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高血壓

1. Overview and Causes
2. Symptoms
3. TCM Effectiveness and Evaluation
4. Common Syndromes and Treatments in TCM
  a. Hyperactivity of Liver-yang
  b. Deficiency of the Liver-yin and Kidney-yin
  c. Deficiency of both yin and yang
5. Healing by Other Therapies
  a. Qigong and other
  b. Medicated diet
  c. Life style


1. Overview and Causes

Essential hypertension is a chronic high blood pressure with no identifiable cause. In the early stage, there are symptoms of dizziness, headache, palpitation (noticeable and irregular heartbeat), insomnia, tinnitus (ringing in the ears), lassitude, polyuria (increased urine production) and epistaxis (bleeding from the nose), etc. In the late stage the organs such as the heart, brain, kidneys and others may be involved. It belongs to the categories of "dizziness" and "headache" in traditional Chinese medicine.

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2. Symptoms

(a) Common symptoms are dizziness, headache, head distension, restlessness, temperamental tendency, insomnia, palpitation, numbness of extremities.
(b)Hypertension is defined as a pressure greater than 140/90mmHg (18.7/12.0kPa ).The elevation of diastolic pressure is of more significance for clinical diagnosis.
(c) In severe cases or cases of long duration, the heart, brain and kidney may be compromised with the presentation of relevant clinical manifestations.
(d) In some patients blood pressure may be markedly elevated abruptly under certain precipitating factors accompanied with severe headache, dizziness, nausea and vomiting, which is called "hypertension crisis". If disturbance of consciousness, convulsion (fits), transient hemiplegia (weakness of one half of the body) or aphasia (speechlessness caused by disease or injury to a part of the brain) are present, that is called "hypertensive encephalopathy".

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3. TCM Effectiveness and Evaluation

It is effective to treat hypertension by TCM. Not only the TCM's treatment improves symptoms obviously, but the therapy also lessens side effects. Western medicine & TCM are effective in alleviating weaknesses. However,TCM results in less side effects and also helps in reversing damage to the target organs. It is advisable to practise Qigong every day to consolidate effect of treatment.

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4. Common Syndromes and Treatments in TCM

This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below.

Syndrome (a)
Hyperactivity of Liver-yang

Dizziness, headache, head distension, temperamental tendency, flushed eyes, bitter taste in the mouth, red tongue with thin yellow fur, taut and forceful pulse.

To treat by Herbal medicine
Therapeutic principle: By using herbal medicine you can calm the liver and subdue hyperactivity of the liver-yang.

Prescription/Formula: Modified Decoction of Gastrodia and Uncaria. gastrodia tuber, Rhizoma Gastrdiae 9g, hooked uncaria, Ramulus Uncariae cum Uncis 15-30g, chrysanthemum flower, Flos Chrysanthemum 9g, scutellaria root, Radix Scutellariae 9g, abalone shell, Concha Halitosis 30g, achyranthes root, Radix Achyranthis Bidentatae 12g, prunella spike, Spica Prunellae 15g, dragon's bone, Os Draconis 30g, raw oyster shell, Concha Ostreae 30g, eucommia bark, Cortex Eucommiae 12g, loranthus mulberry mistletoe, Ramulus Loranthi 15-30g.

  

To treat by Acupuncture and Moxibustion
  

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Syndrome (b)
Deficiency of the Liver-yin and Kidney-yin

Headache, vertigo, tinnitus, dryness of eyes, anger, palpitation, insomnia, poor memory, feverish sensation in the palms and soles, aching and lassitude of the loins and legs, dry mouth, red tongue with a little or no fur, fine and string-like pulse.

To treat by Herbal medicine
Therapeutic principle: By using herbal medicine, you can nourish yin and suppress your hyperactive yang.

Prescription/Formula: Modified Decoction of Fleece-flower for Longevity fleece-flower root, Radix Polygoni 15g, dried rehmannia root, Radix Rehmanniae 12g, wolfberry fruit, Fruetus Lyeii 12g, tortoise-plastron glue, Golla Plastri Testuinis 15g, eucommia bark, Cortex Eucommiae 9g, loranthus mulberry mistletoe, Ramulus Loranthi 15g, achyranthes root, Radix Achyranthis Bidentatae 15g, magnetite, Magnetitum 15-30g, parched wild jujuba seed, Semen Ziziphi Spinosae 12g, chrysanthemum flower, Flos Chrysanthemi 9g.

  

To treat by Acupuncture and Moxibustion

  

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Syndrome (c)
Deficiency of both yin and yang
Dizziness, tinnitus, amnesia (loss of memory which maybe partial or total), palpitation, lassitude, soreness of the loins and knees. Inclination to yang deficiency gives rise to cold extremities (hands and feet), pale tongue and deep thready pulse, while inclination to yin deficiency brings about feverish sensation in the chest, palms and soles, red tongue and fine rapid pulse.

To treat by Herbal medicine
Therapeutic principle: By using herbal medicine, you can nourish yin and restore yang.

Prescription/Formula: Modified Decoction of Curculigo and Epimedium. curculigo rhizome, Rhizoma Curculiginis 9-15g, epimedium, Herba Epimedii 9-15g, morinda root, Radix Morindae Officinalis 9g, Chinese agelica root, Radix Angelica Sinensis 9g, phellodendron bark,Cortex Phellodendri 9g, anemarrhema rhizome, Rhizoma Anemarrhenae 9g, eucommia bark, Cortex Eucommiae 12g, achyranthes root, Radix Achyranthis Bidentatae 12g. All the above drugs are to be decocted in water for oral administration.

  

To treat by Acupuncture and Moxibustion
(a) Body Acupuncture
Prescription: Quchi (Li 11) and Taichong (Li 3),

Supplementary Points: For excess of liver-fire, Fengchi (G 20) and Taiyang (Extra 1) are added; for excess of phlegm-dampness, Fenglong (S 40), Zhonhwan (Ren 12) and Neiguan ( P 6); For hyperactivity of yang due to yin deficiency, Shenshu (B 23), Ganshu (B 18), Taixi (K 3) and Sanyinjiao (Sp 6).

(b) Ear Acupuncture
Prescription: Pt. Heart, Pt. Liver, Pt. Middle Border. Pt. Groove; for lowering blood pressure, Pt. Shenmen and Pt. Ear Apex.

(c) Scalp Acupuncture
Prescription: Foot motor sensory area (bilatera), Thoracic area, and Vasomotor area.

  

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5. Healing by Other Therapies

(a) Qigong and other therapies

For effect of Qigong on the Nervous System Function, click here.

Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements.

The following types of Qigong may help:

For the information of different types of Qigong ,just click a link above.

This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them.


(b) Medicated diet
1. Dried-Chrysanthemum Flower(Ganjuhua) 12g, Hawthorn Fruit(Shanzha) 12g. Grind the herbs into powder. Put 50g of polished round-grained rice(Jingmi) in water 400ml, and make gruel, then add in the herbal powder and appropriate crystal sugar, continue boiling a few minutes. Take it twice a day, no to be taken in winter.
2. Celery Stem(Qincai) 60g, Red Date(Dazao) 30g, decoct them in water to make tea. Drink it twice a day, continue drinking one month or longer.
3. Helpful food: Onion(Yangcong), Galic(suan), Shepherd,s Purse(Kunbu), Mushroom, Tremella(Yin'er).
(c) Life style
1. Keep in good mood.
2. Take precaution against overweight.
3. Try not to be overtired.
4. Quit smoking and limit drinking wine
5. Do appropriate exercise.
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Acknowledgments:
Healthphone.com greatly acknowledges the support and dedication of our
Healing Centre Panel, without whom this section would not be possible.

We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.