基于"玄府-络脉"理论探讨高血压辨治OA

Sweat pores refer to the fundamental pathways for the circulation of qi and fluid within the human body.When these pathways become obstructed,it can lead to abnormal dispersion and distribution of essence and fluid,resulting in the blockage of collateral vessels and,ultimately,the development of hypertension.Treatment should focus on opening sweat pores to unblock collateral vessel,as well as nourishing collateral vessels to regulate sweat pores.Regulating the opening and closing of sweat pores includes methods of both purging and tonifying:purging fire by dredging sweat pores;tonifying deficiency by dredging sweat pores.It involves primarily tonification,with unblocking as a secondary approach.Clinically,animal-derived drugs such as Shuizhi(Hirudo),Dilong(Pheretima),and Jiangcan(Bombyx Batryticatus)are used to dredge and remove blockages in the channels,alongside drugs that tonify qi and blood,promote the smooth flow of qi and fluid,invigorate blood,and eliminate dampness,induce diuresis to alleviate edema in order to expel pathogens and reach the state of"regulating the flow of blood and qi,allowing it to circulate smoothly,thereby achieving harmony."For cases that re-quire tonification and unblocking collateral vessels,vine herbs like Shouwuteng(Caulis Polygoni Multiflori),Rendongteng(Caulis Lonicerae Japonicae),Gouteng(Ramulus Uncariae Cum Uncis),and Luoshiteng(Caulis Trachelospermi)are often used in combination with animal-derived drugs such as Dilong(Pheretima),Quanxie(Scorpio),Wugong(Scolopendra),and Shuizhi(Hirudo).In terms of tonification,Chinese drugs that tonify qi and nourish yin,or warm and supplement yang qi,such as Renshen(Radix Ginseng),Huangqi(Radix Scutellariae),and Guizhi(Ramulus Cinnamomi)are adopted.Additionally,the use of pungent-flavored drugs is emphasized,though caution is required as these drugs have a dispersing nature that may harm yang qi if overused,necessitating moderation once the desired effect is achieved.