基于“五脏之病，肝气居多”理论探讨难治性高血压诊治

[关键词］难治性高血压；五脏之病，肝气居多；肝郁

[中图分类号］R259 [文献标志码］A [文章编号]0256-7415（2025）19-0145-06

DOl：10.13457/j.cnki.jncm.2025.19.026

Exploration on Diagnosis and Treatment of Refractory Hypertension Based on Theory of "Liver Qi Dysregulation Predominates in Disorders of the Five Zang Organs"

MAHuixuan1，SUN Danchun1，HUANG Peihong² 1.TheFifth ClinicalMedicalSchoolofGuangzhouUniversityofChineseMedicine，GuangzhouGuangdong510095，China；2.Guangdong Second Traditional Chinese Medicine Hospital，Guangzhou Guangdong 51oo95，China

Abstract：Traditional Chinese medicine （TCM）classfies refractory hypertension as vessel distentionand holds thatthe pathogenesis is primarilyatributed topathogenicfactors including wind，fire，phlegm，stasis，anddeficiency， involving zang-fu organs such as the liver，spleen，and kidney. Under the guidance of the theory that "liverqi dysregulationpredominates indisorders ofthe five zang organs，"this study identifies liverdepresionas thecore pathogenesis of refractory hypertension.Liverdepressionmay further afect the other four zang organs，resultingin liver firedisturbing the heart，liver depresion over-restricting the spleen，liver fireinvading the lung，and upper hyperactivityof liveryang.Treatment prioritizesactivating liverqi，adjustedaccording to individual conditions： tranquilizing mind，invigorating the spleen toresolve phlegm，regulatingqi todescend lungqi，andtonifying theliver and kidney.This restores thefree flowof liverqi，harmonizes blood vessels，and achieves therapeutic fficacy.

Keywords：Refractory hypertension;Liver qi dysregulation predominates in disorders of the five zang organs; Liver depression

难治性高血压与一般高血压病相比，治疗难度更大，有效降低血压及相关心血管损害俨然成为防治任务的重中之重。（剩余9492字）