基于抑木培土理论探讨代谢性高血压的辨治思路

An Exploration into the Thoughts of Syndrome Differentiation and Treatment for Metabolic Hypertension Based on the Theory of Inhibiting Wood and Reinforcing Earth

摘要: 高血压是临床常见的心血管疾病，基于文献梳理与理论分析，本文提出肝脾功能失调是代谢性高血压发病的核心病机之一，主要表现为肝失疏泄、脾失健运，进而导致气机升降失常、痰湿瘀血内生。抑木培土理论强调疏肝与健脾并重，通过恢复气机升降、化痰祛瘀、调和气血，达到降压定眩的目的。本文从理论渊源、病机分析、病理生理相关机制、治法方药等方面进行系统阐述，以期为高血压的中医治疗提供新思路。

Abstract: Hypertension is a prevalent cardiovascular disease in clinical practice. Based on literature review and theoretical analysis, this paper proposes that dysfunction of the liver-spleen axis constitutes one of the core pathogeneses of metabolic hypertension, mainly manifested as liver failing to maintain free flow of qi and spleen failing in transportation and transformation, which further gives rise to disorder of qi ascent-descent as well as endogenous phlegm-dampness and blood stasis. The theory of restraining wood and reinforcing earth advocates simultaneous liver-soothing and spleen-invigorating therapy. It restores the ascending-descending movement of qi, resolves phlegm and eliminates blood stasis, and harmonizes qi-blood, so as to lower blood pressure and relieve vertigo. This article systematically elaborates on its theoretical origin, pathogenesis analysis, therapeutic principles and prescriptions, aiming to provide novel insights for the traditional Chinese medicine treatment of hypertension.