[1]董乃嘉,杜雅薇,吴圣贤.从“寒主收引”探究高血压的发生发展及证治[J].陕西中医,2026,(8):1085-1089.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.013]
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从“寒主收引”探究高血压的发生发展及证治

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年8期
页码:
1085-1089
栏目:
学术探讨
出版日期:
2026-08-05

文章信息/Info

作者:
董乃嘉杜雅薇吴圣贤
(北京中医药大学东直门医院,北京 100700)
关键词:
高血压寒邪收引病机血脉理论中医证治
分类号:
R 544.1
DOI:
DOI:10.3969/j.issn.1000-7369.2026.08.013
文献标志码:
A
摘要:
寒冷暴露可诱发血压升高并影响高血压控制。中医辨治高血压多从肝阳、痰瘀等立论,对寒邪作用关注相对不足。基于“寒主收引”理论,寒邪通过郁闭营卫、拘急筋脉、扰动脏腑气化及促生痰瘀留络等影响血压调节,使寒相关高血压呈现由功能失调至形质损伤、由寒实偏盛转入寒、热、虚、实夹杂的动态演变。现代医学关于交感神经-肾素-血管紧张素系统激活、内皮舒张保护减弱、缩血管反应增强、氧化应激-炎症反应及血管重塑等研究为“寒主收引”致血压波动及血脉损伤提供机制参照。临证宜审病程深浅与寒、热、虚、实转化。病浅者注重解表透邪、调和营卫,病进者宜通调气化、随证化裁,病深病久尤当重视化痰祛瘀、软脉通络,并配合防寒养护、避邪固本,以减少寒邪诱发血压波动及病情迁延进展风险。

参考文献/References:

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(82174339)
更新日期/Last Update: 2026-08-13