Hypertension has become a common disease in modern society, and more and more young people have joined the army of hypertensive patients due to work pressure and living habits. There are many prescriptions and medicines in traditional Chinese medicine that are used to treat hypertension. Let’s learn them together today.
Types of hypertension treated with classical prescriptions: ① Those who use antihypertensive drugs have no obvious effect or have greater side effects; ② Those who have complications; ③ Those who are afraid of antihypertensive drugs, have high psychological pressure, and have obvious symptoms .
Advantages of classical prescription for treating hypertension: ① Improve symptoms and control blood pressure; ② Improve the physical fitness of patients with hypertension, prevent complications, and control the development of the disease.
share with you a medical case. This patient came to the clinic in September last year. There are many symptoms, and in her own words, there is no good place in her body. Not old, only 42 years old. I have visited many places and have been taking Western medicine, but my blood pressure remains high. It has been learned that the patient has difficulty falling asleep at night. It has been more than two years since he fell asleep. He will wake up at two o'clock in the middle of the night, and it will be difficult to fall asleep after waking up. Palpitations, often dizzy head and eyes, irritable heart, bitter mouth, dry throat . The pulse is floating, stringy, smooth and erect, the right ruler is floating and smooth, the tongue is fat and big, the tip of the tongue is flat, full of cracks, obvious tooth marks, the middle and back of the tongue are sunken, and the tongue coating is thin, white and greasy.
After preliminary consultation, it was found that the patient had the following two points: 1. Insufficient true yang, loss of mind ; 2. Heat at the top and cold at the bottom, spleen and kidney yang deficiency and liver yin deficiency .
Indications: nourishes the kidney and strengthens the spleen, clears the upper and warms the lower, leads fire to return to the original body, and communicates the heart and kidney . Then add Si Ni Tang and Longgu Oyster Hejiaotai Pills to add .
composition: baptized aconite, dried ginger, roasted licorice, raw dragon bone, raw oyster, Lingmao, Coptis chinensis, cinnamon, Poria cocos, Alisma, raw ginseng, and cypress, decocted in water and taken.
After a period of time, the patient reported that his hands and feet were warmer than before. All symptoms were reduced. I can also fall asleep peacefully at night, and I will not wake up in the middle of the night, my temperament has changed drastically, and I will not get angry much. The fullness in the heart disappears and the stool takes shape, once a day. Very smooth. The frequency of urination has improved significantly, and you can get up at most once at night. pulse is stringy and smooth, the leiogram is no longer obvious, the cracks on the tongue surface have basically disappeared, the tongue coating is thin and white, the tongue edge is smooth, and the teeth marks are significantly improved. The blood pressure is stable at around 120/80mmH, and the patient is very happy. If the effect is not improved, add or subtract slightly, so that the patient can be treated for a period of time to consolidate .
Treatment ideas: asked the patient about his living habits at that time. The patient has a relatively anxious temper and likes to get angry. Have the habit of staying up late for a long time. I don’t pay attention to my daily diet and like to eat cold and spicy food. Traditional Chinese medicine says that all diseases are caused by Qi . People who are more anxious and prone to getting angry. You will use liver qi frequently. Anger will damage the liver, which will reverse the liver and cause liver qi to become inflamed. The liver fire will consume qi and damage blood, and the liver yin will be insufficient . Staying up late often will keep burning your vitality. Excessive consumption of vital energy, insufficient kidney yang, fire does not produce earth, and insufficient spleen yang. Over time, spleen and kidney yang deficiency. If the liver fire is inflamed, the gallbladder energy will not drop and the gallbladder essence will overflow, so the mouth is bitter and the throat is dry.
liver fire and heart fire disturbs the mind, and the liver yin is insufficient, the kidney yin is insufficient over time, and the heart fire is difficult to move downward and intersect with kidney water. The heart and kidney do not intersect, so it is difficult to fall asleep at night. The gallbladder heat invades the stomach, the spleen deficiency is not effective in transportation and transformation, phlegm and dampness are generated internally, and phlegm and heat are stuck in the heart, so the heart is full and there is tenderness. There is gallbladder heat in the stomach. Eating spicy food will aggravate the fire in the liver and gallbladder, and force the large intestine downward and cause diarrhea .
Eat raw and cold foods because the spleen yang is originally weak and cold attacks the yin position, causing the spleen to sink and be effective. If gallbladder heat is stagnant in the stomach, it will damage the stomach yin after a long time. If the stomach yin is insufficient, the tongue surface will be covered with cracks. Therefore, Si Ni Decoction is used to warm and nourish the spleen and kidneys, Jiaotai Pills make the heart and kidneys intersect, Xiaoxianxiong Decoction removes the phlegm and heat in the heart, and Wuling San promotes diuresis and dampness, and promotes the body's qi transformation. From this we can see how important the precise diagnosis of traditional Chinese medicine is. Only when the syndrome differentiation is accurate can the medication be used accurately, and it is reasonable to achieve satisfactory results.
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