Secondary symptoms: red face and red eyes, hypochondriac pain, bitter taste, yellow constipation, nervous fever, dry mouth and thirst, insomnia and wet dream.
Tongue pulse: red tongue with little coating, thin or stringy pulse.
(2) The main symptoms of deficiency of both qi and blood: dizziness, qi deficiency and fatigue.
Secondary symptoms: shortness of breath, headache, spontaneous sweating or night sweats, palpitation and insomnia.
Tongue pulse: pale tongue, thin and weak pulse.
(3) The main symptoms of phlegm and blood stasis syndrome: heavy head or pain.
Secondary symptoms: heavy head, chest tightness, chest pain, palpitation, anorexia, lethargy, numbness of hands and feet.
Tongue pulse: greasy fur and slippery pulse.
(4) The main symptoms of kidney essence deficiency syndrome: upset, insomnia, tinnitus and backache.
Secondary symptoms: palpitation, forgetfulness, insomnia, wet dream, dry mouth and thirst.
Tongue pulse: the tongue is light and dark, and the pulse is thin and weak.
(5) The main symptoms of kidney-yang deficiency syndrome: aversion to cold wind in the back, soreness and weakness in the waist and knees.
Secondary symptoms: headache aggravated by cold, chills in hands and feet, frequent urination at night.
Tongue pulse: the tongue is light and the pulse is heavy and thin.
(6) The main symptoms of the disorder of chong and Ren: menstrual cramps or headache and dizziness before and after menopause. Secondary symptoms: upset, insomnia and hypochondriac pain.
Tongue pulse: the tongue is light and dark, and the pulse string is thin.
As long as there is one main symptom and two secondary symptoms, all the above symptoms can be diagnosed and corresponding treatment measures can be taken.
Syndrome score and curative effect evaluation method;
The quantitative standard of TCM syndrome score is 0: undocumented syndrome;
1: Shanghai stock market is light and occasionally appears, which does not affect work and life;
2 points: hand in all light and heavy, appear intermittently, and do not affect work and life;
3 points: Shanghai Stock Exchange is obvious and frequent, which does not affect work and life;
4 points: Shanghai Stock Exchange continues to appear, affecting work and life. (1) Syndrome of yin deficiency and yang hyperactivity 1. Tea:
Chrysanthemum tea: white chrysanthemum, green tea and boiled water.
Kuding tea: Kuding tea, chrysanthemum, mulberry leaves and Uncaria rhynchophylla, each in proper amount, are brewed with boiling water for drinking.
Chrysanthemum, hawthorn and cassia seed drink: chrysanthemum, raw hawthorn slices and cassia seed. Drinking boiled water.
2. Recommended food:
Celery, mung bean, mung bean sprout, lettuce, tomato, chrysanthemum, jellyfish, hawthorn, shepherd's purse, watermelon, water bamboo, eggplant, persimmon, carrot, banana, cucumber, bitter gourd, laver and asparagus.
3. Recommended diet therapy:
Pueraria porridge: Pueraria lobata, japonica rice and peanuts are boiled with moderate water, and then boiled with slow fire 1 hour, and eaten in batches.
Chrysanthemum porridge: remove the pedicel of chrysanthemum, steam it in a cage, take it out and dry it in the sun or in the shade, and then grind it into fine powder for later use. Wash the japonica rice, put it in a pot, add appropriate amount of water, boil it with strong fire, then cook it with slow fire until it is half cooked, add chrysanthemum fine powder, and continue to cook it with slow fire until the rice is rotten into porridge. Dinner twice a day.
(2) Deficiency of both qi and blood 1. Tea:
Longan jujube tea: longan meat, jujube, sugar, boiled water to drink.
Dangshen jujube tea: Dangshen, jujube, tea, the right amount. Drinking boiled water. Codonopsis pilosula, red dates and tea can also be boiled in water for 3 minutes before drinking.
2. Recommended food:
Jujube, Tremella, Sesame, Mulberry.
3. Recommended diet therapy:
Stewed trotters with Angelica sinensis: Wash trotters, cut them into large pieces, cook them in boiling water for two minutes, remove the fishy smell and take them out. Then add water to the pot, cook the trotters, add appropriate amount of angelica and seasoning, boil with strong fire, and then cook with slow fire until the trotters are cooked.
Guiqi steamed chicken: roasted astragalus, angelica, 1 tender hen. Put Radix Astragali and Radix Angelicae Sinensis into gauze bag, and tie your mouth tightly. Soak the chicken in a boiling water pot, take it out and rinse it with cold water. Put the medicine bag into the belly of chicken, put it into a steaming basin, add onion, ginger, salt, yellow wine, dried tangerine peel, pepper and appropriate amount of water, steam in a cage for about 1 hour, discard the medicine bag when eating, season and eat with meals.
(3) Phlegm and blood stasis syndrome 1. Tea:
Tea for reducing blood fat and prolonging life: lotus leaf, hawthorn, salvia miltiorrhiza, chrysanthemum and green tea in proper amount, brewed with boiling water for drinking.
Chen Shan oolong tea: tangerine peel, hawthorn, oolong tea, the right amount, boiled water.
2. Recommended food:
White radish, laver, sweet potato, corn, peanut, onion, fungus, hawthorn, kelp, jellyfish, garlic, wax gourd.
3. Recommended diet therapy:
Kelp Malantou: Wash Malantou, scald it with boiling water until it turns blue, take it out, drain it, and cut it into shreds for later use. Soak kelp in warm water for 1 2 hours, wash it, scald it in boiling water for 1 0 minute, take it out and shred it, mix it with Malantou, add salt, monosodium glutamate, sugar and sesame oil, and eat it with meals.
Mung bean seaweed porridge: mung bean, kelp, and rice in moderation. Chop kelp and cook it with two other ingredients to make porridge, which can be eaten for dinner.
④ Kidney essence deficiency syndrome 1. Tea:
Qiju tea: Lycium barbarum, white (Hangzhou) chrysanthemum, green tea, right amount, brewed with boiling water for drinking.
Black Sesame Tea: Black Sesame and green tea in moderation, brewed with boiling water for drinking.
2. Recommended food:
Tremella, Lycium barbarum, black dates, walnuts, sea cucumbers, mussels and sesame seeds.
3. Recommended diet therapy:
Mulberry porridge: proper amount of mulberry and japonica rice can be cooked into porridge once in the morning and once in the evening.
Polygonum multiflorum Thunb bean jujube porridge: Polygonum multiflorum Thunb. Decoct in water, remove residue, add glutinous rice, black beans, black sesame seeds, 3-5 jujubes and appropriate amount of rock sugar, and cook into porridge, which can be taken at any time.
(5) Kidney yang deficiency syndrome 1. Tea:
Eucommia ulmoides Tea: Eucommia ulmoides Oliv. And the right amount of green tea. Brew with boiling water, cover for 5 minutes and drink.
Walnut honey tea: walnut kernel, tea and honey are in proper amounts. Mash walnuts, put them in a cup filled with tea and honey, and brew them with boiling water instead of drinking tea.
2. Recommended food:
Leek, sesame, walnut, longan, mutton, dog meat, venison.
3. Recommended diet therapy:
Fuyuan decoction: yam, walnut kernel, lean mutton, sheep spine, polished rice and scallion. Boil the sheep spine for half an hour, then add the mutton, skim off the froth, and then add ginger, pepper, cooking wine, pepper, star anise and salt.
Eucommia ulmoides and sheep kidney soup: Eucommia ulmoides, Schisandra chinensis, sheep kidney, ginger, onion, salt and cooking wine. Eucommia ulmoides Oliv And then adding sheep's loin slices (removing fascia), adding ginger and other seasonings, boiling for another 30 minutes, and removing the medicine bag for seasoning.
(6) Disorder of Chong and Ren 1. Tea:
Guiqi Meihua Tea: Angelica sinensis, Lycium barbarum and Bai Meihua, with appropriate amount, are brewed with boiling water instead of tea.
All the above remedies for tea drinking and diet therapy are only recommended. TCM treatment based on syndrome differentiation emphasizes individualization. Therefore, community doctors should not blindly recommend patients, so as not to cause unnecessary harm to patients. (1) auricular point therapy 1. Material: Generally speaking, it is often used to give birth to a king and leave no seed behind.
2. Acupoints: antihypertensive groove, antihypertensive point, liver, subcortical point, hypertension point, etc.
3. Operation method: Put Vaccaria seed on the corresponding ear points, fix them with adhesive tape, pinch each point with thumb and forefinger, and press them 30-40 times with moderate strength and speed to make the auricle slightly hot and painful.
Course of treatment: alternately press the two ear points and replace them every 3-5 days, 14 days, 1 course of treatment.
(2) Body point pressing 1. Principle: Acupuncture points can be applied to patients with hypertension according to syndrome differentiation, and acupuncture points can play the role of indicating acupuncture, stimulating meridians and dredging qi and blood.
2. Select a point:
For those with yin deficiency and yang hyperactivity in Yang Can, Taichong, Taixi, Sanyinjiao, Fengchi and Neiguan are selected;
Those with deficiency of both qi and blood can choose Qi Hai, Blood Hai, Zhong Wan, Sun, Hegu and Foot Drop.
Syndrome of phlegm and blood stasis can be classified as Zhongwan, Fenglong, Zusanli, Touwei, Xue Hai and Gongsun.
Those who are deficient in kidney essence can choose Shenshu, Mingmen, Fructus Aurantii Immaturus, Qihai, Guanyuan, Zusanli and Sanyinjiao.
Those with kidney-yang deficiency can choose Guanyuan, Baihui, Zusanli, Sanyinjiao, Shenque and Dazhui;
Those who are out of balance can choose Guanyuan, Zhongji, Huilai, Sanyinjiao, Guo Li and Zhongdu.
3. Methods: Press the selected acupoints with fingertips or knuckles for 5- 10 minutes each time, and it is appropriate to feel sore, 14 days, 1 course of treatment. (1) Basic principles and requirements 1. Principle: Warm water (hot water) is used for foot bath. Through warm stimulation, the capillaries in the legs and the whole body dilate, the blood distribution around them increases, the circulatory resistance decreases, and the blood pressure of the whole body decreases. It can relieve the symptoms of hypertension.
2. Material: the foot bath tub or bucket should be made of wood as far as possible, the height of the bucket should be not less than 40cm, and the foot bath water should be warm (hot water) with a water temperature of 40℃.
3. Foot bath time: You can take foot baths twice a day, in the afternoon 1 time, 30-40 minutes each time.
4. Method: Soak your feet, try to keep the water below your ankles (below your knees if you have a foot bath bucket), and keep the water temperature at 40℃.
(2) The traditional Chinese medicine prescription for patients with yin deficiency and hyperactivity of yang in Yang Can is composed of magnet, concha Haliotidis, Angelica sinensis, Ramulus Mori, Fructus Aurantii, Linderae, Fructus Viticis, Tribulus terrestris, Radix Paeoniae Alba, Cortex Eucommiae preparata and Achyranthis Radix, each 6g, and Radix Angelicae Pubescentis 18g. Decoct the medicinal materials to get juice, put them in the bathtub, and take a foot bath when it is warm, once a day 1 0-30 minutes, and each dose can be used for 2-3 times.
Phlegm and blood stasis syndrome can be treated with three-skin soup: prepared Pinellia ternata 30g, dried tangerine peel 30g, pericarpium arecae 30g and Poria 30g. Decoct with water to get juice, and take a foot bath when it is warm, once 15-30 minutes, twice a day, once a day 1 dose, for 3-5 days.
For those with insufficient kidney essence, you can choose Eucommia ulmoides, Taxilli and Papaya soup: 30g each. Decoct with water to get juice, put it in the bathtub, soak the towel in the liquid medicine to hot compress the low back pain area, and take foot bath when it is warm, twice a day, 10-30 minutes each time, 1 dose every day for 3-5 days.
For those with deficiency of kidney-yang, you can choose Eucommia ulmoides decoction: Eucommia ulmoides, Taxilli and Chaenomeles each 30g. Decoct with water to get juice, put it in the bathtub, soak the towel in the liquid medicine to hot compress the low back pain area, and take foot bath when it is warm, twice a day, 10-30 minutes each time, 1 dose every day for 3-5 days.
For patients with dysfunction of chong and ren, Santeng decoction can be selected: cantaloupe vine 30g, cucumber vine 30g and watermelon vine 30g. Decoct with water to get juice, and wait for warm foot bath, twice a day, each time 10- 15 minutes, daily 1 dose, 7- 10 days in total.
Attachment: The General Prescription of Foot Bath for Hypertension-Professor Deng Tietao's Foot Bath Prescription
Achyranthes bidentata, Chuanxiong each 65438±0.5g, Gastrodia elata, Uncaria rhynchophylla (lower back), Prunella vulgaris, Evodia rutaecarpa and Cinnamomum cassia each 65438±00g. Add 2000 ml of water to the top, boil and fry 10 minute. Take the juice and take a warm bath for 30 minutes, every morning and afternoon 1 time, 2-3 weeks for 1 course of treatment. There is a "harmony between man and nature" in TCM theory, that is, harmony between man and nature. Seasonal changes, changeable weather, alternating between summer and autumn, alternating between hot and cold. Patients are easily aggravated by sudden climate change, with symptoms such as headache, dizziness, tinnitus, dizziness and palpitation. Traditional Chinese medicine focuses on the prevention of diseases. If we can adjust the mood, diet and exercise according to the individual characteristics of patients in the changeable climate season, it may have better effect than taking medicine.
(1) Emotional adjustment makes people conform to the laws of the four seasons, follow the laws of the four seasons, adjust their emotions, be optimistic, and have a clean mind. Sun Simiao warned people in Qian Jin Yang Fangxing "Don't be sad, angry, afraid, afraid ... Don't laugh, don't indulge in what you want, don't hold a grudge ... If you can avoid committing crimes, you will live forever." Poetry, music, chess, calligraphy and painting, flowers, birds, insects and fish can all benefit people's minds, nourish their spirits and contribute to the treatment of hypertension.
(2) Patients with hypertension should eat less acidic foods and eat more foods that can tonify the spleen and stomach, such as lean meat, eggs, dates, fruits and dried fruits. ; Eating more fresh vegetables such as leek, spinach, shepherd's purse and onion can effectively lower cholesterol and reduce the deposition of cholesterol on the blood vessel wall, which is beneficial to the regulation of blood pressure; Eat more sweets, such as jujube, peanuts, corn, soybean milk and so on.
(3) Exercise therapy for patients with hypertension should follow the principle of "combination of static and dynamic, combination of static and dynamic, focusing on static" in seasonal changes. Adhere to outdoor sports, take outdoor walking, jogging, Tai Ji Chuan, qigong exercise and other projects with slow pace, little exercise, less intense competition and no need for excessive bending, and take it as the degree that you don't feel tired after your own activities.
(4) Adapting to the seasons In the seasonal changes, by adapting to the four seasons, we can adjust Yin and Yang, so that people can live in harmony with nature, thus achieving the effects of harmony between Yin and Yang and health care, so that patients with hypertension can feel comfortable, have stable blood pressure and have little fluctuation during the seasonal changes. In spring, when liver qi is in season, everything grows and blood pressure tends to be high. You should do more outdoor activities and be careful not to get angry. Summer is hot, summer dampness is evil, pay attention to diet not too greasy and cold, and don't sweat and hurt body fluid; Autumn is dry, and those with yin deficiency should pay attention not to hurt body fluid, because of yin deficiency; People who are afraid of cold in winter and have insufficient kidney yang should pay attention to protecting yang and soak their feet more.