摘要
历来认为黄芪为温补之药，对于高血压病属于慎用药，但李庆海主任医师在博采众长的基础上及长期的临床实践中，以辨证施治为前提，对难治性高血压证属气虚型者大胆的重用黄芪，特别是难治性高血压，根据“久病多虚”“久病多瘀”等理论，结合临床，发现很多患者兼有气虚表现如神疲、倦怠乏力、易汗出，以及舌质淡或淡暗，苔白或白腻，脉沉弱、沉细或沉细滑等，在坚持整体观念，辨证施治之同时，对兼有气虚表现的患者常加用黄芪。大剂量黄芪对气虚型高血压有明显的降压效果，一般起始剂量为40 g。根据病情及血压情况可加大剂量为50~70 g，甚至90~100 g。但观察患者的血压并未明显升高，反而得到了有效控制；并且血压多数为平稳下降，也未出现血压突降的情况。
Traditionally think of Huangqi（ Astragalus）is a warm medicine,not suit for hypertension,but Li Qinghai chief physician uses Huangqi（ Astragalus）in the treatment of resistant hypertension,especially for resistant hypertension,according to the experience of long term of clinical practice and theory such as〝virtual〝 long illness,〝blood stasis〝 long illness. Combined with clinical,Li Qinghai chief physician found that many patients with deficiency of performance such as wery,languid,easy to sweat out,tongue thin or light and dark,white or white greasy moss and pulse weak. On the whole idea,at the same time of evidence-based medicine,the patients with defi- ciency of performance is often combined with Huangqi Li Qinghai chief physician. Large dose of Huangqi（ Astragalus）on Qi deficiency type hypertension has obvious antihypertensive effect,generally starting dose of 40 g. According to the condition and blood pressure can increase dosage to 50-70 g,even useful to 90-100 g. But observation of the patientˊs blood pressure did not significantly increase with imagination,instead has been effectively controlled,and most for the steady decline in blood pressure,also does not appear blood pres- sure fell sharply.
出处
《中医学报》
CAS
2015年第2期213-215,共3页
Acta Chinese Medicine
基金
河南省科技攻关计划项目(2013ZY-01010)
关键词
难治性高血压
气虚证
黄芪
李庆海
refractory hypertension
Qi deficiency syndrome
astragalus
Li Qinghai
作者简介
吴冠信（1987-），男，河南汝阳人，硕士研究生，研究方向：中医药防治心血管病的研究。
通信作者：李庆海（1958-），男，主任医师，博士研究生导师。Email：lqh960918@sina．com
