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总结程志清教授治疗高血压的辨证思路和常用方药。程师认为高血压具有动态演变性,应整体认识症与证之间点面结合关系,从眩晕、水肿、气急、心悸四大主症入手,首抓主症,继辨兼症,依症辨证,症证结合,由点及面,抓住疾病主要矛盾,预判疾病变化趋势。遣方用药方面,程师善用经方而不泥古,以经方为基,结合现代药理研究,灵活加减,疗效明显,常用经典方剂如龙胆泻肝汤、金匮肾气丸、羚角钩藤汤、半夏白术天麻汤等。
Abstract:This paper summarizes Professor CHENG Zhiqing 's dialectical thinking and frequently used prescriptions and drugs in treating hypertension. Master CHENG believes that hypertension has a dynamic evolution and it is necessary to grasp the overall understanding of the point-to-surface combination relationship between symptoms and syndromes. Starting from the four main symptoms of dizziness,edema,shortness of breath and palpitations,the main symptoms should be focused on firstly,and the secondary symptoms should then be distinguished,syndrome differentation is based on the symptoms and combines the symptoms and syndromes,and moves from the point to the surface to grasp the main contradiction of the disease and predict the trend of disease changes. In terms of prescription and medication,Master CHENG is adept at applying classic prescriptions without being bound by the past. He takes classic prescriptions as the foundation and combines them with modern pharmacological research,making flexible adjustments and achieving remarkable therapeutic effects. The frequently applied classic prescriptions include Longdan Xiegan Decoction(龙胆泻肝汤),Jingui Shenqi Pill(金匮肾气丸),Lingjiao Gouteng Decoction(羚角钩藤汤),and Banxia Baizhu Tianma Decoction(半夏白术天麻汤),etc.
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基本信息:
DOI:10.16295/j.cnki.0257-358x.2025.12.014
中图分类号:R249;R259
引用信息:
[1]戴优苒,沈祥峰,阮天音,等.程志清“症证结合”论治高血压经验[J].山东中医杂志,2025,44(12):1368-1372.DOI:10.16295/j.cnki.0257-358x.2025.12.014.
基金信息:
浙江省中医药科技计划项目(编号:2022ZB290)
2025-12-05
2025-12-05