Chapter 112: Syndrome Differentiation and Treatment of Hypertension
Li Duanyang began to consider prescribing medicine for Qin Changan.
Hypertension is a very common disease that is extremely difficult to eradicate. From this perspective, it is also a well-known and well-known disease. Of course, many specific pathological causes of hypertension have not yet been understood.
Obviously, if a doctor could completely eradicate high blood pressure in his patients, he would be famous for this alone, even if he had no other medical achievements.
But such a doctor has not yet appeared, and I am afraid it will be difficult to appear in the future.
Because high blood pressure is really too stubborn.
From the most superficial level, hypertension is caused by blood vessels and blood flow.
The most difficult problem to solve is the vascular cause, atherosclerosis. Currently, there is really no good way to eradicate the thickening accumulation of old deposits attached to the blood vessel walls.
They have grown firmly on the blood vessel wall and become part of the blood vessel wall.
Western medicine has repeatedly tried to use ultra-micro machines like coal shovels in coal mines to remove the old accumulation on the blood vessel walls, but it turns out that this is almost impossible, because once they are removed, the blood vessel walls become thin and brittle.
It is extremely easy for blood vessels to rupture.
This is even more dangerous and deadly.
Traditional Chinese medicine, on the other hand, is relatively mild and contains too many drugs for promoting blood circulation, removing blood stasis, unblocking meridians, and dissipating stasis, which have very little effect on the old scale accumulation on the blood vessel walls.
Therefore, there is little hope of making any major improvements to the blood vessel walls caused by atherosclerosis.
So we can only think of solutions mainly based on blood flow.
How to keep the blood flow at a relatively appropriate flow rate and flow rate, and how to make the blood flow appropriately thin and thick, are currently the main focus of traditional Chinese and Western medicine.
Blood vessels are spread all over the body, and it is obvious that changes in any organ and qi and blood can affect blood flow.
Of course, the three most important organs that affect blood flow are the heart, liver, and kidneys.
Needless to say, the heart is like a pump that constantly pumps and transfuses blood. If the heart is not good, it goes without saying that the blood flow will be poor.
Next is the liver and kidneys.
The liver stores blood and the kidneys filter blood. In addition, liver renin will directly affect the level of blood pressure, such as angiotensin and so on. Of course, this is the view of Western medicine.
Traditional Chinese medicine believes that factors such as heat, fire, wind (mainly referring to internal wind), dampness (dampness gathers into drink, and drink condenses into phlegm), and cold (cold can constrict blood vessels and cause cold blood stasis) are the main factors affecting blood flow.
, and these factors are all closely related to the liver and kidneys.
Among them, the ones most closely related to the liver and kidneys are of course heat, fire and internal wind. These three factors can quickly accelerate and thicken the blood flow.
(Fire can consume yin and damage blood, frying and roasting blood into blood stasis.)
These three factors are most directly and closely related to the liver!
Liver stagnation can turn into heat, stagnation can turn into fire, and yin deficiency and yang hyperactivity can cause wind. It is really a "thief organ" that is very prone to disease!
The relationship between liver and kidney is the closest. Water produces wood, and kidney is the mother of liver. Kidney water does not contain liver wood. Liver wood will immediately suffer from yin deficiency, and then become depressed and turn into heat and fire, and then create a demonic wind.
, it can disturb a person's whole body and make his blood flow into chaos in an instant!
Therefore, traditional Chinese medicine believes that liver and kidney deficiency is the main cause of hypertension.
In addition, the spleen and soil transport and transform blood and gas, providing qi and blood for the whole body; the lungs are responsible for promoting and subduing the hair, and metal (the lungs are metal) restrains wood. If the function of the lungs for subduing and subduing is normal, it can also subdue the liver to work honestly.
live.
Well, to sum it up, all the internal organs of the body are related to the disease of hypertension, among which the liver and kidney are the most important ones.
Therefore, traditional Chinese medicine believes that in treating high blood pressure, liver and kidney issues must first be considered.
Based on the above, TCM mainly divides hypertension syndromes into four major syndrome types: hyperactivity of liver yang, deficiency of liver and kidney yin, deficiency of both yin and yang, and qi deficiency and phlegm.
There is no such thing as high blood pressure in traditional Chinese medicine. According to the main symptoms and development process of high blood pressure, it falls into the scope of diseases such as "dizziness", "headache", "liver wind" and "stroke" in traditional Chinese medicine.
Therefore, the four major classifications of hypertension are also classified by modern Chinese medicine practitioners. In contrast, many treatments and prescriptions for hypertension were created by modern Chinese medicine practitioners.
In terms of prescriptions, they naturally draw on some ancient prescriptions and prescriptions. Some of them directly add or subtract from some classic prescriptions and prescriptions to form prescriptions for the treatment of hypertension, but there are also many customized prescriptions by famous doctors in this area.
Li Duanyang was about to prescribe a prescription for Qin Chang'an at this time. While feeling the changing state of Qin Chang'an's yin and yang energy and blood, his mind was churning with various relevant prescriptions, proven prescriptions and some customized prescriptions by famous doctors.
Traditional Chinese medicine has its four properties and five flavors, its ups and downs, its ups and downs, its differences in which meridians go into which organs, and the various changes caused by its various ingredients, plus the mechanism of changes in the movement of qi and blood in the organs in the human body.
Profound, complex and mysterious
Wonderful, so it is difficult to grasp the effects of a single medicine after it enters the human body. What's more, a prescription composed of several medicines or more than a dozen medicines will cause changes when it enters the human body. According to the arrangement and combination, the number of changes is even more.
Astronomical progression!
Therefore, Li Duanyang did not dare to prescribe medicines by himself. He usually tried to choose the proven prescriptions that had been verified for hundreds of years and thousands of years to make additions and subtractions. This was considered a relatively safe move.
Nowadays, there are not so many proven prescriptions to choose from when prescribing hypertension. Instead, the most popular ones are some customized prescriptions from famous contemporary doctors.
However, since these customized prescriptions can be used, they must have achieved good curative effects and have been tested.
Li Duanyang considered it again and again, combined with Qin Changan's current situation, his decades of experience, and his greatly improved understanding of traditional Chinese medicine during this period, and prescribed a modified version of Astragalus and Liujunzi Decoction.
This prescription emphasizes the use of Astragalus combined with Liujunzi decoction to replenish qi to remove phlegm, ocher, cassia seed to reduce inverse conditions and calm the liver, mulberry, cinnamon to nourish kidney deficiency, and nocturnal vine to treat insomnia.
"Uncle, please wait here for a while, I will go to the hospital to get medicine for you."
Li Duanyang wrote a prescription and went to the hospital pharmacy to prepare the medicine for Qin Changan. He divided the medicine into small packages and handed them to Qin Changan. He also wrote down clearly the method of decoction of the medicine. In this way, Qin Changan
Just leave it to my wife to fry when I go back.
Of course he was so diligent, firstly, to please his daughter, and secondly, because he was worried that Qin Changan would put this matter aside afterwards.
As a future famous doctor, it would be a joke if his father-in-law died early due to stroke or myocardial infarction caused by high blood pressure.
"Duanyang, I enjoyed chatting with you today. When will you give me some pointers on my Tai Chi practice again?"
Qin Changan patted Li Duanyang on the shoulder with a happy face and said.
"Okay." Li Duanyang nodded and agreed. Anyway, he would have to check on the prospective father-in-law every once in a while.
Today, Qin Changan acquiesced to him. This was the starting point of their new relationship.