The Clinical Evaluation Of Treatment Based On Differentiation Syndrome Of Traditional Chinese Medicine On Hypertension

Hypertension stroke, one of the risk factors for coronary heart disease, the current study, many advocates of comprehensive intervention on a variety of cardiovascular risk factors. A wide variety of western medicine buck, single antihypertensive drugs in the treatment of blood pressure standard is still not ideal, most hypertensive patients often require combination therapy of 2-4 antihypertensive drugs, but due to various reasons, some patients a some antihypertensive drugs contraindicated no suitable step-down programs to choose from, in the treatment of many patients with hypertension study found a high incidence of adverse reactions of Western medicine antihypertensive drugs, seriously affecting the quality of life of patients with hypertension, so there are still many clinicians and patients continue to seek traditional medicine in the treatment of high blood pressure.Object iveThe topic will retrospective study on the prevention and control of hypertension in the medical literature published in recent years, to summarize the clinical data in the literature, and TCM, therapy, prescription induction, statistics, analysis, in order to optimize TCM treatment programsexplore the clinical efficacy and safety of the agent of the parties, to provide clinical evidence for the establishment of hypertension TCM TCM syndrome differentiation based treatment programs.Materials and MethodsCollected from January 2000 to December 2012 in the Chinese medical journals published on hypertension clinical research literature and famous Chinese experience, reference "Chinese deficiency syndrome reference standard", "Chinese medicine clinical research guiding principles", met the study criteria literature TCM, Governing Law, prescription induction, and Excel software for statistical analysis of data, statistics TCM climate, a variety of symptoms, tongue and pulse constituent ratio; explore the etiology and pathogenesis of hypertension, TCM, therapy and prescription use laws.ResultsCollected from January 2007 to December 2012 in the Chinese medical journals published on hypertension clinical research literature and famous Chinese experience, reference "Chinese deficiency syndrome reference standard", "Chinese medicine clinical research guiding principles", met the study criteria(1) Traditional Chinese Medicine syndrome distribution:liver deficiency (56%), Qi (44%), blood stasis (52%), Yin (representing 49%), hyperactivity (accounting for 66%), in the kidney (accounting for 72%), anger hyperactivity (54%), guilty (60%), the emergence of a higher proportion; phlegm (26%), qi stagnation (24%), liver wind (21%) accounted for certain proportion; lung dificiency (5%), spleen (5%), anemia (6%), yin and yang (11%) Yang (representing 10%), empty stomach (12%) rare.(2) risk stratification & hypertension grades:risk stratification & hypertension classification increased, the blood stasis proportion also increased 17% → 40% → 63% 25% → 41% → 62%(3)According to Gender:Female patients with hypertension in the liver yang, yin, kidney, guilty than men, and phlegm less than men;(4) According to Age:Age below 50 years old phlegm dampness group of patients (53%) higher than the age 51-70 group (21%) and higher than the age above 70 group (22%), the share of kidney deficiency syndrome increased with age--upward-trend (53% → 67% → 94%).(5) symptoms of distribution characteristics:hypertension are mainly caused by renal system, heart, Hepati and Yin deficiency symptoms:nocturia (59%), soft knee (60%), common tinnitus (65%); Hepatic stuffy head symptoms common sense weight (54%), headache (56%), irritability (69%), dizziness (80%); the heart of the common symptoms of insomnia (68%), amnesia (68%) and chest (50%), palpitations (50%), shortness of breath (40%); deficiency symptoms reflected lassitude (59%); Yin important symptom of constipation (31%), five upset hot (35%), dry mouth (58%).(6) tongue symptom characteristics:mostly red tongue (58%), dark tongue (50%), pale tongue (62%); tongue mostly white fur (59%), thin moss moss or less (66%).(7) The Pulse symptom:Pulse mainly as thin veins (48%) and pulse string (64%);Papers of TCM, the method of treatment, prescription induction and Excel software for statistical analysis, statistics TCM climate, a variety of symptoms, tongue and pulse constituent ratio; explore the etiology and pathogenesis of hypertension, TCM, the method of treatmetn and the method of prescription.Conclusion(1) anger, hyperactivity, hyperactivity, guilty, kidney, blood stasis, deficiency, liver deficiency, qi deficiency syndromes and other factors are the most common symptoms of hypertension; studies have shown that most of them have false is mixed with essential hypertension, etc. Symptoms common stasis, anger hyperactivity, hyperactivity, etc; and certificate with see kidney, liver, heart and other organs deficiency, or Yin, Qi and so this deficiency.(2) some distribution of TCM syndrome factors in essential hypertension results show that the syndrome factors essential hypertension by age, sex, hypertension risk stratification, hypertension classification, with CHD Effect of other factors. Risk stratification increased with increasing grade of hypertension, is proportional to the ratio of blood stasis syndrome, blood stasis syndrome hypertension is more important in the development of the syndrome factor.(3) essential hypertension clinical medicine mainly for Kidney disease, liver system, heart and Qi deficiency symptoms.(4) TCM primary hypertension with kidney-oriented, and change their position in the liver disease is closely related to the heart.