从气血水理论辨治高血压病及其并发症

The Diagnosis and Treatment of Hypertension and Its Complications Based on the Theory of Qi, Blood and Fluids

摘要: 高血压病是以体循环动脉压升高为主要临床表现的疾病，常常并发冠心病、心力衰竭等等。气血水理论最早可追溯到《黄帝内经》，《金匮要略》亦有提及。气、血、水三者，内部环环相扣，息息相关，也是构成人体的基本物质，维持身体功能活动。本文基于气血水理论辨治高血压病及其并发症，根据症状，将高血压初期分为气虚、气盛；高血压中期合并冠心病辨为气虚血瘀；高血压后期合并心力衰竭辨为气虚水泛，并选择针对的方药，希望能提供一些新的辩证处方经验。

Abstract: Hypertension is a disease characterized by elevated arterial pressure in the systemic circulation, often accompanied by complications such as coronary heart disease and heart failure. The theory of qi, blood and fluid can be traced back to the “Huangdi Neijing”, and is also mentioned in the “Jinkui Yaolue”. Qi, blood and fluid are interrelated and interdependent, and they are the basic substances that constitute the human body and maintain its functional activities. This article discusses the diagnosis and treatment of hypertension and its complications based on the theory of qi, blood and fluid. According to the symptoms, the early stage of hypertension is classified as qi deficiency and qi excess; the middle stage of hypertension combined with coronary heart disease is diagnosed as qi deficiency blood stasis; the late stage of hypertension combined with heart failure is diagnosed as qi deficiency water overflow. Corresponding prescriptions are selected, hoping to provide some new experience in dialectical prescriptions.