| 引用本文: |
任静, 刘珊珊, 杨德宝, 吴鸿.基于“火热论”探讨气、血、水与高血压的关系[J].湖南中医药大学学报,2025,45(9):1704-1709[点击复制] |
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| 基于“火热论”探讨气、血、水与高血压的关系 |
| 任静,刘珊珊,杨德宝,吴鸿 |
| (河南中医药大学, 河南 郑州 450046) |
| 摘要: |
| 高血压是一种常见的慢性疾病，在中医学中被归为“眩晕”“脉胀”范畴，其病理基础在于气虚、气滞、血瘀、痰浊、痰饮等病理因素，核心病机可归纳为气、血、水的运行代谢失调。因此，高血压是血脉内外气血津液失调所致气、血、水同病类疾病的典型。刘完素在《素问玄机原病式》中系统提出“火热论”，其倡导的“火热论”可分为外邪和内火。外感邪火与内生火热侵入机体导致气、血、水失调，进而造成气机阻滞、血液瘀滞、火毒凝结、湿热积聚、痰浊停滞，可见“火热论”与气、血、水及高血压关系密切。长期压力与情绪波动易致情志化火、饮食不节酿生湿热痰火、运动不足引发气滞血瘀郁而化热，三者共同促使“火热毒邪”内生，成为高血压的核心病机之一。高血压是一种低度炎症性疾病，而炎症多属于火热毒邪，因此，“火热论”对高血压的病机认识和治疗方法具有重要的临床指导意义。本文将围绕“火热论”思想源流，分别运用“热者寒之”“火郁发之”的治疗方法，基于气、血、水的运化机制，从中西医结合角度，立足病机特点，揭示“火热论-气血水-高血压-炎症”之间的关系，为中西医结合治疗高血压提供新思路。 |
| 关键词: 高血压 火热论 炎症 气 血 水 |
| DOI：10.3969/j.issn.1674-070X.2025.09.016 |
| 投稿时间：2025-05-07 |
| 基金项目:河南省科技攻关项目(242102311208); 河南省中医药科学研究专项课题(2022ZY1060,2021JDZX2102)。 |
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| Exploring the relationship between qi, blood, and body fluid metabolism and hypertension based on the Fire-Heat Theory |
| REN Jing, LIU Shanshan, YANG Debao, WU Hong |
| (Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China) |
| Abstract: |
| Hypertension is a common chronic condition categorized under "vertigo" and "vascular distension" in Chinese Medicine（CM）. Its pathological basis involves factors such as qi deficienc y, qi stagnation, blood stasis, phlegm-turbidity, and phlegm-fluid retention. The core pathogenesis can be summarized as dysregulation in the circulation and metabolism of qi, blood,and body fluids. Thus, hypertension is a typical condition involving simultaneous disturbance of qi, blood, and body fluids resulting from an imbalance inside and outside the blood vessels. LIU Wansu, in his book Su Wen Xuan Ji Yuan Bing Shi（Explanation of Mysterious Pathogenesis and Etiologies Based on the ‘Basic Questions’）, systematically proposed the "Fire-Heat Theory," which covers both exogenous pathogenic fire and endogenous fire. The invasion of the body by exogenous fire-heat or endogenous fireheat leads to dysregulation of qi, blood, and body fluids, resulting in qi stagnation, blood stasis, fire-toxin accumulation, damp-heat aggregation, and phlegm-turbidity retention. It is evident that the "Fire-Heat Theory" is closely related to qi, blood, body fluids, and hypertension. In modern life, chronic stress and emotional fluctuations can easily transform into fire, improper diet may produce damp-heat and phlegm-fire, and lack of exercise can cause qi stagnation and blood stasis, which further transform into heat. These three factors collectively contribute to the endogenous "fire-heat toxin," which becomes one of the core pathogenesis of hypertension.Hypertension is considered a low-grade inflammatory disease, and inflammation in CM is often classified as fire-heat toxin.Therefore, understanding and treating hypertension from the perspective of the "Fire-Heat Theory" holds significant clinical relevance. This paper focuses on the origin and development of the "Fire-Heat Theory" and discusses treatment principles such as "treating heat with cold" and "dispersing fire stagnation." Based on the mechanisms of qi, blood, and body fluid metabolism, and integrating biomedical perspectives, this study aims to elucidate the relationship among "Fire-Heat Theory—qi, blood, body fluids—hypertension—inflammation" from the characteristics of its pathology, providing new insights for the integrated treatment of hypertension using both Chinese and Western medicine. |
| Key words: hypertension Fire-Heat Theory inflammation qi blood body fluids |
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