LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"

JIN Zhihui; JIANG Yanjie; LI Wenshan; ZHU Xiaoyu; LU Yan

doi:10.13288/j.11-2166/r.2026.09.004

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LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"

更新时间：2026-05-08

- LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"
- Journal of Traditional Chinese Medicine Vol. 67, Issue 9, Pages: 941-945(2026)
- 作者机构：
  
  1.南京中医药大学附属南京中医院，江苏省南京市秦淮区大明路157号，210022
  2.南京中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.09.004
  CLC：
- Received：30 October 2025，
  
  Revised：2026-04-12，
  
  Accepted：28 February 2026，
  
  Published：02 May 2026
- 稿件说明：
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金智慧,蒋焱杰,李文杉等.李果烈从“升清降浊”辨治直立性低血压经验[J].中医杂志,2026,67(09):941-945.

JIN Zhihui,JIANG Yanjie,LI Wenshan,et al.LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"[J].Journal of Traditional Chinese Medicine,2026,67(09):941-945.
金智慧,蒋焱杰,李文杉等.李果烈从“升清降浊”辨治直立性低血压经验[J].中医杂志,2026,67(09):941-945. DOI： 10.13288/j.11-2166/r.2026.09.004.

JIN Zhihui,JIANG Yanjie,LI Wenshan,et al.LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"[J].Journal of Traditional Chinese Medicine,2026,67(09):941-945. DOI： 10.13288/j.11-2166/r.2026.09.004.

摘要

总结李果烈教授从“升清降浊”辨治直立性低血压（OH）的临床经验。认为直立性低血压的核心病机在于从卧位到直立的体位变动过程中，机体因中焦运化失调、枢机不利，导致清阳不升，浊阴不降。治疗以升清降浊为总则，临证强调辨明主次，清阳不升为主者，以自拟李氏升清降浊汤加减益气升清，健运中焦；浊阴不降为主者，以自拟五香清浊饮加减化痰祛瘀，和中降浊。

Abstract

This paper summarizes professor LI Guolie's clinical experience in treating orthostatic hypotension （OH） based on the theory of "raising the clear and directing the turbid downward". It is considered that the core pathogenesis of OH lies in the body's transition from a supine to an upright position， during which dysfunction of the middle

jiao

（焦） transformation and transportation， along with impaired pivot function， hind

ers the ascending of clear

yang

and the descending of turbid

yin

. Treatment should follow the general principle of "ascending the clear and directing the turbid downward"， placing emphasis on distinguishing the primary and secondary aspects. For cases where the clear

yang

fails to ascend， the self-formulated

Li's Shengqing Jiangzhuo Decoction

（李氏升清降浊汤）is used to supplement

， raise the clear， and strengthen the middle

jiao

. For cases where the turbid

yin

fails to descend， the self-formulated

Wuxiang Qingzhuo Beverage

（五香清浊饮）with modifications is applied to resolve phlegm， eliminate stasis， harmonize the middle， and descend the turbid.

关键词

Keywords

references

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Related Institution

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