LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"
10.13288/j.11-2166/r.2026.09.004
- VernacularTitle:李果烈从“升清降浊”辨治直立性低血压经验
- Author:
Zhihui JIN
1
;
Yanjie JIANG
1
;
Wenshan LI
1
;
Xiaoyu ZHU
1
;
Yan LU
1
;
1
Author Information
1. Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine，Nanjing，210022
- Publication Type:Journal Article
- Keywords:
orthostatic hypotension;
raising the clear and directing the turbid downward;
experience of famous doctors;
LI Guolie
- From:
Journal of Traditional Chinese Medicine
2026;67(9):941-945
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes professor LI Guolie's clinical experience in treating orthostatic hypotension （OH） based on the theory of "raising the clear and directing the turbid downward". It is considered that the core pathogenesis of OH lies in the body's transition from a supine to an upright position， during which dysfunction of the middle jiao （焦） transformation and transportation， along with impaired pivot function， hinders the ascending of clear yang and the descending of turbid yin. Treatment should follow the general principle of "ascending the clear and directing the turbid downward"， placing emphasis on distinguishing the primary and secondary aspects. For cases where the clear yang fails to ascend， the self-formulated Li's Shengqing Jiangzhuo Decoction （李氏升清降浊汤）is used to supplement qi， raise the clear， and strengthen the middle jiao. For cases where the turbid yin fails to descend， the self-formulated Wuxiang Qingzhuo Beverage（五香清浊饮）with modifications is applied to resolve phlegm， eliminate stasis， harmonize the middle， and descend the turbid.
