南京中医药大学学报2026，Vol.42Issue(4)：492-499,8.DOI:10.14148/j.issn.1672-0482.2026.0492
基于"苦欲补泻"理论从肝论治高血压合并动脉粥样硬化
Treatment of Hypertension with Atherosclerosis from the Liver Based on"Tonification by Preference and Draining by Aversions"Theory
摘要
Abstract
Atherosclerosis(AS)is a critical component of target organ damage caused by hypertension.Modern research indicates that traditional Chinese medicine(TCM)possesses unique advantages in the prevention and treatment of this condition.The course of AS is protracted,with symptoms developing gradually over time;it presents as a complex condition characterized by the interplay of con-stitutional deficiency and pathogenic excess.In TCM,this condition is often classified under categories such as"dizziness"and"pulse bi".This article traces its origins to The yellow emperor's inner classic,and examines the theory of"tonification by preference and draining by aversions".Addressing the pathological mechanisms—such as qi stagnation,fire,phlegm,blood stasis,toxins,and defi-ciency—arising from liver qi stagnation,it adheres to the general principles of"acridity to tonify,sweetness to relieve,and sourness to purge".Pungent herbs disperse to resolve stagnation;bitter herbs combine with fire to promote descent;and sour and sweet herbs har-monize the body and its functions.In clinical practice,it is essential to carefully assess the stage of disease progression.By integrating these three therapeutic principles,selecting formulas flexibly,and applying appropriate treatments,this approach opens new avenues for the diagnosis and treatment of AS with Chinese medicine.关键词
苦欲补泻/高血压/动脉粥样硬化/眩晕/脉痹/肝/辨证论治Key words
tonification by preference and draining by aversions/hypertension/atherosclerosis/dizziness/pulse bi/liver/treatment based on syndrome differentiation分类
医药卫生引用本文复制引用
汤思敏,王宇歧,余娜,汪郁涯,邹冲..基于"苦欲补泻"理论从肝论治高血压合并动脉粥样硬化[J].南京中医药大学学报,2026,42(4):492-499,8.基金项目
江苏省中医药管理局重点项目(ZD202405) （ZD202405）
江苏省中医药和中西医结合振兴发展项目(ZXFZ2026005) （ZXFZ2026005）
江苏省药品监督管理局药品监管科学项目(202508) （202508）
江苏省中医院科主任学术提升专项课题(Y2022ZR09) （Y2022ZR09）
