Treating primary hypotension using the tonifying qi and ascending yang method based on the " yang transforming qi and yin shaping up body" theory

JIAO Xuhua; LI Yufeng; XIAO Min

doi:10.3969/j.issn.1006-2157.2024.11.014

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Treating primary hypotension using the tonifying qi and ascending yang method based on the " yang transforming qi and yin shaping up body" theory

Clinical Studies | 更新时间：2024-12-02

- Treating primary hypotension using the tonifying qi and ascending yang method based on the " yang transforming qi and yin shaping up body" theory
- Journal of Beijing University of Traditional Chinese Medicine Vol. 47, Issue 11, Pages: 1591-1596(2024)
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
  
  XIAO Min, Ph.D., Chief Physician. Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5, Haiyuncang Street, Dongcheng District, Beijing 100700.E-mail: 13910906849@163.com
- 基金信息：
  
  National Key R&D Program of China(2018YFC1704403)
- DOI：10.3969/j.issn.1006-2157.2024.11.014
  CLC： R256.2
- Received：29 July 2024，
  
  Published Online：10 October 2024，
  
  Published：30 November 2024
- 稿件说明：
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JIAO Xuhua, LI Yufeng, XIAO Min. Treating primary hypotension using the tonifying qi and ascending yang method based on the " yang transforming qi and yin shaping up body" theory[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(11): 1591-1596.
DOI：

JIAO Xuhua, LI Yufeng, XIAO Min. Treating primary hypotension using the tonifying qi and ascending yang method based on the " yang transforming qi and yin shaping up body" theory[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(11): 1591-1596. DOI： 10.3969/j.issn.1006-2157.2024.11.014.

摘要

原发性低血压具有起病隐匿、病情缠绵、病因复杂、症状多见等特点，其病位在血脉，病机以虚为主，病变涉及全身脏腑。“阳化气，阴成形”理论出自《黄帝内经》，总结了阴阳运动变化的基本规律。基于此，本文提出原发性低血压的基本病机在于阳化气不足、阴成形失常。其本质在于整体阳虚失其温化，气虚统摄无权，引发血行乏力、固护不周，进而导致阴成形失常，包括脏腑虚损、精微物质生成受阻及痰饮瘀血等有形病理产物的积聚留滞。临证应以益气升阳法为核心：补气，为血液运行提供动力；升阳，资化气之源；重视固护脏腑，改善阳虚阴盛的体内环境；祛除痰湿瘀滞等阴邪，畅通气血运行的通道。应用“阳化气，阴成形”理论指导原发性低血压治疗，有助于深入认识该病病机并拓宽临床诊疗思路。

Abstract

Primary hypotension is a common and frequently occurring blood vessel disease

characterized by insidious onset

lingering condition

complex etiology

and diverse symptoms. Its pathogenesis is primarily characterized by deficiency

and its onset involves multiple zang-fu organs. The " yang transforming qi and yin shaping up body" theory is derived from the

Huangdi Neijing

. This theory summarizes the fundamental laws of the movement and changes in yin and yang. From this perspective

the paper hypothesizes that the basic pathogenesis of primary hypotension stems from an insufficiency of yang in transforming qi and a malfunction of yin in shaping up body. The essence of the condition lies in an overall yang deficiency that fails to provide warmth and transformation

coupled with qi deficiency

which cannot control and regulate bodily functions. This leads to poor blood circulation and inadequate protection

causing yin to malfunction in forming the physical components of the body. As a result

normal physiological functions of the zang-fu organs are disrupted

the production of beneficial physiological substances is obstructed

and metabolic waste products accumu

late. The primary therapeutic approach should be focused on tonifying qi and ascending yang; tonifying qi will provide the impetus for blood circulation

whereas ascending yang will facilitate yang transformation qi. The zang-fu organs should also be protected and nourished to ameliorate the internal environment of yang deficiency and yin excess

as well as to eliminate pathological product accumulation to dredge the channels of blood circulation. Using the " yang transforming qi and yin shaping up the body" theory to guide the treatment of primary hypotension can help deepen the understanding of the pathogenesis of this disease and broaden the clinical diagnosis and treatment strategies.

关键词

Keywords

references

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