1. 河南中医学院
2. 河南省开封地区人民医院
3. 河南中医学院河南省开封地区人民医院
纸质出版:1980
移动端阅览
[1]李震生,孙国强,王汝琨,刘福安,王兰芳,马丽.高血压病中医辨证分型的病理生理基础初步探讨[J].中医杂志,1980(05):26-30.
The Pathophysiological Basis of Differential Diagnosis and Typing of Hypertension Based on TCM[J]. Journal of Traditional Chinese Medicine1980, (5): 26-30.
[1]李震生,孙国强,王汝琨,刘福安,王兰芳,马丽.高血压病中医辨证分型的病理生理基础初步探讨[J].中医杂志,1980(05):26-30. DOI: 10.13288/j.11-2166/r.1980.05.009.
The Pathophysiological Basis of Differential Diagnosis and Typing of Hypertension Based on TCM[J]. Journal of Traditional Chinese Medicine1980, (5): 26-30. DOI: 10.13288/j.11-2166/r.1980.05.009.
<正>20关于高血压病中医辨证分型已有过不少报道
有人将分型原则归纳为以阴阳虚实为纲分型、结合八纲理论与脏腑经络学说分型以及按照中医对“中风”的病因学说分型三种
但各种分型方法均有其优点和不足之处。近年来
许多学者对祖国医学阴阳学说的本质以及辨证分型的病理生理基础开展了日益深入的研究。我们认为探讨高血压病的辨证分型
不仅有助于指导临床实践
也为进一步揭示本病的本质创造了有利条件。
1.A total of 40 patients with essentialhypertension was divided into two clinicaltypes(each was subdivided into two groups)according to the principle of differen-tiating symptoms and signs based on tradi-tional Chinese medicine.In all the patients
24 hours urinary V.M.A.and 17 OHCS andblood lipid were measured.In 36 out of 40patients the microcirculation in nail-foldcapillaries was observed.2.Although mean V.M.A.and 17OHCSdid not appear to be abnormal when thepopulation of essential hypertension was con-sidered as a whole
several noteworthy fin-dings were apparent when comparisons weremade among the above mentioned clinicaltypes.Mean V.M.A and mean 17 OHCS inthe group of Yinxu-Yangkang(insufficiencyof vital essence and exuberance of vital func-tion)were significantly higher than that ofthe Yinxu-Yangxu(insufficient both in vitalenergy and vital function)
and it is interes-ring to see that in the two subgroups
theone with predominant exuberance of Yang
the other with predominant insufficiencyof Yang
the mean V.M.A.and mean 17 OHCSin the former were obviously higher thanthat of the latter.This results suggest that theclassification according to the principle oftraditional Chinese medicine coincide with themordern pathophysiological findings and thatthe sympatho-adrenergic system activity andhypothalamic-pituitary-adrenal axis activityare greater in Yinxu-Yangkang than Yinxu-Yangxu.These findings support the view thathyperactivity of the sympathetic nervous sys-tem plays an important role in the develop-ment of essential hypertension in some pati-ents and that its contribution may differ atdifferent stages of the disease.3.The incidence of the twisting of thecapillary loops in 11 patients with symptomsof“Blood Stasis”was higher than that of thecontrolled group
while the blood velocity ofthe former was slow than that of the latter.
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