围绝经期高血压中医病因病机研究概述

围绝经期高血压是指合并围绝经期综合征的高血压。古今医家在临床中不断总结出对本病的病因病机认识,并不断地发展完善。其病因病机包括肾阴虚、肾精亏虚,肝肾阴虚,肝失疏泄,气血不足,阴阳两虚,肝阳上亢,痰浊中阻、清阳不升,阴虚内燥,阳虚水饮内停,心肾不交,因虚致瘀,阴阳不和,冲任失调等等。其病位主要在肝肾,但与肺、心、脾等脏腑的关系密切。以阴虚阳亢者较多,但久病可致阴阳两虚。本病发生发展错综复杂,实非＂阴虚阳亢＂四字可以概括无遗,往往还有气虚、阳虚、气血逆乱、冲任失调,或兼夹有痰、浊、寒、瘀等不同病理变化。

Progress on the TCM etiology and pathogenesis research of menopausal hypertension

Menopausal hypertension refers to the merging of perimenopausal syndrome and hypertension. Ancient and modern clinical physicians in constantly sum up the etiology and pathogenesis of the disease. The etiology and pathogenesis including kidney Yin deficiency,kidney essence deficiency,liver and kidney Yin deficiency,liver failing to maintain normal flow of qi and blood,lack of qi and blood,Yin and Yang deficiency,ascendant hyperactivity of liver yang,phlegm turbidity obstructing and lucid yang failing to rise,Yin deficiency endogenous dryness,yang deficiency with water stop,heart and kidney are not harmorny,stasis due to the deficiency,losing equilibrium between Yin and Yang,disorder of thoroughfare and conception vessels,etc. The disease location is mainly in the liver and kidney,but it is closely related to zang-fu organs such as lung,heart,spleen. yin deficiency with yang hyperactivity is the most common etiology and pathogenesis,but being ill for a long time can cause to Yin and Yang deficiency. The disease development is complicated,not just yin deficiency with yang hyperactivity. Some also are with qi deficiency,Yang deficiency,disharmony of qi and blood,disorder of thoroughfare and conception vessels ,or including sputum ,turbidity,cold,blood stasis,etc.