LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale <italic style="font-style: italic">Qi </italic>with the Orchid Method"

CAI Yongyuan; YAN Zhaoqi; WANG Qiuming; GENG Jinzhu; REN Tiantian; CHEN Jiamei; LIU Ruxiu

doi:10.13288/j.11-2166/r.2026.03.002

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LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale Qi with the Orchid Method"

更新时间：2026-02-04

- LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale Qi with the Orchid Method"
- Journal of Traditional Chinese Medicine Vol. 67, Issue 3, Pages: 234-240(2026)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.03.002
  CLC：
- Received：20 August 2025，
  
  Revised：2025-11-30，
  
  Published：02 February 2026
- 稿件说明：
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.刘志明基于“兰除陈气”辨治肥胖相关性高血压经验[J].中医杂志,2026,67(03):234-240.

CAI Yongyuan,YAN Zhaoqi,WANG Qiuming,et al.LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale Qi with the Orchid Method"[J].Journal of Traditional Chinese Medicine,2026,67(03):234-240.
.刘志明基于“兰除陈气”辨治肥胖相关性高血压经验[J].中医杂志,2026,67(03):234-240. DOI： 10.13288/j.11-2166/r.2026.03.002.

CAI Yongyuan,YAN Zhaoqi,WANG Qiuming,et al.LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale Qi with the Orchid Method"[J].Journal of Traditional Chinese Medicine,2026,67(03):234-240. DOI： 10.13288/j.11-2166/r.2026.03.002.

摘要

总结刘志明教授基于“兰除陈气”理论辨治肥胖相关性高血压的临证经验。认为陈气内积是肥胖相关性高血压的病机本质，水精不散、气浊始生、陈郁三焦为发病始动因素，痰湿壅遏、陈气搏结、蕴热炼津为进展关键步骤，营虚血浊、陈气化瘀、侵蚀脉络为加重主要环节。临证在“施以兰法”的治疗原则指导下，初期、恢复期分别用自拟流气运浊汤、自拟育精化陈汤，进展期用加味二陈汤合甘露饮，加重期用自拟推陈散瘀汤加减治疗。

Abstract

This paper summarizes Professor LIU Zhiming's clinical experience in the syndrome differentiation and treatment of obesity-related hypertension based on the theory of "eliminating stale

with the orchid method". It is proposed that the internal

accumulation of stale

constitutes the essential pathogenesis of obesity-related hypertension. The initial triggering factors include failure of water essence to disperse， the generation of turbid

， and stagnation of stale

in the

sanjiao

（三焦）. Key steps in disease progression involve obstruction by phlegm-dampness， the confluence of stale

， and the accumulation of heat that consumes body fluids， while aggravation is mainly characte-rized by deficiency of nutritive

， blood turbidity， transformation of stale

into blood stasis， and erosion of the vessels and collaterals. In clinical practice， under the therapeutic principle of "applying the orchid method"， a self-formulated

Liuqi Yunzhuo Decoction

（流气运浊汤） is used in the initial stage， a self-formulated

Yujing Huachen Decoction

（育精化陈汤） in the recovery stage， a modified

Erchen Decoction

（二陈汤） combined with

Ganlu Drink

（甘露饮） in the progressive stage， and a self-formulated

Tuichen Sanyu Decoction

（推陈散瘀汤）， with modifications， in the aggravated stage.

关键词

Keywords

references

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LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of "Eliminating Stale Qi with the Orchid Method"

DOI：10.13288/j.11-2166/r.2026.03.002

摘要

Abstract

关键词

Keywords

references