Discussion on the Differentiation Treatment Strategy of Borderline Hypertension Based on the Theory of "Examining the Symptoms First， Identifying the Constitutions as Reference， and Combining the Diseases and Patterns"
10.13288/j.11-2166/r.2024.12.005
- VernacularTitle:临界性高血压“审症为先，辨体为参，病证结合”的辨治策略探讨
- Author:
Xiaoxiao ZHANG
1
;
Qingqing WANG
1
;
Jinlong DUAN
1
;
Jianguo LIN
1
;
Ziyi SUN
1
;
Xiaoning SUN
1
;
Wenqian ZUO
1
;
Kuiwu YAO
1
Author Information
1. Guang'anmen Hospital， China Academy of Chinese Medical Sciences， Beijing， 100053
- Publication Type:Journal Article
- Keywords:
borderline hypertension;
disease identification;
pattern differentiation;
constitution differentiation
- From:
Journal of Traditional Chinese Medicine
2024;65(12):1224-1229
- CountryChina
- Language:Chinese
-
Abstract:
Based on the clinical thinking of combining diseases and patterns， we combined disease identification， pattern differentiation， and constitution identification， and put forward the theory of identifying and treating critical hypertension， which is "examining the symptoms first， identifying the constitutions as reference， and combining the diseases and patterns". Firstly， the starting point of identifying the disease is to examine the symptoms， and those with precise diagnosis and strong specificity will be diagnosed with the disease， while those with relatively broad diagnosis and fuzzy characteristics will be emphasised on identifying constitutions and differentiating patterns. Focusing on the impact of constitution identification on disease identification and pattern differentiation， constitution identification could be the basis when no symptoms to identify， and based on the theory of "constitution-disease correlation" and "constitution-pattern correlation" to improve the understanding of borderline hypertension from the group and individual level， which helps to identify and predict the development of the diseases and patterns； if the symptoms are complicated and difficult to identify， it is necessary to take syndrome as the outline， use the syndrome to unify the disease， and then refer to the constitution to legislate and prescribe medications. This paper summarizes the traditional Chinese medicine clinical differentiation and treatment strategy of borderline hypertension clear and easy to grasp， with a view to provide a feasible and efficient reference for prevention and treatment of borderline hypertension with traditional Chinese medicine.
