| 引用本文: |
李欣欣, 黄平, 贺晓梅.精气神学说指导下高血压身心调护理论及实践探析[J].湖南中医药大学学报,2026,46(7):1507-1513[点击复制] |
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| 精气神学说指导下高血压身心调护理论及实践探析 |
| 李欣欣,黄平,贺晓梅 |
| (重庆市垫江县中医院, 重庆 垫江 408300) |
| 摘要: |
| 高血压作为典型的心身疾病，其发生发展涉及“精、气、神”生命三要素的系统性失调。本文依托中医精气神学说，构建高血压“神动-气涌-精损”的动态螺旋演进病机模型，阐明该病机遵循“初期神动扰气、中期气涌伤形、后期精损及脏”的三阶段演变规律，其本质是心神失守引发气机逆乱，进而导致精微耗损的渐进式病变过程。基于此，本文提出“形神共调、三焦分治”的调护总纲，构建以“三焦分治”为特色的三维调护体系：上焦调神以安其位，整合正念训练、音乐疗法与情志疏导，恢复心神对全身气机的统率功能；中焦调气以畅其枢，结合调节肠道菌群的“健脾调气”方案与身心运动，恢复脾胃升降之枢；下焦固精以培其本，运用食疗“补精”与基于端粒保护机制的“作息养精”策略，培补生命根本。该体系融合现代心身医学的相关研究成果，为高血压中医特色健康管理提供了创新理论框架与实践范式。 |
| 关键词: 精气神学说|高血压|神动-气涌-精损|身心调护|三焦分治|形神共调|正念训练|端粒 |
| DOI：10.3969/j.issn.1674-070X.2026.07.027 |
| 投稿时间：2026-01-22 |
| 基金项目:重庆市卫生健康委员会中医药科研项目（2025WSLK169）。 |
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| Theoretical and practical exploration of mind-body care for hypertension guided by the theory of essence, qi, and spirit |
| LI Xinxin, HUANG Ping, HE Xiaomei |
| (Dianjiang County Hospital of Traditional Chinese Medicine, Dianjiang, Chongqing 408300, China) |
| Abstract: |
| Hypertension, a prototypical psychosomatic disorder, involves systemic dysregulation of the three vital elements of life—essence (jing), qi, and spirit (shen)—in its onset and progression. Grounded in the TCM theory of essence, qi, and spirit, this paper proposes a dynamic spiral pathological model of hypertension, characterized by the sequential progression of "spirit disturbance-qi surge-essence depletion". This model delineates a three-stage evolutionary trajectory: in the initial stage, disturbed spirit disrupts qi movement; in the intermediate stage, qi surge impairs the body; and in the advanced stage, essence depletion impairs the zang-fu organs. Fundamentally, this pathological cascade represents a progressive degenerative process in which the loss of heart-spirit governance triggers chaotic qi dynamics, ultimately leading to the attrition of essential substances. On this basis, we propose the general principle of "mind-body co-regulation combined with differentiated treatment of the sanjiao," and accordingly construct a three-dimensional care system. Specifically, regulating the upper jiao to calm the spirit integrates mindfulness training, music therapy, and emotional counseling, thereby restoring the heart-spirit's governance over systemic qi dynamics. Regulating the middle jiao to restore its pivot function: a spleen-strengthening and qi-regulating regimen, together with gut microbiota modulation and mind-body exercises, is applied to reestablish the ascending and descending pivot of the spleen and stomach. Consolidating the lower jiao to reinforce the constitutional root: dietary therapy for essence supplementation and a telomere-protective lifestyle regimen are used to replenish the foundation of life. By integrating findings from modern psychosomatic medicine, this system offers a new theoretical framework and a practical model for TCM-based health management of hypertension. |
| Key words: theory of essence, qi, and spirit|hypertension|spirit disturbance-qi surge-essence depletion|mind-body care|sanjiao-based differentiated treatment|coordinated regulation of body and spirit|mindfulness training|telomere |
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