The systolic blood pressure of normal people increases with age. Under the age of 40, the systolic blood pressure does not exceed 18.7 kPa( 140 rmm Hg), and the systolic blood pressure can increase by 1.33 kPa( 10 mmHg) with the increase of age.
Although hypertension is the name of modern medicine, there is no such name in Chinese medicine literature, but this does not mean that Chinese medicine does not know about this disease. In fact, according to the clinical manifestations of hypertension, it belongs to the category of "dizziness" and "headache" in Chinese medicine, and Chinese medicine has a deep understanding of its etiology and pathogenesis. At present, it is undoubtedly of great significance to understand the etiology and pathogenesis of hypertension from the perspective of traditional Chinese medicine.
Traditional Chinese medicine believes that the occurrence of this disease is mostly due to long-term mental stress, anxiety, impatience and irritability, abnormal life, improper diet and other factors, resulting in imbalance of yin and yang in liver, kidney, heart and spleen, especially in liver and kidney.
Circulating moxibustion on day 1 and day 8.
General hypertension and hemiplegic arthritis can be treated by routine moxibustion. Conventional moxibustion for hypertension, hemiplegia and arthritis
Moxibustion sequence:
Day 1 day: Zhongwan and Zusanli;
The next day: Huantiao, Yanglingquan;
Day 3: Shi Feng and Shenmai;
Day 4: shoulder epiphysis and curved pool;
Day 5: wind pool, wall clock;
Day 6: Body Column, Yangguan and Sanyinjiao;
Day 7: Appoint China to shine on the sea;
Day 8: Baihui, Ruomen, and Lieque;
note:
1. Hypertension, hypotension, hemiplegia and arthritis can all be treated by moxibustion in this way.
6. Patients with hypertension should start moxibustion at this point on the 8th day after the 6th day+7th day of 65438. Moxibustion of Baihui and Ruomen has a good effect on lowering blood pressure and relieving dizziness and headache. However, if moxibustion is done too early, dizziness and other symptoms will be aggravated due to unclear meridians, and moxa fire cannot be popular. It is advisable to moxibustion at Zhongwan and Xiashu points first; Plus moxibustion at scalp point
3. Circulate moxibustion on the above-mentioned acupoints into the box and moxibustion on the umbilicus for 30 minutes every day.
Patients with hypertension caused by kidney disease, or hypertensive nephropathy, often have abnormal urination, low back pain, eyelid and side thigh edema. First, circulate moxibustion at the following acupoints (moxibustion at umbilicus for 30 minutes every day), and then use the following three groups of acupoints together with the above-mentioned routine moxibustion acupoints with high blood wind after the nephropathy improves.
Day 1 day: Guanyuan, Shuidao and China-Kyrgyzstan;
The next day: Shenshu, Fu Liu;
The third day: dry the tree and open the door;
Second, the introduction of typical cases of hypertension
Example: kloc-0/ma x, male, living in 60 1 8 troops.
1, medical history and symptoms:1July, 962 Xinyun: I have been suffering from hypertension for 5 years. 1 year ago, my blood pressure was generally 24.0 ~ 20.0/16.0 ~12.7kpa (180 ~ 65438+). Recently, my blood pressure has stabilized at 20.0/13.3kpa (/kloc). .
2. Treatment: From July 1 1, 1, 1 self-moxibustion, with 30 minutes in the Intermediate People's Court and 30 minutes in Zusanli; On the 2nd, Huantiao and Yanglingquan were prepared; on the 3rd, 25 minutes were prepared, and Shi Feng and Yinmai each had 25 minutes. On the 4 th, Shoujian and Quchi each have 5 minutes. 25 minutes for the No.5 wind pool and bell, 30 minutes for Yaoyangguan and Venezuela on the 6 th. Circulating moxibustion at acupoints for more than 6 days. Moxibustion of navel for 30 minutes every day. After three weeks of moxibustion, the blood pressure dropped to 17.3/ 12. OKPA (130/9 o mmHg) has a great appetite, can sleep for 6 hours every day, and has mild dizziness and pain. Instruct two-day acupoint selection: 1, Baihui and Ruomen for 20 minutes, Hegu for 25 minutes: 2, Guan Hui, Lieque and Fenglong for 20 minutes, and circulate moxibustion with the former points; After 4 weeks of moxibustion, the blood pressure dropped to16.0/10.7 kpa (120/.80 mmhg), the headache was relieved and dizziness stopped. Sleeping for 9 hours every day, the weight increased by 4 kilograms compared with that without moxibustion. After moxibustion for half a month, the blood pressure dropped to14.7/9.33 kpa: (I10/7 o mmhg), and all the symptoms were cured. The next year, I received a letter from the patient and learned that the disease had not recurred.
Example 2 Xing, male, 6 1 year old, lives in Lanzhou Road, Heping District, Tianjin.
1963 65438+First visit on February 9th.
1, medical history and symptoms: I suffered from hypertension five years ago, when my blood pressure was as high as-30.7/18.7 kpa (230/1.4 omhg >-four months ago, my blood pressure was 22.0/.16.0 kpa' (/. Symptoms: dizziness, insomnia, fatigue, fear: cold food, left hypochondriac pain, domineering, dry stool, stepping on feet. Examination: tenderness of body column and limbs, tenderness of medial and lateral acupoints, nausea, hardness and tenderness around umbilicus.
2, treatment: moxibustion, warm moxibustion enthusiasts moxibustion, first treat gastrointestinal stagnation: 1 day, Zhong Bo, Zusanli 30 minutes: 2 days, door court 30 minutes, Taichong point 20 minutes, 3 days, Shu Tian 30 minutes, Xiafu 60 minutes; On the 4th, 30 minutes in Zhangmen, 60 minutes in Qihai, 25 minutes in Shu Ge, 30 minutes in Zhongshan and Juque, 25 minutes in Pishu and Sanyinjiao. Circulating moxibustion at acupoints for more than 6 days, moxibustion at umbilicus for 30 minutes every day. After two months of moxibustion, the stool was normal, the pain in the left abdomen stopped, everything in the abdomen was normal, the appetite increased, and the body became strong. I used to take three breaks on the way to a place to do business, but now I don't take a break. It is required to add moxibustion to the first 7 points in the routine moxibustion method for hypertension in recent 3 months. Adjust the blood pressure to 22.7/9.33 kPa (170/70 mnmhg) s. If you eat well and sleep well, you will not feel tired after living, but after a long time, you will still have head moxibustion for half a year, and your blood pressure will be stable at 21.3 ~ 20.0/1. ~ 9.33.
Example Wu, female, 53 years old, lives in Nankai District, Tianjin.
1960 65438+1First visit on October 20th.
1, medical history and symptoms: 1959 In February, I had a headache on my left side and was very dizzy, and I was unwilling to move every time I was in bed. At that time, he was sent to Nankai Hospital, and his blood pressure and systolic blood pressure were 32.0kPa (240mmHg). After 8 days of treatment, he was discharged from the hospital. 1960 February was admitted to Tianjin Second Central Hospital for hypertension, but the treatment was still ineffective. I had been in bed 1 year and 8 months when I came to see a doctor. Symptoms: dizziness, headache, reluctance to open your eyes and talk, sitting up when eating, and staying in bed quickly after eating; Ear ringing, sharp, palpitation, night sweats, heartburn and hard object blockage:-moderate, feeling tired when chewing food, so eat less; Low back pain
2, treatment: first moxibustion at the following 4 points: 1 day, Zhongwan and Zusanli for 30 minutes each; No.2, cycle 30 minutes, Taichong 20 minutes, No.3, Xiawan, Fenglong: riveting 30 minutes each; On the 4th, bell hanging and Sanyinjiao were held for 25 minutes each, and the navel was moxibustion for 30 minutes every day.
654381October 26th, moxibustion for 6 days. I feel that my abdomen is stretched, my gastrointestinal peristalsis increases, and I have an appetite, but I just can't chew, and sometimes I have slight dizziness and pain in my head. Guide the circulating moxibustion at Sanri point and Qianxue point. 1 day, Quchi for 30 minutes, Guanyuan No.2 for 60 minutes, Shenmen for 25 minutes, Umbilical for 60 minutes: No.3, Laogong for 30 minutes, and Zhongpolar for 60 minutes. In the future, add 5 acupoints: 1, Juque for 30 minutes, Qihai for 60 minutes, Hegu for 25 minutes, and minutes: No.2, Yinlingquan and Zhao Hai for 25 minutes each; On the 3 rd, 0.25 minutes for Shousanli and Hegu, 20 minutes for cheek car, 25 minutes for Quchi and 60 minutes for Guanyuan.
On February 7th, 65438, I can sit for 20 minutes. When eating, I feel that my upper teeth are very strong and my lower teeth are still very weak. 196 1 year 1.30, I can crawl in bed, feel dizzy and flustered, and stop sleeping: other symptoms are greatly relieved after combined medication; But I couldn't help laughing for nearly half a month. Ask moxibustion 1 day, Daling and Lieque for 25 minutes, Ganshu and Chongyang for 25 minutes on the second day.
February 1 1, the more symptoms of self-laughing.
On February 24th, I was instructed to stop using the previous moxibustion method and follow the "routine moxibustion method for hypertension" for three times (no moxibustion at point 8).
March 8. You can already move in the field.
On September 2, I was able to sit in the hospital often, and my symptoms worsened, but my body was still very weak. 1962 may 12, friends can go out at will. The disease has not recurred.
Third, clinical experience
Warm moxibustion has a good effect on hypertension. After moxibustion, the blood pressure of some patients gradually stabilized and even returned to normal. The blood pressure of some severe patients decreased to some extent after moxibustion, but it was still abnormal. But the symptoms such as dizziness, headache, leg weakness and insomnia will be improved significantly.
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