[1] Lei Yaling Li Jun,.Multifactorial Clinical Analysis of Vertigo (Hypertension) Syndrome of Phlegm and Blood Stasis [J]. Modern Traditional Chinese Medicine, 2018, (05): 21-24. [doi: 10．13424/j．cnki．mtcm．2018．05．007]
Multifactorial Clinical Analysis of Vertigo
(Hypertension) Syndrome of Phlegm and Blood Stasis
- Article number:
- 1672－0571(2018)05－0021－04
- Keywords:
- vertigo (hypertension); syndrome of phlegm and blood stasis; multifactors; clinical analysis
- ZTFLH:
- Ｒ255. 3
- Code:
- A
- Abstract:
- To summarize and analyze the etiology，pathogenesis，syndrome characteristics， clinical treatment based on syndrome differentiation，prescription selection of vertigo (hypertension) syn- drome of phlegm and blood stasis． Method: A total of 464 cases of complete data were collected，which were divided into intermingled phlegm and blood stasis syndrome group and non intermingled phlegm and blood stasis syndrome group，the differences between the 2 groups in age，sex，risk factors，different situations of phlegm and blood stasis as well as intermingled patterns of syndrome were compared． 35 syndromes including symptoms，signs，physicochemical indexes and tongue veins were analyzed by linear stepwise regression a- nalysis． Ｒesult: 191 cases (41．16%) were found in intermingled phlegm and blood stasis syndrome group; the differences were statistically significant (P ＜0．05) in terms of age，sex，and risk factors between the two groups． And the phlegm and blood stasis are not equally existed，among the intermingled patterns of syn- drome，upper hyperactivity of liver yang has the highest proportion． The results of 35 symptom factors showed that 9 factors hold the most significant correlation with vertigo (phlegm and blood stasis syndrome) which are: slippery pulse，uneven pulse，sublingual －threads，hyperlipemia，lingual color，dizziness，high blood viscosity，thickness of the tongue coating and numbness of limb． Conclusion: There is a long process of for- mation of intermingled phlegm and blood stasis syndrome in vertigo (hypertension)，phlegm stagnation and blood stasis run through the course of the disease． Clinical observation suggests that phlegm stagnation and blood stasis should be treated at the same time and corresponding treatment should be given according to dif-ferent situations of phlegm and blood stasis as well as intermingled patterns of syndrome，in this way，the pathogenesis could be hit and the curative effect could be shown．
References:
[1]王艳霞，张艳，柳士博，等． 高血压病眩晕的中医病机及治法［J]． 长春中医药大学学报，2014，30(5): 847 －849．
[2]张红燕，丁天红，李军． 李军教授从痰瘀论治心脑同病
经验浅析［J]． 现代中医药，2013，33(2): 1 －3．
[3]刘力生． 中国高血压防治指南 2010［J]． 中华高血压杂志，2011，19(8): 701 －708．
[4]国家中医药管理局． 中华人民共和国中医药行业标准，中医病证诊断疗效标准［D]． 南京: 南京大学出版社，1994．
[5]任占利，范吉平． 《 中风病证候诊断标准》的临床验
证研究: 国家攻关课题“85—9…［J]． 北京中医药大
学学报，1994，17(6): 41 －43．
[6]缪峰，李军． 李军“脑病”学术思想探悉［J]． 陕西中
医，2014，35(2): 209 －210．
[7]周海哲，李军． 肝热痰瘀致高血压病眩晕病机探析
［J]． 陕西中医，2014，35(1): 60 －62．
[8]刘巍，熊兴江，王阶． 高血压病代谢紊乱及化浊平肝法
的临床运用［J]． 中国中药杂志，2013，38(8): 1251
－1254．
[9]贾海骅，王仑，韩学杰． 高血压病“痰瘀互结，毒损心
络”的理论思维与创新［J]． 中 国中医基础医学杂
志，2014，20(7): 890 －892．
[10]巨君芳． 活血祛瘀中药对老年高血压病血栓前状态分
子标志物及血流变的影响［J]． 浙江中医杂志，2015，
50(10): 710 －711．
[11]陈扬波，陈勇毅． 陈勇毅论治老年高血压病眩晕经验
［J]． 浙江中医杂志，2015，50(10):719 －720．
[12]李洁，解品启． 从瘀论治高血压病［J]． 中西医结合心
脑血管病杂志，2015，13(6):857 －858．
[13]吴芳，丁黎琳，关徐涛，等． 化痰活血方联合西药治疗
痰瘀互结型原发性高血压疗效治疗［J]． 新中医，
2017，49(12):17 －20．
[14]南明花，焦晓民，李琳，等． 通脉化浊汤(免煎颗粒)联
合西药及健康教育综合干预痰瘀互结高血压双盲安
慰剂随机平行对照研究［J]． 实用中医内科杂志，
2017，31(9):30 －35．
Memo
收稿日期:2018 －05 －07 编辑:巩振东