XU Fengqin's Experience in Treating Hypertension in the Elderly based on the Theory of “Combination of Disease and Symptoms”
10.13288/j.11-2166/r.2023.19.005
- VernacularTitle:徐凤芹“病症结合”治疗老年高血压病经验
- Author:
Luyao HUAN
1
;
Jiajun WENG
2
;
Song SHENG
2
;
Haiyun WANG
2
;
Yanhong ZHANG
2
;
2
Author Information
1. Graduate School， Beijing University of Chinese Medicine， Beijing， 100029
2. Xiyuan Hospital， China Academy of Chinese Medical Sciences
- Publication Type:Journal Article
- Keywords:
hypertension in the elderly;
combination of disease and symptoms;
famous doctors' experience;
XU Fengqin
- From:
Journal of Traditional Chinese Medicine
2023;64(19):1964-1968
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized the clinical experience of XU Fengqin in the treatment of hypertension in the elderly. It is believed that the basic pathogenesis of hypertension in the elderly is liver and kidney depletion， and the key is ascendant hyperactivity of liver yang and spleen failing to transport. Therefore， the theory of “combination of disease and symptoms” is put forward that the four common clinical symptoms of hypertension in the elderly， including morning hypertension， non-dipper hypertension with abnormal circadian rhythm， postprandial hypotension and orthostatic hypotension， should be differentiated and treated with prescription in accordance with the characteristics of the corresponding pathogenesis. Specifically， the pathogenesis of morning hypertension is mainly liver-kidney yin deficiency and ascendant hyperactivity of liver yang， for which the treatment method of enriching liver and boosting kidney， calming the liver and subduing yang is suggested， and Qingxuan Jiangya Decoction （清眩降压汤） in modifications can be used. For non-dipper hypertension with abnormal circadian rhythm， the pathogenesis is mainly phlegm-dampness obstruction and clear yang failing to ascend， and treatment method should be dissolving phlegm and dispelling dampness， calming the liver and extinguishing wind， with Banxia Baizhu Tianma Decoction and Modified Honglong Xiahai Decoction （半夏白术天麻汤合加味红龙夏海汤） in its modifications. Regarding postprandial hypotension and orthostatic hypotension， the pathogenesis is mainly spleen-stomach depletion and clear yang failing to ascend， and thus the method of supplementing the center and boosting qi， raising yang and lifting the sunken is advised with Buzhong Yiqi Decoction （补中益气汤） or Yiqi Congming Decoction （益气聪明汤） in the modifications.
