(40)--决明子莱菔子大黄治疗壅态高血压病经验仝小林三味小方撷萃.pdfVIP

·154· 2020 年 2 月第 40 卷第 2 期 Jilin Journal of Chinese Medicine Feb. 2020 Vol.40 No.2 DOI :10.13463/ki.jlzyy.2020.02.005 决明子、莱菔子、大黄治疗“壅态”高血压病经验 ——仝小林三味小方撷萃 摘要：仝小林教授从“态靶因果”方略出发，根据高血压病的自然发展过程，将高血压病划分为“病气血、 病脉络、病脏腑”三期及“壅、水、郁、寒、老”五态。本文主要论述仝小林教授对于“壅态”高血压病的辨治 思路及用药经验。“壅态”高血压病常见于中青年患者，常合并超重或肥胖、糖脂或尿酸代谢异常、睡眠呼吸暂 停低通气综合征等。其核心治法为通腑降气、决渎壅塞。调节“壅态”的常用方为厚朴三物汤、大柴胡汤，而决 15 60 g 明子、莱菔子、大黄针对“壅态”高血压病具有较好的降压效果，其中决明子常用剂量为 ～ ，莱菔子常用 15 60 g 6 15 g 剂量为 ～ ，大黄的常用剂量为 ～ 。 关键词：决明子；莱菔子；大黄；高血压病；仝小林 R285.6 A 1003-5699(2020)02-0154-03 中图分类号： 文献标志码： 文章编号： Experience in the Treatment of “Stagnant State” Hypertension with Semen Cassia, Radish Seed and Rhubarb Root and Rhizome ——Experience in Treating Diseases with Three Chinese Medicines 1 2* LIn Yiqun , gU chengjuan (1. South Area of Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102618, China; 2. gansu University of Traditional chinese Medicine, Lanzhou 730000, china) Abstract: According to the clinical prescription strategy of “combination of state and target” and the natural course of hypertension, Professor TONG Xiaolin divided hypertension into three phases (qi and blood phase, channels phase and viscera phase) and five states (stagnant state, waterish state, depressed state, cold state and senile state). This article mainly discusses professor Tong’s thoug