顾宁对盐敏感性高血压的中医诊治思路

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英文篇名：Gu Ning's Thoughts on Diagnosis and Treatment of Salt-sensitive Hypertension in Traditional Chinese Medicine 作者：白嘉玥 ; 顾宁 英文作者：BAI Jiayue;GU Ning;Nanjing University of Chinese Medicine;Affiliated Nanjing Hospital of Nanjing University of Chinese Medicine; 关键词：盐敏感性高血压 ; 中医药疗法 ; 辨治思路 ; 顾宁 英文关键词：salt-sensitive hypertension;;therapy of traditional Chinese medicine;;thoughts on diagnosis and treatment;;Gu Ning 中文刊名：CZXX 英文刊名：Journal of Changchun University of Chinese Medicine 机构：南京中医药大学;南京中医药大学附属南京中医院; 出版日期：2019-04-09 出版单位：长春中医药大学学报 年：2019 期：v.35 基金：第二批江苏省中医药领军人才培养项目(苏中医科教[2018]4号);; 顾宁南京市名中医药专家工作室建设项目(2017) 语种：中文; 页：CZXX201902003 页数：3 CN：02 ISSN：22-1375/R 分类号：13-15

摘要

顾宁教授认为,盐敏感性高血压的主要病因是过食咸味,病机关键以肾虚为本,标实有血瘀、血热、痰湿之异,病位主要在肾,与肝脾密切相关。结合其发病特点与临床特征,主张将高血压病辨证为肾精亏虚型、肝阳上亢型、瘀血阻络型及痰湿壅盛型进行论治。治疗原则以补肾为主、兼顾肝脾,以期标本兼顾。遣方用药时重视利尿中药的应用,取其利水渗湿、通利小便之功,根据个体情况随证加减,分平肝清热利水、活血利水、滋阴利水等。同时注重患者的饮食习惯调摄,指导患者合理饮食、控盐达标,有效防治盐敏感性高血压。
        Professor Gu Ning thinks that the main cause of salt-sensitive hypertension is overeating salty taste. The pathogenesis is deficiency in kidney, excess in blood stasis, heat, and dampness. The disease mainly lies in kidney, closely related to liver and spleen. Combined with its characteristics and clinical features, it is advocated that the hypertension syndrome should be treated as kidney deficiency, liver yang hyperactivity, blood stasis and phlegm turbidity resistance. The principle of treatment is based on tonifying kidney along with liver and spleen, aims to treat both tip and root. When choosing herbs and prescriptions, pay attention to the application of diuretic herbal remedies, with the function of clearing damp and promoting diuresis. According to the individual situation, it can be divided into suppressing hyperactive liver, promoting blood circulation and nourishing yin. At the same time, Professor Gu guides patients to a reasonable diet, using salt to meet the standard, as to prevent the occurrence and development of saltsensitive hypertension.

引文

[1]方宁远.高盐饮食与盐敏感性高血压[J].中华老年医学杂志, 2016, 35(3):239-242.
    [2]牟建军,褚超.盐敏感性高血压研究进展与展望[J].中华高血压杂志, 2016, 24(8):706-708.
    [3]王文健.中医药调治盐敏感性高血压[J].家庭用药, 2010,10(10):14-15.
    [4]刘妍,王瑞雪,张树峰.中医药治疗盐敏感性高血压的现状及进展[J].中国煤炭工业医学杂志, 2017, 20(2):240-243.
    [5]包伟,顾宁.顾宁辨治高血压病[J].长春中医药大学学报,2018, 34(2):252-254.
    [6]张继烈,鞠鲤亦.从《内经》看高血压[J].中国中医药现代远程教育, 2012, 10(22):2-5.
    [7]祁巧.补肾方药提前干预性盐敏感性高血压的发病机制研究[J].医药前沿, 2012, 2(23):72-74.
    [8]杨宝,杨传华.论高血压病中医病机传变[J].中医杂志,2016, 57(19):1709-1710.
    [9]陈志亮,顾宁.顾宁主任医师治疗高血压病经验[J].吉林中医药, 2010, 30(6):473-474.
    [10]顾宁,陈红锦.高血压病中医特色疗法[M].北京:人民军医出版社, 2012.
    [11]牟建军,刘治全.盐敏感性高血压药物治疗选择[J].中华高血压杂志, 2012, 20(3):216-218.
    [12]田晓伟,马闻.中药利尿药和西药利尿药在高血压中的应用研究[J].中国继续医学教育, 2017, 9(4):201-203.
    [13]中国高血压防治指南修订委员会.中国高血压防治指南(2010)[J].中华高血压杂志, 2011, 19(8):701-743.
    [14]戴伦.强化限盐是我国高血压防治工作的重要策略之一[J].中华高血压杂志, 2016, 24(9):815-818.
    [15]孙宁玲.高盐-高血压的科学之声[J].中华高血压杂志,2017, 25(6):519-524.
    [16]杨志军,顾宁.顾宁教授治疗高血压合并失眠经验撷萃[J].浙江中医药大学学报, 2016, 40(4):296-298.
    [17]王文,王继光,张宇清.针对中国高血压的特点,制定中国高血压防治的策略与方案[J].中华高血压杂志, 2010,18(10):904-907.