辨证治疗原发性高血压70例临床观察.pdf

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1、实用中医内ON-杂志Jan．2014·74·J0URNALOFPRACTICALTRADITIONALCHINESElNTERNALMEDICINEvo1．28No．5辨证治疗原发性高血压7O例临床观察编号B20140308收稿2014．03．11李学军修回2014—03—26编辑何思慕(湖北省十堰市铁路医院内科，湖北十堰442716)摘要：[目的]观察辨证治疗原发性高血压疗效。[方法]对70例住院患者辨证治疗。肝阳上亢，平肝潜阳汤(茵陈、泽泻、菊花、黄芩、天麻各12g，山栀、柴胡各10g，龙胆草、钩藤、决明子、生地各30g，车前子24g，木通9g)；痰湿壅阻，利尿渗湿汤(生山楂

2、、车前子各30g，猪苓12g，茯苓20g，丹参30g，川~-15g，菖蒲10g，南星9g，天麻12g，泽泻14g，白术24g，半夏9g，陈皮12g)；肝肾阴虚，滋补阴液汤(泽泻20g，白芍、天麻各12g，川牛膝、杜仲、桑寄生各15g，珍珠-~30g，枸杞子24g，丹皮、山萸肉各12g，山药24g，何首乌、生地各30g)；气虚血瘀，活血化瘀汤(当归、柴胡、红花、桃仁、枳壳各9g，川芎、川牛膝各15g，生地、磁石各20g，钩藤、菊花各24g，枣仁、丹参、黄芪各30g)；阴阳两虚，补阴还阳汤(五味子6g，石菖蒲9g，石斛、远志、泽泻各12g，茯苓14g，肉桂6g，熟附子、肉苁蓉各12g

3、，杜仲15g，巴戟&12g，萸肉20g，麦冬24g，熟地30g)；上方均1剂／d，水煎200mL，早晚口服。连续治疗15d为1疗程。观测临床症状、舒张压、不良反应。连续治疗3疗程，判定疗效。[结果]痊愈57例，显效6例，有效5例，无效2例，总有效率为97．14％。[结论]辨证治疗原发性高血压效果显著，值得推广。关键词：原发性高血压；平肝潜阳汤；利尿渗湿汤；滋补阴液汤；活血化瘀汤；补阴还阳汤；l临床观察中图分类号：R259现代医学内科疾病；R289．5验方与单方；R544．1高血压文献标识码：Adoi：10．13729~．issn．1671—7813．2014．05．41Clini

4、calObservationof70CasesofEssentialHypertensionDiferentialTreatmentLIXuejun(DepartmentofCardiologyHubeiRailwayHospitalofShiyanProvince，Shiyan442716，Hubei，China)Abstract：『Objective]DifferentialTreatmentofessentialhypertension．[Methods]70casesofhospitalize~1pati‘entsDifferentialTreatment．Hyperac

5、tivity．calmingliveryangsoup(Yinehen，Zexie，Juhua，Huangqin，Tianmaeach12g，Shanzhi，ChaihueachlOg，Longdancao，Gouteng，Juemingzi，Shengdieach30g，Cheqianzipackedonly24g，Mutong9g)；phlegmobstructresistance，diureticShenshisoup(Shengshanzha，Cheqianzipackedonlyeach3Og，Zhuling12g，Fuling2Og，Danshen30g，Chuanx

6、iong15g，ChangpulOg，Nanxing9g，Tianma12g，Zexie14g，Baizhu24g，Banxia9g，Chenpi12g)；liverandkidney，nourishingYinYeTang(Zexie20g，Baishao，Tianmaeach12g，Chuanniuxi，Duzhong，San~ishengeach15g，Zhenzhumu30g，Gouqizi2Og，Danpi．Shanyuroueach12g，Shanyao24g，Heshouwu，Shengdieach30g)；bloodstasis，huoxuehuayutang(D

7、angui，Caihu，HonghHa，Taoren，Jikeeach9g，Chuanxiong，Chuanniuxieach15g，Shengdi，Cishieach20g，Gouteng。Juhuaeach24g，Zaorenfried，Danshen，Huangqieach30g)；yinandyang，yinyangalsosoup(Wuweizi6g，Shiehangpu9g，Shihu，Yuanzhi，Zexieeach12g，Fulin14g，Rougui6g，Sh