Exploration of SONG Yin-Zhi's Thoughts on the Treatment of Menopausal Hypertension Based on Wood Constraint and Earth Congestion
10.13359/j.cnki.gzxbtcm.2024.09.034
- VernacularTitle:宋银枝基于木郁土壅辨治更年期高血压的思路探讨
- Author:
Jie TAO
1
;
Liang LI
;
Lu-Hua XU
;
Yin-Zhi SONG
Author Information
1. 广州中医药大学第七临床学院,深圳市宝安区中医院,广东深圳 518100
- Keywords:
menopausal hypertension;
wood constraint and earth congestion;
brain-gut axis;
soothing the liver and activating the spleen;
Liujunzi Decoction;
Banxia Baizhu Tianma Decoction;
Xiaoyao San;
SONG Yin-Zhi
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(9):2462-2466
- CountryChina
- Language:Chinese
-
Abstract:
Liver-wood and spleen-earth are in the relation of mutual promotion and mutual restriction.The liver governs the free flow of qi and the spleen governs transportation and transformation,and the coordination of their function serves as the pivot for the human body to maintain life and function well.If the function between the liver and the spleen becomes uncoordinated,the liver will fail to govern the free flow of qi and the spleen will fail to govern transportation and transformation,and then the pathological state of wood constraint and earth congestion appears,which will affect the stability of intestinal flora and the function of the nervous system,and will result in the disordered brain-gut axis mechanism and cause the occurrence and progression of menopausal hypertension.Based on years of clinical experience,Professor SONG Yin-Zhi proposes that wood constraint and earth congestion can cause menopausal hypertension,and puts forward the thoughts for preventing and treating menopausal hypertension with the therapy of soothing the liver and activating the spleen by analyzing the pathological mechanism based on the achievements of modern research.The specific measures for soothing the liver and activating the spleen include method of strengthening and activating the spleen and eliminating phlegm and resolving turbidity,method of soothing the liver and relieving constraint and supplementing qi and blood,and method of prevention before illness and regulating the heart spirit.The prescriptions of Liujunzi Decoction,Banxia Baizhu Tianma Decoction,and Xiaoyao San can be chosen separately.The application of therapy of soothing the liver and activating the spleen will enable the liver qi go smoothly and the emotions be pleased,and then the spleen and intestine function well,which will enable the stable equilibrium of intestinal flora,keep the normal lipid metabolism,and maintain the blood pressure fluctuations in the normal range.It is indicated that the treatment of menopausal hypertension can start from the liver and spleen,and the therapy of soothing the liver and activating the spleen is the starting point and is the key to the treatment of menopausal hypertension.
