Treatment of hypertension with classic Sini decoction combined with medical records

Traditional Chinese medicine has no name for hypertension. According to the clinical manifestations of hypertension, it belongs to the category of vertigo in traditional Chinese medicine, which was recorded as early as Huangdi Neijing. All wind dizziness belongs to the liver, and the brain turns tinnitus due to lack of water and sea. It is considered that dizziness is related to liver and kidney. Article 67 of Danxi Heart Method for Dizziness points out the theory that there is no phlegm, dizziness and no fire, and holds that phlegm fire is another cause of dizziness. Its etiology refers to a kind of disease characterized by dizziness and vertigo. Traditional Chinese medicine believes that hypertension can be divided into different types, such as inflammation due to phlegm-fire, hyperactivity of yang due to yin deficiency, excessive phlegm and deficiency of both yin and yang. But the clinical symptoms are complicated. Now let me share my medical record:

Chen moumou, male, 53 years old, was first diagnosed on April 6, 20021. He has been suffering from hypertension for more than 65,438+02 years. In the past three months, dizziness and tinnitus have worsened, with fever in the head and face, palpitation during activities, inability to continue breathing, poor appetite, thirst, fatigue and lethargy, drowsiness in limbs and cold in lower limbs. His blood pressure fluctuated between 165, 160/ 100, 100.

Syndrome: Yang deficiency of spleen and kidney, listlessness and yang floating.

Prescription: Sini Decoction plus Liu Jun Decoction.

Prescription: stir-fry 25g of aconite for half an hour, then dry ginger10g, cinnamon 6g, codonopsis 20g, Poria cocos12g, fried atractylodes15g, yam 20g, dried tangerine peel 9g, stir-fry Eucommia ulmoides Oliv.15g, and dipsacus Radix/kloc-0. After three doses, dizziness, head and face fever were greatly reduced, blood pressure dropped to 155/95mmHg, and chills of lower limbs were also reduced. After nine doses, dizziness disappeared, tinnitus was relieved, and blood pressure dropped to 135/85mmHg.

Experience: "Hypertension can be both deficiency and excess, and the five internal organs can also be deficiency and excess." Harmonize yin and yang, unblock qi and blood, ascending will lead to descending, descending will lead to ascending, warming will lead to cold, and cold will lead to warming, and smoothing pulse will lead to differentiation of symptoms and signs, and four diagnosis methods will be combined for reference. There is no prescription or method to harmonize yin, Yang Qi and blood, so hypertension can be cured. "In this case, hypertension is a syndrome of spleen and kidney yang deficiency, with hot head and face and red face like makeup. Because Sini decoction and Liujunzi decoction are used to warm spleen and kidney to cure the disease, cinnamon is used to restore the fire, and Eucommia ulmoides, kidney-regulating, fried hawthorn and fried malt are used to stimulate appetite, so that blood pressure is reduced to normal and symptoms are alleviated.