从脾论治高血压病与血管性痴呆的相关性

在如今亚健康的大环境下,高血压病已经不单是指血压升高这一症状所带来的危害,其影响更大的是其对心、脑、肾等重要器官的长期慢性损害。现代医学的相关研究表明,血压升高可通过改变血管结构进而影响大脑的认知功能,已然成为诱发血管性痴呆的重要危险因素。就目前来看,西医对靶器官损害的治疗还只是针对症状治疗,很难从根本病因上进行突破。而近年来中医越来越受到大众的关注和认可,中医药在治疗高血压病以及预防延缓并发症方面也取得了明显的疗效与成果。中医认为"脾为后天之本",又是一身气血运行的关键。脾参与了疾病的发生发展,脾居中焦,维系五脏,统摄全身气血运行。故笔者认为,从脾论治高血压病可体现"治病求本"的理论,而高血压作为血管性痴呆的危险因素,与脾功能失常也是密切相关。二者同为血管性疾病,都离不开"脾主统血"与"脾主调节气机",沈明宗在《金匮要略编著》中曰:"五脏六腑之血,全赖脾气统摄"。主要从中医角度探究以脾脏象理论为基础的高血压病的发病机制,确定高血压病、血管性痴呆的发病机制在中医理论指导下具有相关性,总结提出从脾论治高血压病与延缓血管性痴呆的发生发展的可行性。为临床治疗高血压病提供新的思路,以及预防和延缓器官损害。

Correlation Between Treatment of Hypertension and Vascular Dementia from Spleen Deficiency and Phlegm Stasis

In today’s sub-healthy environment,hypertension is not only referring to the harm caused by the symptoms of increased blood pressure,but its greater impact is its long-term chronic damage to important organs such as heart,brain,kidney and so on.Related research in modern medicine has shown that increased blood pressure can affect the cognitive function of the brain by changing the structure of blood vessels,and has become an important risk factor for vascular dementia.At present,the treatment of target organ damage by Western medicine is only for symptomatic treatment,and it is difficult to make breakthroughs in the underlying cause.In recent years,traditional Chinese medicine has received more and more attention and recognition from the public.Traditional Chinese medicine has also achieved obvious effects and results in the treatment of hypertension and prevention of delayed complications.Traditional Chinese medicine believes that the spleen is the acquiredfoundationand is also the key to the transportation of blood and Qi.The spleen is involved in the occurrence and development of the disease.The spleen is at the middle-Jiao,maintaining the five Zang-organs and taking control of the whole body.Therefore,the author believes that the treatment of hypertension from the spleen can embody the theory of"treating the root cause of the disease",and hypertension as a risk factor for vascular dementia is also closely related to spleen dysfunction.Both of them are vascular diseases,and they cannot be separated from"spleen governing blood"and"spleen governing Qi movement".In A Brief Introduction to the Golden Chamber,SHEN Mingzong said that"the blood of the five Zang-organs and the six Fu-organs depends on the control of spleen".This article mainly explored the pathogenesis of hypertension based on the theory of spleen visceral manifestation from the perspective of traditional Chinese medicine.It is determined the feasibility of delaying the occurrence and development of vascular dementiaunder the guidance of traditional Chinese medicine theory,providing new ideas for clinical treatment of hypertensionas well as preventing and delaying organ damage.