[1]崔琪,张家康,俞新浪,等.名中医李果烈基于“万物负阴而抱阳”治疗直立性低血压经验[J].陕西中医,2025,46(7):958-962.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.019]
　CUI Qi,ZHANG Jiakang,YU Xinlang,et al.Famous Chinese medicine doctor LI Guolie based on experience of treating orthostatic hypotension with all things negative Yin and holding Yang[J].,2025,46(7):958-962.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.019]
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名中医李果烈基于“万物负阴而抱阳”治疗直立性低血压经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年7期
页码:
958-962
栏目:
名中医经验
出版日期:
2025-07-05

文章信息/Info

Title:
Famous Chinese medicine doctor LI Guolie based on experience of treating orthostatic hypotension with all things negative Yin and holding Yang
作者:
崔琪1; 张家康1; 俞新浪1; 刘晓宇1; 陆艳2
（1.南京中医药大学，江苏 南京 210023,2.南京市中医院，江苏 南京 210022）
Author(s):
CUI Qi1; ZHANG Jiakang1; YU Xinlang1; LIU Xiaoyu1; LU Yan2
(1.Nanjing University of Chinese Medicine,Nanjing 210023,China;2.Nanjing Hospital of Chinese Medicine,Nanjing 210022,China)
关键词:
直立性低血压; 眩晕; 厥证; 阴阳两虚; 万物负阴而抱阳; 辨证论治
Keywords:
Orthostatic hypotension; Dizziness; Syncope syndrome; Dual defciency of Yin and Yang; All things negative Yin and holding Yang; Diagnosis and treatment based on syndrome differentiation
分类号:
R 544.2
DOI:
DOI:10.3969/j.issn.1000-7369.2025.07.019
文献标志码:
A
摘要:
目前中医治疗直立性低血压（OH）多从肝、脾等单一脏腑进行辨证论治。李果烈教授以“万物负阴而抱阳，冲气以为和”哲学思想为指导，结合多年临床经验，完善OH的辨证论治体系，提出血压稳态的核心在于阴阳平衡，而阴阳平衡的关键介质为冲气，因此OH的核心病机在于“阴阳失衡”。基于此，本病治疗以调和冲气、平衡阴阳为主要治则，调畅全身气血阴阳之运行，使机体恢复“阴平阳秘”状态。以补中益气汤为基本方，根据患者阴阳偏颇状态灵活加减药物，使冲气平和，阴阳平衡，气血调畅，血压调节有度。李果烈教授根据患者实际情况进行辨证论治，疗效较好。
Abstract:
At present,TCM treatment of orthostatic hypotension (OH) mostly from the liver,spleen and other single viscera for syndrome differentiation and treatment.Professor LI Guolie guided by the philosophical thought all things negative Yin and holding Yang,flushing Qi thinks harmony,combined with many years of clinical experience,perfected syndrome differentiation and treatment system of OH,proposed that the core of blood pressure homeostasis lies in balance of Yin and Yang,while the key mediator of Yin and Yang balance was flushing Qi,so the core pathogenesis of OH lies in imbalance of Yin and Yang.Based on this,the treatment of disease was based on harmonizing Qi and balancing Yin and Yang as the main therapeutic principles,regulating the movement of Qi,blood,Yin and Yang in whole body,so that body restores the state of Yin and Yang secret.Buzhong Yiqi decoction was used as the basic prescription,and corresponding drugs were flexibly added according to patient’s Yin and Yang bias state to make the flushing Qi peaceful,Yin and Yang balanced,Qi and blood smooth,and blood pressure regulation moderate.Professor LI Guolie performed syndrome differentiation and treatment according to the actual situation of patients with better effect.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（81804022）；南京市中青年拔尖人才项目（宁人才〔2020〕2号）；全国名老中医药专家传承工作室建设项目（中国中医药人教函〔2022〕75号）
更新日期/Last Update: 2025-07-09