According to clinical experience and classic ancient books of traditional Chinese medicine, Professor Guo thinks that TCM syndromes of hypertension belong to headache, dizziness, liver fire and phlegm-dampness. Professor Guo believes that this disease is mostly caused by improper diet, excessive emotion and internal injuries. Most patients are worried and angry, and their emotions are too extreme. One is that qi stagnation turns into fire, and liver fire is disturbed; Second, qi stagnation turns into fire, which will hurt yin for a long time, and the fire of yin deficiency will flourish, and the disturbance will be empty; Third, qi stagnation and blood stasis, first in the meridians, long in the collaterals, causing dizziness and headache. To sum up, it is nothing more than surplus and shortage. In the early stage of hypertension, there are many evidences, and excess heat causes headache and dizziness. Yin deficiency and yang hyperactivity caused by prolonged illness and heat injury to yin; In the later stage, yin deficiency affects both yang and yin deficiency. Professor Guo is good at using drugs to treat hypertension and its complications. The commonly used drug pairs are summarized as follows.
1. Mother of pearl and cassia seed
The common symptoms of hypertension are headache, dizziness, tinnitus, blushing and red eye. After long-term clinical observation, Professor Guo believes that hypertension is mostly caused by anxiety, anger and excessive emotions. Qi stagnation turns into fire, liver fire attacks along meridians, and qi and blood stagnate, leading to dizziness and pain; Yin deficiency of liver and kidney, loss of potential of liver yang, hyperactivity of liver yang, blood flowing against qi, and qi and blood rushing to the head and face will cause dizziness, tinnitus, swelling and pain in the head and red eyes on the face. Therefore, drugs for calming the liver and suppressing yang, clearing heat and calming the liver are often used in clinic. Mother-of-pearl is salty, cold in nature, enters the liver and heart meridian, and can calm the liver and subdue yang, clear the liver and improve eyesight, and calm the nerves. Cassia seed tastes like mother-of-pearl, belonging to the liver meridian, which can calm the liver and suppress yang, clear the liver and improve eyesight, nourish yin and moisten intestines. Modern pharmacological research shows that both mother-of-pearl and cassia seed have the effect of lowering blood pressure. Professor Guo often uses two drugs to treat hypertension of hyperactivity of liver yang and hyperactivity of liver fire in clinic. The combination of the two drugs has the effects of calming the liver and suppressing yang, clearing the liver and improving eyesight, and is especially suitable for hypertension with symptoms such as headache, dizziness, blurred vision, dry eyes, tinnitus and dry stool.
2. Uncaria rhynchophylla and Gastrodia elata
Uncaria rhynchophylla is sweet and cool, belonging to the pericardium meridian of liver, which can clear away heat and calm the liver, calm the wind and stop spasm. "Compendium of Materia Medica" records Uncaria rhynchophylla: "The liver is dominated by wind and fire, and the symptoms disappear by themselves." Gastrodia elata is sweet in taste and flat in nature, belonging to the liver meridian, which can dispel wind and stop spasm, calm the liver and suppress yang, dispel wind and dredge collaterals. Its heat-clearing ability is not as good as Uncaria rhynchophylla, but it is a holy medicine for treating internal wind, and it is suitable for both cold and heat, and it is an important medicine for treating all kinds of dizziness and headache. Shi Jinmo believes that "Uncaria is sweet and cool, clearing away heat and calming the liver, calming the wind and stopping spasm; Gastrodia elata is soft, calming the liver and calming the wind, dredging collaterals and relieving pain, expelling wind and relieving itching. The combination of the two drugs complements each other, clearing away heat, calming the liver and calming the wind, dredging collaterals and relieving pain, and increasing the power of relieving itching. " Experimental research shows that Gastrodia elata and Uncaria rhynchophylla have the effect of lowering blood pressure. Professor Guo often uses two drugs to treat dizziness and headache caused by early hypertension.
3. Lycium barbarum and chrysanthemum
Professor Guo believes that high blood pressure and heat for a long time will damage yin, leading to yin deficiency and yang hyperactivity. Lycium barbarum is sweet in taste and flat in nature, belonging to the liver and kidney meridian, which can nourish liver and kidney and benefit the eyes. Chrysanthemum is pungent, sweet and bitter, slightly cold, belonging to lung and liver meridians, and can calm liver yang, clear liver and improve eyesight. Professor Guo often uses this medicine to treat hypertension, such as dizziness, headache, blurred vision and dry eyes.
4. Taxilli Eucommiae
Mulberry mistletoe is bitter, sweet and flat, belonging to the liver and kidney meridian, which can dispel wind and remove dampness, nourish liver and kidney and strengthen bones and muscles. Eucommia ulmoides Oliv Sweet and warm, the meridian tropism is consistent with that of Taxilli, which has the effects of nourishing liver and kidney and strengthening bones and muscles. Modern pharmacological studies show that both Taxilli and Eucommia ulmoides have antihypertensive effects. Professor Guo once used this medicine to treat hypertensive patients with liver and kidney yin deficiency, weak waist and knees, and weakness of muscles and bones.
Guo, female, was born in 1940. Chief physician of Dongzhimen Hospital of Beijing University of Chinese Medicine, chief professor of cardiovascular diseases, doctoral tutor, clinical postdoctoral tutor, excellent tutor of academic experience inheritance of famous Chinese medicine experts all over the country, enjoying special allowance from the State Council, winning the inheritance and development award of Huang Qi Traditional Chinese Medicine Fund and the honorary title of "Master of Traditional Chinese Medicine in the Capital", and being a pioneer in the study of invigorating qi and promoting blood circulation in heart disease. Born in a family of Chinese medicine, I studied under my late father, Mr. Guo Shikui, a famous expert on cardiovascular diseases in Chinese medicine. He studied in the Department of Traditional Chinese Medicine of Beijing University of Chinese Medicine, and was deeply guided by famous Chinese medicine experts such as Qin Bowei, Ren Yingqiu, Tung Chee-hwa and Liu Duzhou. After graduation, I have been engaged in medical treatment, teaching and scientific research in Dongzhimen Hospital. Engaged in clinical and scientific research work of cardiovascular diseases for more than 40 years, he has accumulated rich clinical experience, gradually formed the academic thought of invigorating qi and promoting blood circulation to treat cardiovascular diseases, and created many clinically effective empirical prescriptions. He has served as vice president, dean and party secretary of Dongzhimen Hospital, vice chairman of the first expert committee on imported natural drugs of the former Ministry of Health, member of the Seventh Pharmacopoeia Committee of the former Ministry of Health, the fourth executive director and vice president of Beijing Branch of the National Association of Integrated Traditional Chinese and Western Medicine, the first executive director of the Health Care Society of the Chinese Medicine Association, and the third and fourth directors of the Chinese Medicine Association. He is the instructor of the fourth and sixth batch of old Chinese medicine experts' academic experience inheritance in China, and the head of Guo Shikui's famous research room of the "3 3 Project" of Beijing Administration of Traditional Chinese Medicine. He has presided over 2 national natural fund projects and many provincial and ministerial projects, and won the National Natural Science Congress Award 1, 3 second-class achievement awards from the Ministry of Health, Beijing Science and Technology Achievement Award 1, Beijing University of Chinese Medicine 1, 4 third-class awards from Beijing Science and Technology Achievement Award, and China Society of Chinese Medicine 1. He has published more than 10 books and more than 50 papers.
References:
Ma Yu, Hua Demin, Qin Jianguo, Li Bing, Jia Yifan, Qin Mingzhen, Wang Yahong, Liang Jinpu. Professor Guo's experience in treating hypertension [J]. Clinical Modern Chinese Medicine, 2016,23 (05):14-16+23.
Guo. Guo Clinical Essentials [M]. Second Edition. Beijing: People's Military Medical Publishing House, 20 13: 1-4.
# Oriental Hospital TCM said # # Professor Qin Jianguo's words TCM # # Famous doctor's experience # # How to treat hypertension #