马进教授治疗肾性高血压经验总结

发布时间：2018-06-24 13:09

  本文选题：肾性高血压 + 治疗　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：肾性高血压是由于肾脏的实质受损病变或肾动脉的病变导致的血流动力学改变引起的患者血压升高的一种疾病,是继发性的高血压中比较常见的一种。中医学中并没有肾性高血压的病名,所以根据其最主要的临床表现及症状将其归属于中医学中“头痛”“眩晕”“水肿”“关格”“尿浊”等范畴。因其病情迁延,难以治愈,病因病机复杂多变,至今没有统一的病因病机论述。马进老师经过多年的临床实践,对肾性高血压的提出了自己的看法:认为有多种内外因导致的肝、脾、肾亏损是肾性高血压发病的病理基础。因此所致的肝阳上亢、痰湿与血瘀等病理产物互结是影响肾性高血压发展的重要病理因素。三者互相影响,交互纠结,加重病情,病程缠绵,终至本虚标实,虚实夹杂,最终发展至肾衰竭。在临床治疗上应以控制血压为先,稳定血压保护肾功能防止疾病的进一步发展。在控制血压的基础上,根据患者不同的病情和具体症状的不同而使用不同的治疗方法。以温补滋阴为主配以清热泻火、化痰祛湿、活血化瘀之法针对患者不同的病情辨证治疗。治疗后患者的临床症状及生活质量得到明显的改善。
[Abstract]:Renal hypertension is a kind of disease which is caused by hemodynamic changes caused by renal parenchymal lesion or renal artery lesion. It is a common disease in secondary hypertension. There is no name of renal hypertension in traditional Chinese medicine, so according to its main clinical manifestations and symptoms, it is classified as headache, vertigo, edema, urine turbidity and so on. Because of its prolonged illness, difficult to cure, complex etiology and pathogenesis, so far there is no unified etiology and pathogenesis. After many years of clinical practice, teacher Ma Jin put forward his own view on renal hypertension: there are many internal and external causes of liver, spleen, kidney deficiency is the pathological basis of renal hypertension. Therefore, the interaction of pathological products such as hyperactivity of liver yang, phlegm dampness and blood stasis is an important pathological factor affecting the development of renal hypertension. The three affected each other, intertwined, aggravated the disease, and the course of disease was lingering. In clinical treatment, blood pressure control should be taken as the first step to stabilize blood pressure and protect renal function from further development. On the basis of blood pressure control, different treatments are used according to the patient's condition and specific symptoms. Warming and nourishing yin mainly combined with clearing heat and reducing fire, eliminating phlegm and removing dampness, promoting blood circulation and removing blood stasis. After treatment, the clinical symptoms and quality of life of the patients were significantly improved.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259
，

本文编号：2061628