摘要
原发性高血压合并失眠的临床常见证型为肝阳上亢证、肝火上炎证、肝肾阴虚证、心肝血虚证、心肾不交证等,常用代表方剂分别为天麻钩藤饮、丹栀逍遥散、杞菊地黄丸、酸枣仁汤、黄连阿胶汤等。目前,西医治疗原发性高血压合并失眠难以改变其并发症多、药物依赖强等状况;中医药治疗原发性高血压合并失眠的研究大部分以经验总结为主,具有主观性,缺乏客观的实验研究。今后,应从组织细胞学、分子生物学等多角度、深层次地探讨中医药治疗原发性高血压合并失眠的作用机制,为中医药的临床运用提供理论依据。
The common clinical syndrome types of essential hypertension complicated with insomnia include syndrome of ascendant hyperactivity of liver yang,syndrome of up-flaming liver fire,liver-kidney yin deficiency syndrome,heart-liver blood deficiency syndrome,and heart-kidney non-interaction syndrome.The commonly used representative formulas are Gastrodia and Uncaria Decoction,Cortex Moutan and Fructus Gardeniae Free Wanderer Powder,Lycium Berry and Chrysanthemum and Rehmannia Pill,Sour Jujube Decoction,Coptis and Donkey-Hide Gelatin Decoction respectively.At present,the treatment of essential hypertension complicated with insomnia by Western medicine is difficult to change the situation of many complications and strong drug dependence.Most of the research on the treatment of essential hypertension with insomnia by TCM is based on experience summary,which is subjective and lack of objective experimental research.In the future,it is necessary to explore the mechanism of TCM in the treatment of essential hypertension complicated with insomnia from the perspectives of tissue cytology and molecular biology,so as to provide a theoretical basis for the clinical application of TCM.
作者
黄富军
贺彩
HUANG Fu-jun;HE Cai(Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,Guangxi,China,530001)
出处
《河南中医》
2022年第6期968-972,共5页
Henan Traditional Chinese Medicine
基金
广西壮族自治区中医药管理局2021年自筹经费科研课题项目(20210674)。
关键词
原发性高血压
失眠
肝阳上亢证
肝火上扰证
肝肾阴虚证
心肝血虚证
心肾不交证
essential hypertension
insomnia
syndrome of ascendant hyperactivity of liver yang
syndrome of up-flaming liver fire
liver-kidney yin deficiency syndrome
heart-liver blood deficiency syndrome
heart-kidney non-interaction syndrome
作者简介
黄富军(1970-),男,广西玉林人,医学学士,副主任医师。
