中医杂志2026，Vol.67Issue(3)：234-240,7.DOI:10.13288/j.11-2166/r.2026.03.002
刘志明基于"兰除陈气"辨治肥胖相关性高血压经验
LIU Zhiming's Clinical Experience in the Syndrome Differentiation and Treatment of Obesity-Related Hypertension Based on the Theory of"Eliminating Stale Qi with the Orchid Method"
摘要
Abstract
This paper summarizes Professor LIU Zhiming's clinical experience in the syndrome differentiation and treatment of obesity-related hypertension based on the theory of"eliminating stale qi with the orchid method".It is proposed that the internal accumulation of stale qi constitutes the essential pathogenesis of obesity-related hyperten-sion.The initial triggering factors include failure of water essence to disperse,the generation of turbid qi,and stagna-tion of stale qi in the sanjiao(三焦).Key steps in disease progression involve obstruction by phlegm-dampness,the confluence of stale qi,and the accumulation of heat that consumes body fluids,while aggravation is mainly characte-rized by deficiency of nutritive qi,blood turbidity,transformation of stale qi into blood stasis,and erosion of the vessels and collaterals.In clinical practice,under the therapeutic principle of"applying the orchid method",a self-formulated Liuqi Yunzhuo Decoction(流气运浊汤)is used in the initial stage,a self-formulated Yujing Huachen Decoction(育精化陈汤)in the recovery stage,a modified Erchen Decoction(二陈汤)combined with Ganlu Drink(甘露饮)in the progres-sive stage,and a self-formulated Tuichen Sanyu Decoction(推陈散瘀汤),with modifications,in the aggravated stage.关键词
肥胖相关性高血压/兰除陈气/名医经验/刘志明Key words
obesity-related hypertension/eliminating stale qi with the orchid method/experience of famous doctors/LIU Zhiming引用本文复制引用
蔡泳源,严诏琦,王秋铭,耿金珠,任甜甜,陈佳美,刘如秀,刘志明..刘志明基于"兰除陈气"辨治肥胖相关性高血压经验[J].中医杂志,2026,67(3):234-240,7.基金项目
北京中医药薪火传承"新3+3"工程(2023-SZ-F-06,2023-SZ-G-02) （2023-SZ-F-06,2023-SZ-G-02）
中央高水平中医医院临床科研业务费资助项目(HLCMHPP2023053) （HLCMHPP2023053）
中国中医科学院科技创新工程(CI2022E012XB) （CI2022E012XB）
中国中医科学院研究生科技创新项目(KC2025014) （KC2025014）
