| Part one, review surveyDiscuss the relationship between hypertension and intake of excessive salt. With several mechanisms, hypertension and intake of excessive salt interact, which increasing the damage of target-organ, to become the important factor of cardiovascular and cerebrovascular diseases. It analyses the etiology and pathogenesis mechanism of the disease which is coursed by hypertension and intake of excessive salt from Chinese medicine. It concludes epidemiology, pathogenesis mechanism, target-organ damage and treatment in west medicine, and shortcoming, etiology, pathogenesis mechanism and the treatment according to syndrome differentiation in Chinese medicine of the relativity of hypertension and intake of excessive salt.Part two:clinical researchObjective:with clinical research, observing the urinary sodium of patients with hypertension reflects the sodium salt intake daily, analysis the relationship and distribution of urinary sodium and TCM syndrome differentiation.Methods:collecting 96 patients with hypertension and observing the urinary sodium of the patients to calculate the sodium salt intake daily. describing the change of BP and the excretion of urinary sodium in different times, and the differences between the several factors in invitation and syndrome differentiation in Chinese medicine. To investigate the relationship between BP and the reflection to sodium.Results:The percent of the persons who reach the mark of WHO on salt intake is only 13.54%. The salt level of the male was same as they said.Salt level of patients who had family history of hypertension was higher(P<0.05).The salt level of the persons in group of impaired glucose tolerance was higher(P<0.05).The sequence of syndrome type in Chinese medicine:Yin deficiency and Yang excess>hyperactivity of liver Yang>phlegm-damp obstructing>deficiency of Yin and Yang>blood stasis. Conclusion:patients with high blood pressure, especially on inheritance,Impaired glucose tolerance and Yin deficiency and Yang excess can intake more salt。So the more effective measures should be taken to reduce the level of salt... |