基于“肺朝百脉”理论探析高血压病发病机制及辨证论治

作者	单位
马丹，李思铭，高铸烨，徐浩	中国中医科学院西苑医院，国家中医心血管病临床医学研究中心（北京 100091）

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中文摘要:

高血压病是心血管疾病的危险因素，有效改善高血压及相关心血管损害是其防治任务的重点。中医药防治高血压病具有长期实践性，学者多倡导从肝论治或从血脉论治，然鲜少涉及肺。近年研究表明，肺在高血压病的发病机制中具有重要作用并可指导高血压病的辨证论治。基于“肺朝百脉”理论，笔者从中医学及现代医学的角度对高血压病的发病机制进行探讨，归纳高血压病从肺论治的中医防治原则，探讨新的辨证思路和治疗方法，为进一步提高临床疗效提供理论依据。

英文摘要:

Hypertension is a risk factor for cardiovascular disease，and effective improvement of hypertension and associated cardiovascular damage is the focus of its prevention and treatment tasks. Chinese medicine has a long history of practice in the prevention and treatment of hypertension，with scholars advocating treatment from the Gan or blood vessels，but rarely involving the Fei. Recent studies have shown that the Fei plays an important role in the pathogenesis of hypertension and can guide the diagnosis and treatment of hypertension. Based on the theory of "all vessels converging in Fei"，this paper discusses the pathogenesis of hypertension from the perspective of Chinese medicine and modern medicine，summarizes the principles of Chinese medicine in the treatment of hypertension from the perspective of the Fei，and discusses new identification ideas and treatment methods in order to provide theoretical basis for further improving clinical efficacy.

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