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Two Different Consequences Caused by Two Different Cognition of Hypertension
Editing and finishing/yellow? The name of the emperor

My third aunt has been far away, which started with this disease. Within a few months, I explored the internal and external causes, and suddenly, my sadness came from it. I would like to give this document to relatives and friends who are destined to commemorate the late Third Aunt.

How do we know hypertension is really a very important thing, because it is related to the decisions of each party and their families, as well as the consequences.

Since western medicine created the concept of hypertension, formulated relevant standards and invented tools that can accurately measure blood pressure, all mankind began to enter the era of judging health index by blood pressure.

Western medicine defines hypertension: hypertension refers to a clinical syndrome characterized by the increase of systemic arterial blood pressure (systolic blood pressure ≥ 65,438+0.40mm Hg, diastolic blood pressure ≥ 90mm Hg), which may be accompanied by functional or organic damage to heart, brain, kidney and other organs.

The general basic standards are as follows (mmHg):?

Normal blood pressure is very high.

Normal high value 120 ~ 139 is 80 ~ 89 lower.

Mild hypertension 140 ~ 159 is high and 90 ~ 99 is low.

Moderate hypertension 160 ~ 179, low hypertension 100 ~ 109.

Severe hypertension ≥ 180, low hypertension ≥ 1 10.

Personally, I am in favor of using data indicators to quantify health status.

Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. The blood pressure of normal people fluctuates within a certain range with the changes of internal and external environment. In the whole population, the blood pressure level gradually increases with age, especially systolic blood pressure, but after 50 years old, diastolic blood pressure shows a downward trend, and pulse pressure also increases.

The evaluation of blood pressure and risk factors is the main basis for the diagnosis and treatment of hypertension. Different patients have different hypertension management goals. When facing patients, doctors should judge the most suitable blood pressure range according to their specific conditions and take targeted treatment measures on the basis of reference standards.

On the basis of improving lifestyle, it is suggested to use 24-hour long-acting antihypertensive drugs to control blood pressure. In addition to the clinical evaluation of blood pressure, patients should also pay attention to the monitoring and management of family blood pressure in the morning to control blood pressure and reduce the occurrence of cardiovascular and cerebrovascular events.

The cause of disease

1. Genetic factors About 60% of hypertensive patients have a family history. At present, it is believed that it is caused by polygene inheritance, and 30% ~ 50% of hypertensive patients have genetic background.

2. Mental and environmental factors Long-term mental stress, excitement, anxiety, noise or bad visual stimulation can also cause hypertension.

3. The incidence of age factors tends to increase with the increase of age, and the incidence of people over 40 years old is high.

4. Unreasonable dietary structure of lifestyle factors, such as excessive sodium salt, low potassium diet, heavy drinking and excessive intake of saturated fatty acids, can increase blood pressure. Smoking can accelerate the process of atherosclerosis and is a risk factor for hypertension.

5. The role of drugs contraceptives, hormones, anti-inflammatory painkillers, etc. Will affect blood pressure.

6. Other diseases affect obesity, diabetes, sleep apnea hypopnea syndrome, thyroid diseases, renal artery stenosis, renal parenchyma damage, adrenal space-occupying lesions, pheochromocytoma, other neuroendocrine tumors, etc.

Classification Clinically, hypertension can be divided into two categories:

1. Essential hypertension is an independent disease. Its main clinical manifestation is elevated blood pressure, but the cause is not clear, accounting for more than 90% of all hypertensive patients.

? 2. Secondary hypertension is also called symptomatic hypertension. In this kind of disease, the cause is clear. Hypertension is only one of the clinical manifestations of this disease, and blood pressure can rise temporarily or permanently.

clinical picture

Symptoms of hypertension vary from person to person.

There may be no symptoms or obvious symptoms in the early stage, such as dizziness, headache, stiff neck, fatigue and palpitation. Blood pressure only rises after fatigue, mental stress and mood swings, and returns to normal after rest. With the prolongation of the course of disease, blood pressure increases obviously and continuously, and various symptoms will appear gradually. This is called progressive hypertension. The common clinical symptoms of progressive hypertension include headache, dizziness, inattention, memory loss, numbness of limbs, nocturia, palpitation, chest tightness, fatigue and so on. Symptoms of hypertension are related to blood pressure level. Most symptoms can be aggravated after tension or fatigue, and blood pressure can rise rapidly after morning activities, resulting in morning hypertension, which leads to cardiovascular and cerebrovascular events mostly occurring in the morning.

When blood pressure suddenly rises to a certain extent, there will even be severe headache, vomiting, palpitation, dizziness and other symptoms. In severe cases, there will be unconsciousness and convulsions, which belong to acute hypertension and hypertensive critical illness. In severe cases, it will cause damage and pathological changes to organs such as heart, brain and kidney in a short time, such as stroke, myocardial infarction and renal failure. There is no consistent relationship between symptoms and elevated blood pressure.

The clinical manifestations of secondary hypertension are mainly related to the symptoms and signs of primary disease, and hypertension is only one of its symptoms. Hypertension in patients with secondary hypertension can have its own characteristics, such as hypertension caused by coarctation of aorta can be confined to upper limbs; The increase of blood pressure caused by pheochromocytoma is paroxysmal.

treat cordially

Treatment of essential hypertension

1. The purpose and principle of treatment

The main goal of hypertension treatment is to reach the standard of blood pressure, and the ultimate goal of antihypertensive treatment is to minimize the incidence and mortality of cardiovascular and cerebrovascular diseases in patients with hypertension. The target value of blood pressure control should be established in antihypertensive treatment. On the other hand, hypertension often coexists with other risk factors of cardiovascular and cerebrovascular diseases, such as hypercholesterolemia, obesity and diabetes. , synergistically increased the risk of cardiovascular disease. Treatment measures should be comprehensive. Different people have different blood pressure reduction goals. The antihypertensive target of general patients is below 140/90mmHg. For high-risk patients with diabetes or nephropathy, it should be reduced as appropriate.

For all patients, regardless of whether the blood pressure is higher than normal in other time periods, attention should be paid to the monitoring of blood pressure in the morning. Studies have shown that more than half of the outpatients whose blood pressure is up to standard have their blood pressure not up to standard in the morning.

(1) Improve life behavior

? ① Reduce and control weight

② Reduce sodium intake.

③ Supplement calcium and potassium salt.

④ Reduce fat intake.

⑤ Increase exercise.

6. Quit smoking and limit alcohol.

⑦ Relieve mental stress and maintain psychological balance.

(2) Individualization of blood pressure control standards Due to different etiology, the pathogenesis of hypertension is also different. Clinical medication should be treated separately, and the most suitable drug and dosage should be selected to obtain the best curative effect.

(3) Although the blood pressure is controlled within the normal range after the coordinated control of multiple cardiovascular risk factors, many risk factors other than elevated blood pressure still have an important impact on the prognosis.

2. Antihypertensive drug therapy For the detected hypertensive patients, the recommended antihypertensive drugs for initial and maintenance treatment should be used, especially the drugs that can be controlled 24 hours after daily administration 1 time. Specifically, four principles should be followed, that is, starting with small doses, focusing on long-acting preparations, combined medication and individualization. (1) Types of antihypertensive drugs ① Diuretics. ② Beta blockers. ③ Calcium channel blockers. ④ Angiotensin converting enzyme inhibitor. ⑤ Angiotensin Ⅱ receptor blocker. Single drug or combined drug should be selected according to the risk factors, target organ damage and clinical diseases of patients. (2) Treatment Scheme Most patients without complications can use thiazide diuretics and beta blockers alone or in combination. Treatment should start with a small dose and gradually increase the dose. Clinically, cardiovascular risk factors, target organ damage, complications, complications, antihypertensive efficacy, adverse reactions, etc. Will affect the choice of antihypertensive drugs. Patients with grade 2 hypertension can be treated with two antihypertensive drugs at first.

(2) The treatment of secondary hypertension is mainly aimed at the primary disease, such as hypertension caused by pheochromocytoma, and the blood pressure can be reduced to normal after tumor resection; Renal vascular hypertension can dilate renal artery through interventional therapy. For patients whose primary disease cannot be cured by surgery or whose blood pressure is still high after operation, besides other treatments aimed at the cause, appropriate antihypertensive drugs should be selected for antihypertensive treatment.

Overview of western medicine's response to hypertension;

1 is mainly caused by primary disease, which cannot be cured and can only be controlled.

Treatment principle: antihypertensive drugs-diuretics, blockers and vasodilators are the main antihypertensive drugs.

3 gradually increase the dosage until it fails, and replace the medicine.

The side effects of drugs are obvious.

5 drug lifelong dependence

First of all, Chinese medicine regards people as an organic whole, a living body that constantly interacts with the outside world. But the problems in the human body do not exist independently, and there must be a causal relationship. Traditional Chinese medicine believes that the life process of human beings is the rising and falling process of qi, and human beings are small individuals who move around in a week, which is consistent with the operation mode of the big environment. Being unable to ascend, descend, exit and enter is an abnormal state.

Chinese medicine does not have the name hypertension, but the absence of this name does not mean that Chinese medicine knows nothing about hypertension.

Hypertension starts from liver and kidney and spreads to spleen and stomach, heart and brain, and bladder meridian.

In fact, all kinds of clinical symptoms related to hypertension and the corresponding prevention and treatment methods are recorded in Chinese medicine literature. In Huangdi Neijing, it is recorded that "every wind vertigo belongs to the liver" and "brain turns to tinnitus, leg pain dizziness, blindness". It is considered that dizziness is related to liver and kidney. "Danxi center method? Dizziness 67 put forward the theories of "no phlegm, no dizziness" and "no fire, no dizziness", and thought that phlegm fire was another cause of dizziness.

Traditional Chinese medicine believes that hypertension is often related to emotional disorder, improper diet and internal injuries.

Combined with the clinical manifestations of hypertension, it should belong to the category of dizziness, headache and stroke in traditional Chinese medicine.

Causes of hypertension

Many diseases are born of cold-Zhong Jing wrote Treatise on Febrile Diseases because he valued the word "cold". The method of treating diseases also needs to focus on dispelling cold. Cold evil enters from the outside, and the way of evil is also the way of evil. Therefore, when treating various cold syndromes, we should pay attention to cultivating Yang Qi to dispel cold pathogens.

Clinically, colds are mostly caused by cold, and visceral diseases are mostly caused by cold. Similarly, chronic diseases such as tumor, hypertension, cardiovascular and cerebrovascular diseases are also related to cold evil.

Everything that stagnates belongs to yang deficiency-whenever there is a place in the body where yang is absent, there will be cloudy and turbid condensation. Yin accumulation will hurt yang, leading to more deficiency of yang. The so-called cloudy turbidity includes blood stasis and phlegm-dampness. Various tumors, rheumatoid arthritis, hypertension, diabetes and other serious diseases. It's all because of this. Therefore, if the yang temperature can be ventilated, the yin coagulation will dissipate by itself. There are many ways to activate yang, such as decoction to help yang, opening exterior to eliminate evil, pricking collaterals and bloodletting, moxibustion to promote yang, etc.

Elevated blood pressure-a protective warning for human body

Elevated blood pressure is a disease-resistant and protective regulatory response to eliminate qi and blood circulation disorders, and it is also an early warning. Traditional Chinese medicine treatment can not only directly lower blood pressure, but also help it improve according to the situation.

The limbs are far from the heart. If it is hot, it means there is no blood stasis in the human body. If it is cold, it means that blood stasis is being produced in the body because of cold, and the reason of internal cold is insufficient kidney yang.

The strength of the heart comes from the kidneys. If kidney yang is sufficient, it will naturally restore various functions of the human body, the heartbeat will be strong naturally, the blood stasis will naturally melt, and the symptoms will naturally disappear. Chinese medicine pays attention to symptoms, such as dizziness, numbness of limbs, cold limbs, stiff neck, headache, tinnitus and angina pectoris. At this time, if the blood pressure is measured, it is mostly on the high side, but what Chinese medicine reflects here is the imbalance of yin and yang in the corresponding parts, which is often a manifestation of insufficient qi and blood.

Therefore, hypertension is not the object of pathological destruction and treatment, but the object of service and dependence of treatment. Therefore, it is necessary to use the situation to help it succeed and help complete the disease-resistant response.

? Fuzi is a good medicine for warming yang. Blood stasis meets the heat of aconite, such as ice meets fire, and melts naturally, which can not only remove the existing arterial blood stasis, but also prevent the human body from generating blood stasis again, and treat both the symptoms and root causes. Therefore, the treatment of cardiovascular and cerebrovascular diseases should be mainly based on warming kidney to help yang, enriching blood and eliminating dampness. During the treatment with this method, blood pressure will rise in most cities, and even headaches will occur. At this time, you should insist on taking medicine, and don't be intimidated by the value of sphygmomanometer. When kidney yang recovers and blood stasis melts, blood pressure will definitely drop.

What factors in life are closely related to the occurrence of hypertension?

First of all, emotional disorder, long-term mental stress or anger and anxiety will cause stagnation of liver qi, and long-term stagnation will damage liver yin, making it impossible for yin to converge yang, and liver yang will be hyperactive, disturbing leaders and causing headache, dizziness and irritability. Liver and kidney are closely related, that is, liver and kidney are homologous, and liver depression can burn kidney yin for a long time, resulting in dizziness, tinnitus, irritability and insomnia. Most mental workers, white-collar workers and staff in government agencies and institutions suffer from hypertension. Usually, Qiju Dihuang Pill and Jiawei Xiaoyao Pill can be taken, and Tianma Gouteng Drink is the main Chinese medicine.

Secondly, improper diet, gluttony or excessive drinking lead to endogenous dampness. If the dampness lasts for a long time, it will turn into heat and fire, and the body fluid will be burned into phlegm, which will block the veins, so there are headaches, dizziness and high blood pressure. Middle-aged men, with healthy spleen and stomach function, are mostly of this type, with strong body and high blood pressure; Chinese patent medicines can be taken as Vaccinium baohe pill, Xiang Lian Huazhi pill and Chen Er pill. Banxia Baizhu Tianma Decoction is the main Chinese medicine.

Third, internal injuries, fatigue, kidney deficiency in the elderly, kidney yin deficiency and liver dystrophy are also the causes of hypertension. Hypertension in middle-aged women and elderly patients mostly belongs to this type. Chinese patent medicines include Jiawei Xiaoyao Pill and Baizhi Dihuang Pill. Traditional Chinese medicine mainly takes Zuogui Pill or Gui You Pill.

Under the comprehensive effect of the above factors, the imbalance of yin and yang, especially the imbalance of liver and kidney, leads to symptoms such as headache, dizziness, tinnitus and insomnia; Deficiency of kidney yin and excessive deficiency of Yang Can lead to dizziness, palpitation, stiff neck and blurred vision. If the disease persists for a long time, it will lead to kidney-yang deficiency and failure. At this time, symptoms such as chills, cold limbs, lazy speech, frequent urination at night, and cold pain in the waist and abdomen may occur at the same time. In some inducing factors, such as temper tantrum, anxiety, rage, etc., liver-yang storm can turn into cremation wind, and then serious consequences such as flushing, numbness of limbs, tremors of hands and feet can be seen, and even stroke and fainting can be caused by qi and blood flowing against qi.

Traditional Chinese medicine has two principles in treating the above symptoms: treating the symptoms and curing the root cause.

The fundamental solution is to balance yin and yang and tonify liver and kidney; There are several methods to treat the symptoms, such as clearing the upper and reinforcing the lower, calming the liver and suppressing yang, regulating qi and resolving phlegm, calming the nerves and calming the mind.

Menopausal women should also take into account the functions of pulse regulation, ren pulse and uterus.

Acupuncture treatment of hypertension

Acupuncture is effective in treating hypertension.

For those with deep ulnar pulse and weak body, acupuncture on bilateral lower Huang San, combined with Tang Yin and Baihui, has obvious antihypertensive effect and lasts for a long time.

If the pulse is slippery, that is, acupuncture at Fenglong point, Taichong point, Yangfei point, Zusanli point and Kunlun point, blood pressure can drop immediately.

Acupuncture can also be used to clear the brain and relieve head discomfort caused by high blood pressure.

The prevention method is moxibustion at Guanyuan, Shenshu and Zusanli points to consolidate the roots.

Hypertension with unknown causes: Acupuncture at Baihui, Tang Yin, Fengchi, Quchi and Zusanli, the blood pressure immediately dropped.

Acupuncture medical records:

A male patient suffered from hypertension for a long time, accompanied by palpitation and chest tightness. Old and weak, guilty and blood stasis. Acupuncture at Shenmen, Neiguan and Daling nourish the heart, while Zusanli and Fenglong relieve stagnation of Yangming. It is combined with Huangsan to remove blood stasis and regulate blood. Taichong regulates heart qi and calms liver yang. After alternating treatment of acupoints for more than ten times, all the symptoms disappeared. Today, the patient went back to see a doctor and said that there was no recurrence in the past year, and she had completely stopped using western medicine.

A female patient with hypertension felt a fever in her head. Its pulse string is very strong. This is the stagnation of wood, and this is the reality of rushing to take off wood. Needle Baihui, front top and back top set fire to the top, Zusanli and Taichong points set fire to the bottom. One minute after the needle was inserted, the patient reported that his head was cold, and he gradually felt that the ice in his head was cold and refreshing.

Sometimes acupuncture does have incredible power. A large number of clinical examples show that acupuncture has a clear and significant effect.

A doctor of chemistry who treated hypertension with the acupoints of Jiangzu Yangming Meridian: There is a little pressure in the left heart area. After a few months, there was no abnormality in ECG, and taking western medicine was ineffective. Check local tenderness. The pain is in the Yangming meridian of the foot, and the left chest pain stops at Zusanli point along the meridian. Later, after the treatment of hypertension, there was no discomfort in the left heart area. Acupuncture at Baihui, Fenglong, Neiguan and Shu Ge buried the needle. After diagnosis, hypertension was greatly improved, and it was treated several times in a row. Hypertension did not recur.

Jiang Taiyang treated hypertensive men and hypertension for four years, and found no discomfort, slippery pulse and sublingual blood stasis. Scraping along the du meridian and the sun on both sides, pricking the collaterals at the obvious scraping place to bleed blood, and then using the jar to draw out the blood stasis, promote blood circulation to dissipate blood stasis and penetrate the floating fire. Use an inch-long needle to stab Shu Ge's point on both sides, with the tip inward, and stick it with adhesive tape for one day. This method has a good therapeutic effect, and hypertension is gradually stabilized. Embedding needles at acupoints in Shu Ge can rapidly lower blood pressure, and the effect is very good. If the blood pressure is on the high side, the needle is buried at Shu Ge point: an inch fine needle is used to obliquely prick along the skin in the direction of the spine, and it is fixed with adhesive tape if there is no discomfort. Acupuncture at Baihui, Fenglong and Zusanli points can not only lower blood pressure immediately, but also stabilize blood pressure and maintain curative effect.

Hypertension caused by low air pressure and poor cerebral blood circulation: A female patient suffers from migraine, which occurs every time the weather changes. Accompanied by hypertension, neck and shoulder muscle pain. Acupuncture Baihui, Tang Yin, Guling, Dabai, Gu Ran, Gongsun and Taibai, with neck and shoulder massage.

To treat hypertension, feel the pulse first and then acupuncture. If the needle is reexamined, patients with large pulse fluctuation can get better quickly. It is no exaggeration to say that the effect of acupuncture is immediate, which is called drumming.

It is the stupidest direction to look at hypertension in the dimension of circulatory system.

Antihypertensive drugs invented by western medicine mainly inhibit people's central nervous system, weaken the function of the heart and reduce pump pressure. On the surface, blood pressure seems to have decreased, but due to the decrease of blood pressure, the blood vessels and tissues at the end of the artery are in a state of ischemia for a long time, as evidenced by the cold hands and feet. Due to insufficient blood supply, capillaries will gradually become brittle and blocked. When the patient is stimulated and excessively excited, his heart rate will accelerate and his blood pressure will suddenly rise. Capillaries in the brain lose their elasticity due to long-term ischemia, which is easy to cause rupture and stroke. This is why the number of stroke patients has risen sharply year after year, and the cause of death ranks second. A few lucky people will be disabled for life even if they stay old.

The blood pressure index measured by western medicine is aortic blood pressure, but when many patients measure hypertension, the capillaries are easy to become brittle, blocked and ischemic, and the capillaries are often low or pressureless. So the blood pressure index measured under the banner of high technology is actually very unscientific.

The diagnosis of western medicine relies on machines and chemical analysis, so it knows nothing about the concepts of integrity, interrelation and interaction within the human body. We can only see the symptoms of the disease, take the arterial blood pressure index as the basis for differential diagnosis and become the object of treatment, and formulate the antihypertensive treatment plan accordingly as the basis for judging the curative effect. Thereby inhibiting the self-regulation ability of the body, aggravating the vicious circle of hypertension and increasing the adjustment burden of the organ.

Hold back, correct, and add new diseases. The heart is a monarch, and there is nothing wrong with it. Most diseases are created by western medicine. Long-term use of antihypertensive drugs causes heart and kidney weakness, and qi and blood circulation disorders cannot be ruled out. Western medicine and antihypertensive drugs are the real culprits of cardiovascular diseases.

If western medicine can learn from my Millennium TCM theory with an open mind and treat heart disease with TCM therapy, then there will be no need for antihypertensive drugs and heart transplantation in the world. Most drugs and "scientific instruments" for treating heart diseases will become waste and rubbish, and the "number one killer" of cardiovascular diseases will no longer exist.

Of course, the interests of a group of pharmaceutical manufacturers and machine manufacturers will be damaged, and a group of knife experts will lose their jobs. But as long as you stop hurting others, you are doing good, and God will make reasonable arrangements for you. Instead of bringing good news to our health, sphygmomanometer has become a tool used by western medicine to harm people and collect money. Everyone knows the truth about hypertension, so they won't be confused by a meaningless test data of sphygmomanometer, and they won't be hurt. By understanding the theory of healing system of traditional Chinese medicine, they will choose the correct treatment method and pay attention to health care, so as to achieve the purpose of maintaining health.

You have the right to know, your health is yours, your choice is yours, and the result must be borne by yourself.