Treatment of hypertension to because, the person

China Academy of traditional Chinese medicine Xiyuan Hospital cardiovascular deputy chief physician Zhong Jingbai

" Because, the person to" also known as the " three factors ", is the traditional Chinese medicine treatment on one of the basic principles, in the several thousand years of history, is the ancient physicians confirmed by clinical experiment. The same time refer to diseases, methods of treating disease and drug due to seasonal differences, and different drugs needed in different time taking; because the disease is the same, but due to different living environments, its treatment is also different; it refers to the same person disease, living environment is the same, but different people have different treatment methods, in order to achieve the best effect, said above is the traditional three due to the system 's basic meaning, essential hypertension therapy should also follow the three factors principle.

Treatment of hypertension to the time

According to the study of blood pressure as the seasons change and fluctuate, generally speaking, the northern hemisphere winter residents blood pressure peaks in summer and autumn, and relatively low; continuous blood pressure monitoring and prompt the day, blood pressure in early in the evening also each are not identical, in general, hypertension has two high blood pressure peak, the first peak in the morning blood pressure peak, is the time, are more in the morning from 6 to 9 points, second in the evening, roughly the equivalent of 5 ～between 7 points. But everyone will have the difference.

Take medicine according to blood pressure peak time and blood pressure changes of the season, when the medication, dosage and varieties according to seasonal adjustment. In the absence of dynamic blood pressure monitoring, according to the experience in the morning and immediately after taking the first drug, if need to take the medicine second times should be before 5 in the afternoon. Taking the medicine, there is anger liver heat symptoms such as irritability, face red, pain Touxuan symptoms to morning dosing of clearing liver and purging fire and other drugs such as Tianma Gouteng Decoction, bezoar antihypertensive pill, both liver and kidney yin deficiency should be in the afternoon or evening dosing of liver and kidney tonifying drugs such as of six taste, Qijudihuang pills pill.

Taking antihypertensive medicine according to the season to be adjusted, generally winter is a year in the most difficult to control blood pressure in the season, the dosage is often the largest period, under normal circumstances, in the winter is very difficult to reduce the blood pressure medicine. Traditional Chinese medicine therapy should be based on seasonal adjustment, spring should be soothing liver, nourishing yin and clearing liver and purging fire summer to autumn, Yi Yin Runfei for liver, tonifying the kidney and promoting blood circulation in winter should be nourishing liver and kidney.

Hypertension treatment to suit one's measures to local conditions

People in different parts of different living habits, such as north area residents and coastal fishermen salt intake was significantly higher in Guangdong and Shanghai south, so sodium overload become important factors influencing effects of hypertension, gout, if not severe hyperlipidemia, diabetes, you should use diuretics such as hydrochlorothiazide, Yin Da indapamide etc.. It is difficult to control in patients with hypertension, I sometimes treated with small doses of diuretics to obtain good results.

The northern inhabitants drink liquor habit, so each Yizhi wine wet heat, the heat of wind, thus at early stage of hypertension with liver wind calming herbs such as the drink drink, rattan Apocynum tablet, brain disease, Qingkailing has good effect; and because of the freezing, cold coagulation and blood stasis is the performance of the more prominent, therefore, appropriate use of blood circulation in winter Chinese medicine can help buck. While the southern region is partial to damp heat and cold, so their treatment is different from the north.

Treatment of hypertension to the person

Tolstoy has a famous saying " all happy families are alike, each unhappy family is unhappy in its own way ", for patients with hypertension, elevated blood pressure is similar, the mechanism behind it and the background is differ from man to man, so the treatment of hypertension because when it differs from man to man. Scientific studies have proven that, in some hypertensive patients had elevated plasma renin plasma renin, some lower, some hypertensive patients are extremely sensitive to salt, while others do not, many women in the menopausal or climacteric hypertension is started to elevated blood pressure, some in pregnancy and its changes before and after the onset of elevated blood pressure and maintenance of hypertension. Older and more prone to systolic hypertension, and hypertension in young patients is often elevated diastolic blood pressure etc, among different people there are many differences, this requests us in the choice of antihypertensive medicine and traditional Chinese medicine syndrome differentiation using to individual use. In the treatment, the salt sensitive hypertensive patients using diuretic Lee and the restriction of salt intake is very effective, and pregnancy-induced hypertension, you should choose to fetal influence small vasodilator therapy. Traditional Chinese medicine is also so, such as gestational hypertension should raise liver and kidney yin, climacteric hypertension should be Yangxin liver, nourishing kidney and activating blood in senile hypertension.

Hope that the majority of patients are well aware of hypertension treatment to three due to the system 's importance, avoid blind and follow the crowd, not ask everywhere who antihypertensive drug effect is good, but to find trusted cardiovascular or professional or specialized in the prevention and treatment of hypertension by physicians, tailored for your hypertension treatment program, your blood pressure will get a satisfactory control, and obtains the maximum health gain.