内科理论与实践 ›› 2025, Vol. 20 ›› Issue (01): 67-70.doi: 10.16138/j.1673-6087.2025.01.14

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基于“益肾抗衰老”理论探讨益肾法对中老年原发性高血压的作用机制与进展

徐婷嬿1, 张瑾1, 顾耘2()   

  1. 1.上海交通大学医学院附属瑞金医院高血压科 上海市高血压研究所,上海 200025
    2.上海中医药大学附属龙华医院老年科,上海 200032
  • 收稿日期:2024-05-17 出版日期:2025-02-28 发布日期:2025-04-30
  • 通讯作者: 顾耘 E-mail:Birgitgu@163.com

Explore mechanism and progress of kidney-tonifying method on middle-aged and elderly essential hypertension based on traditional Chinese medicine theory of “tonifying kidney and resisting aging”

XU Tingyan1, ZHANG Jin1, GU Yun2()   

  1. 1. Department of Hypertension, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medcine,Shanghai 200025,China
    2. Department of Geriatrics, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032,China
  • Received:2024-05-17 Online:2025-02-28 Published:2025-04-30
  • Contact: GU Yun E-mail:Birgitgu@163.com

摘要:

高血压是常见病、多发病,也是心血管疾病最重要的危险因素。有效平稳降压是减少心血管疾病的关键。与单一机制药物不同,中药拥有多靶点多机制协同作用。从中医学理论,肾精亏虚、肝阳上亢是高血压的特点和病机。中医药有着治病必求于本的特色和优势,益肾法治疗高血压也有着悠久的历史。本文将从现代医学的角度回顾多种益肾法治疗高血压的临床研究,并从基础研究的角度探讨其可能的机制,总结益肾法中药治疗高血压的进展,为临床中西医结合治疗高血压提供借鉴。

关键词: 益肾法, 中老年, 高血压, 中药疗法

Abstract:

Hypertension is a common disease and the most important risk factor for cardiovascular diseases (CVD). Lowering blood pressure effectively and stably is the key to reduce CVD. Unlike single-mechanism drugs, traditional Chinese medicine (TCM) has the synergistic effect of multi-target and multi-mechanism on the treatment of essential hypertension. According to the theory of TCM, kidney essence deficiency and liver-yang hyperactivity are the characteristics and pathogenesis of hypertension. The method of tonifying kidney has a long history in treating hypertension, and it embodies the basic concept ‘treat disease, cure must seek the root cause’ in TCM. The article reviews the clinical studies on various kidney-tonifying methods, explores the mechanisms and summarizes the research progress, to provide reference for the clinical treatment of hypertension with the combination of traditional Chinese and Western medicine.

Key words: Tonifying kidney therapy, Middle-aged and elderly, Hypertension, Traditional Chinese medicine therapy

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