Syndrome-Based Treatment Strategy for Hypertension Using the Method of Raising Yang and Promoting Descent
10.13288/j.11-2166/r.2025.13.008
- VernacularTitle:运用升阳通降法分型辨治高血压病思路
- Author:
Xiaotong LYU
1
;
Linping ZHU
2
;
Jingshun YAN
1
;
Zejun DU
1
;
Xueying WU
1
;
Zongpei XU
1
Author Information
1. Tianjin University of Traditional Chinese Medicine，Tianjin，301617
2. Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
hypertension;
yang qi;
dysregulation of ascent and descent;
method of raising yang and promoting descent
- From:
Journal of Traditional Chinese Medicine
2025;66(13):1345-1349
- CountryChina
- Language:Chinese
-
Abstract:
Guided by the theories of yin-yang and collateral disease， this paper identifies the dysregulation of yang qi ascent and descent as the core pathomechanism of hypertension. Based on clinical experience， a treatment approach centered on the method of raising yang and promoting descent was proposed. Clinically， three major syndrome types were identified. Firstly， deficiency of zong qi （ancestral qi） with blood stasis， obstruction of phlegm-turbidity and blood stasis， and hyperactivity of liver yang. Corresponding empirical formulation， Yizong Huoxue Decoction （益宗活血汤） was applied to tonify zong qi， invigorate blood， and raise yang. Secondly， Lizong Huoxue Decoction （理宗活血汤） was used to resolve phlegm， promote yang qi circulation， and regulate qi and blood. Thirdly， Qinggan Tongluo Decoction （清肝通络饮） was used to clear the liver， dredge collaterals， and subdue hyperactive yang. For special types such as non-dipper hypertension， time-specific syndrome differentiation and treatment can be applied based on a thorough understanding of the underlying pathomechanism， aiming to provide new insights into clinical diagnosis and treatment of hypertension.
