医药在治疗该病方面应用广泛，具有多靶点、整体调节的特点，既可以通过中药汤剂和中成药疏肝理气、调和气血，也有众多特色非药物疗法，如针刺、循经刮痧、耳穴压豆、五行音乐疗法、传统养生功法等，调节经络、平衡阴阳，有效改善患者血压水平及焦虑症状。

Abstract: Essential hypertension accompanied by anxiety state is a common psychosomatic disorder. Western medicine attributes its pathogenesis to multiple factors, particularly involving the nervous system. From the perspective of traditional Chinese medicine (TCM), it is categorized under “vertigo” “headache” “depression” and “insomnia” with its pathological mechanism closely related to liver stagnation transforming into fire, phlegm-dampness internal obstruction, and imbalance of qi and blood. Clinically, it is mainly classified into syndromes such as hyperactivity of liver fire, yin deficiency leading to yang hyperactivity, phlegm-dampness congestion, and deficiency of both yin and yang. In recent years, TCM has been widely applied in the treatment of this condition, characterized by multi-target and holistic regulation. It can not only use herbal decoctions and Chinese patent medicine to soothe the liver and regulate qi, harmonize qi and blood, but also employ various distinctive non-pharmacological therapies, such as acupuncture, meridian scraping, auricular acupressure, five-element music therapy, and traditional health-preserving exercises, to regulate meridians, balance yin and yang, and effectively improve patients’ blood pressure level and anxiety symptoms.