Ang medisina ng Tsino ay may iba't ibang paraan sa pagpapahalaga ng primary hypertension, ang pinakakaraniwan ay ang pagpapahalaga batay sa organs, eight principles, etiology, pathogenesis, at disease name na pinagsama-sama. Ang kasalukuyang pangkalahatang opinyon ay ang ugat ng sakit ay ang imbalance ng yin-yang, ang simtomas ay ang internal wind, phlegm, at blood stasis. Sa klinika, ito ay nahahati sa apat na uri: Liver Yang Hyperactivity, Yin Deficiency with Yang Excess, Liver-Kidney Yin Deficiency, at Yin-Yang Deficiency, at tatlong komplikasyon: internal wind, blood stasis, phlegm blockage.
Liver Yang Hyperactivity Type: Nakakita ng headache, head fullness, vertigo, tinnitus, red face, bitter taste, irritability, red tongue, strong and wiry pulse. Ang gamot ay upang calm down the liver yang, stabilize yang, clear fire, extinguish wind. Gamot: Tian Ma Gou Teng Yin with modifications: Tian Ma, Gou Teng, Sheng Jue Ming, Shan Zhi, Huang Qin, Chuan Niu Xi, Du Zhong, Ye Jiao Teng, Sang Ji Sheng, Fu Shen, etc. Kung sobra sa wind, may numbness sa limbs, hand tremors, twitching muscles, idagdag ang dragon bone, oyster shell, pearl mother to calm the liver and extinguish wind; kung sobra sa fire, may red eyes, yellow coating, idagdag ang gentian, dan pi to clear liver heat, kung may constipation, idagdag ang Dang Gui Long Hui Wan to clear liver and relieve bowels.
Yin Deficiency with Yang Excess Type: Bukod sa pangkalahatang yang excess symptoms, may heart palpitations, palpitation, insomnia, forgetfulness, wiry and fine rapid pulse, yellow coating, bright red tongue. Ang gamot ay upang bigyan ng lakas ang kidney at nourish the liver. Gamot: Zhi Bai Di Huang Wan with modifications: Shu Di, Shan Yao, Shan Zhu Yu, Dan Pi, Ze Xie, Fu Ling, Zhi Mu, Huang Bai, Sheng Long Mu, Gui Ban, etc. Kung sobra sa heart yin deficiency, idagdag ang sour jujube seed, longan meat, farfara, female deer berry, etc., to nourish the heart and calm the spirit.
Liver-Kidney Yin Deficiency Type: Pangunahing sintomas ay dizziness, blurred vision, low back pain, five-palm heat, insomnia, tinnitus, dry red tongue with little or no coating, wiry and fine pulse. Ang gamot ay upang bigyan ng lakas ang kidney at nourish the liver. Maaaring gamitin ang Da Bu Yuan Jian with modifications: Shu Di, Shan Yao, Shan Zhu Yu, Goji berries, ginseng, dang gui, he shou wu, du zhong, etc.
Yin-Yang Deficiency Type: Pangunahing sintomas ay cold extremities with fatigue, low back pain, headache, tinnitus, palpitations, pale tongue with white coating, wiry and fine pulse. Ang gamot ay upang nourish yin and assist yang. Kung sobra sa yang deficiency, gamitin ang You Gui Wan with modifications: Shu Di, Shan Yao, Goji berries, Du Zhong, Shan Zhu Yu, cinnamon, aconite, tu si zi, dang gui, lu jiao jiao, etc.; kung sobra sa yin deficiency, gamitin ang Zuo Gui Wan with modifications: Shu Di, Shan Yao, Shan Zhu Yu, Goji berries, tu si zi, lu jiao jiao, gui ban jiao, niu xi, etc.
Kung ang mga uri na ito ay may internal wind, idagdag ang calming and descending wind drugs tulad ng chrysanthemum, gou teng, dragon bone, oyster shell, pearl mother, etc.; kung may blood stasis, idagdag ang blood-activating and stasis-resolving herbs tulad ng danshen, chuan xiong, dang gui, tao ren, hong hua, di long, etc.; kung may phlegm blockage, idagdag ang phlegm-clearing and qi-moving herbs tulad ng dan nan xing, ban xia, chen pi, yuan zhi, tian zhu huang, chuan bei, etc. Sa kabuuan, sa klinika dapat gamitin ang syndrome differentiation and modification based on symptoms, hindi dapat literal. Sa klinika, madalas ay may dalawang o higit pang uri na magkasama, kaya ang paggamot ay dapat flexible at maaaring magbago para maging epektibo.
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