刮痧治疗原发性高血压的临床观察-(4906)

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1、万方数据中国中医科学院二。一一级硕士研究生学位论文ABsTRACT1．BackgroundandObjectiveAsacoi／lmonmultifactorialchronicdiseaseinclinic，hypertensionisasyndromewhichismainlycharacterizedbyraisedbloodpressure；itisthemajorriskfactorforcardio—cerebralvasculardiseases．Itisclassifiedashea

2、dacheordizzinessbytraditionalChinesemedicine(TCM)．Stagnationofphlegmandstasis，poisondamagingheartmeridianareconsideredasitsessentialpathogenesis．Withtheagingtendencyofpopulationandincreasingofsocialpressure，theincidenceofhypertensionisgraduallyincreasi

3、ng，whileitstreatmentandcontrolissignificantlyunsatisfactory．Therefore，ithasaveryimportantpracticalsignificanceinthishypertensionstudy．Inrecentyears，theexternaltherapiesofTCMhavemadesomeprogressinauxiliarytreatmentofloweringbloodpressure，especiallyGuash

4、a(scrapingtherapy)。ItiswidelyacceptedamongChinesepeopleowingtoitssimple，convenience，lowpriceandeffectivenessaswellasitcanbecertainlyhandledbypatientsthemselves．Clinically,ithaseffectofopeningstriaeandinterstitialspace，activatingblood，smoothingmeridiana

5、nddispersingpathogenictoxic，whichhasquitegoodeffectinadjustingchronicdiseases．However,thereisstillagapinliteratureregardingonitsantihypertensiveefficacySOfar．Therefore，basedonaprospectivecohortstudydesign，theantihy’pertensiveeffectsofGuashawereobserved

6、inthisstudytoprovidereferencesforotherRCTwithlargersampleinthefurther．2．MethodsNinety—onepatientsofessentialhypertension(EH)whomettheinclusioncriteriafromJuly2013toMarch2014inAcupunctureandMoxibustionHospitalandTCMOutpatientDepartmentofChinaAcademyofCh

7、ineseMedicalScienceswereincluded．Guashatherapywasappliedoncetoservetheimmediateantihypertensiveeffect．Ofthem，thirty—fivepatientswerevoluntarytoreceiveonesessiontreatmentofGuasha，twiceperweek，eighttimesasasessionandthelong-timeantihypertensiveeffectwere

8、observed．Heavyreducingmanipulationwasappliedinpatientswithtypeofexcessofliverfireandstagnationofphlegm—dampnesswhilesoftreinforcingmethodwasappliedinpatients而t}l够peofyindeficiencyandyangexcessaswellasdeficiencyofyinandyang．Eachmeridianw