命门理论在高血压治疗中的应用

摘要

In order to illustrate the application principles and methods of the theory of life gate in hypertension treatment, following opinions were presented through analyzing ancient literature and summarizing clinical experience.Hypertension, in early stage, is related to excited state in the aspects of physiological function, pathological changes and pathogenesis, while the excited state can be induced by life gate deficiency failing to control fire in the body.The life gate deficiency failing to control fire in the body is divided into deficiency of genuine yin leading to frenetic stirring of the ministerial fire and floating upward of life gate brontosaurus fire.The former can be treated with Liuwei Dihuang Wan for nourishing life gate, inhibiting fire and guiding water, and the latter can be treated with Bawei Wan for warm-tonifying life gate and conducting fire back to its origin.And purifying one's heart and limiting one's desires as well as cherishing and nourishing one's genuine yin and yang really make sense in prevention.%通过对古代文献的梳理,并结合临床实践的总结,阐述命门理论在高血压治疗中的应用原理与方法,提出以下观点:高血压早期在生理功能、病理变化、发病机制方面均与亢奋状态相关,而亢奋状态可由命门虚不制火导致,命门虚不制火可分为命门真阴不足而相火妄动以及命门雷龙之火上浮,前者治以六味地黄丸滋养命门、制火导水,后者治以八味丸温补命门、引火归原.以命门理论指导高血压预防,当以淡泊节欲、补养阴精、惜养真阳为要.