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Chapter 48 TCM Treatment of Hypertension

After Mu Feng left, the Department of Traditional Chinese Medicine returned to a state of doing nothing.

Looking at the clock on the wall, it was almost four o'clock. Just when the three of Huang Su thought that there would be no more patients coming for consultation today, the door of the Department of Traditional Chinese Medicine was pushed open.

Huang Su looked up and saw that it was a rich middle-aged man nicknamed Liu Laoxi.

Liu Laoxi's real name is Liu Jiahui, from Shanxi, which is why everyone calls him Laoxi.

In the 80s, Liu Jiahui followed the route of his ancestors to go to Xikou to do beef, mutton and leather business. Now Liu Jiahui is the largest beef, mutton and leather seller in Grassland City.

Walking into the Department of Traditional Chinese Medicine, as soon as he sat down, Liu Jiahui said familiarly: "Brother Huang, I'm sorry, I planned to come in the morning, but suddenly came and delayed a little business."

Liu Jiahui said while passing his previous medical records to Huang Su, and he reported his various body values ​​in detail. It can be seen that he is a life-saving person who is very careful about his illness.

For flavins who study Chinese medicine, hearing these values ​​is full of doubts, but they still have basic knowledge about high pressure and low pressure. High pressure 180-200, low pressure 100-120, from the perspective of Western medicine It's a bit high.

Combined with his outrageous high and low pressure values, no need to think about it, other values ​​must be ridiculously high.

Huang Su didn't read Liu Jiahui's medical records, but listened patiently to his explanation of his condition.

Seeing Liu Jiahui finished speaking, Huang Su said: "Brother Liu, the values ​​you mentioned are of no use to Chinese medicine in treating your condition, first stretch out your arm and I will diagnose your pulse."

"Brother Huang, if you say this, brother, I'm relieved. I'm really afraid that you will ask me to measure blood pressure, blood routine, and cholesterol again." Liu Jiahui stretched out his arm cheerfully.

Huang Su rested her three fingers on Liu Jiahui's Cunguan ruler, and felt that her finger was as small as a silk thread, and it was weak, and it was a stringy and thin pulse.

The pulse condition is stringy and thready, which governs liver and kidney yin deficiency, liver depression and spleen deficiency, blood deficiency and liver depression.

Huang Su then said: "Stick out your tongue, I'll look at the coating on your tongue."

Liu Jiahui stuck out his tongue, and saw that the tongue was dark red, the tongue coating was slightly thick and dry, and the edges on both sides of the tongue were bulging and dark red.

Huang Su continued: "Lift up your tongue, let me look at the bottom of your tongue."

Liu Jiahui tilted his tongue, and saw that the underside of the tongue was also dark red, and the two blood vessels were thick and strong, dark purple, indicating that the blood stasis was very serious.

Judging from the appearance of the tongue, yellow fur is a sign of excess heat, and yellow and dry fur is a sign of excessive heat and fluid loss.A dark red tongue indicates that there is blood stasis blocking the collaterals in the body.And the protruding edge of the tongue is dark red, which indicates that the disease is in the liver and gallbladder, and the edges on both sides of the tongue govern the liver and gallbladder.

This can rule out liver stagnation and spleen deficiency in the pulse condition. Spleen deficiency shows a white coating on the tongue. At the same time, blood deficiency and liver stagnation can be ruled out. Blood deficiency shows pale tongue in the tongue picture.

Liu Jiahui's disease syndrome is liver and kidney yin deficiency.Yin deficiency and yang hyperactivity, hyperactivity of liver yang.

Seeing Huang Su's reluctance to speak, Liu Jiahui asked, "Brother Huang, can Chinese medicine treat my disease?"

Huang Su didn't answer and continued to ask: "I usually feel dizzy and dizzy."

Liu Jiahui replied: "Yes, I often have sudden dizziness, chest tightness, and upset. I often have chest tightness and can't sleep all night. Brother Huang, can traditional Chinese medicine cure my disease? Give me one Happy talk."

"Can be cured!"

Huang Su said: "There have been no diseases such as high blood pressure and high blood fat in Chinese medicine since ancient times, but they are common diseases in modern times. Your disease is caused by deficiency of liver and kidney yin, hyperactivity of liver yang, restless mind, and obstruction of collaterals."

Dizziness, chest tightness, upset, and insomnia at night are all symptoms of liver and kidney yin deficiency, hyperactivity of liver yang, and restlessness.

Deficiency of liver yin leads to strong liver fire, and strong liver fire leads to upset and irritability.Deficiency of liver yin leads to an imbalance of yin and yang, and an imbalance of yin and yang leads to hyperactivity of liver yang, hyperactivity of liver yang leads to dizziness, and in severe cases, liver fire generates wind, leading to stroke. This is why the probability of stroke in Western medicine hypertensive patients is higher than that of normal people.

"Plain Questions: The Formation of the Five Viscera" also says: "The old man's blood returns to the liver when lying down. The liver receives blood to see, the feet receive blood to walk, the palms receive blood to grasp, and the fingers receive blood to absorb."

Because the liver stores blood and blood is produced in the liver, now the liver and kidney yin is deficient, the liver yang is hyperactive, and the liver yang fire is strong, resulting in damage to blood and body fluid.

After that, Huang Su combined with the theory of traditional Chinese medicine and explained the causes of his high blood pressure and high blood fat in words that Liu Jiahui could understand.

"The liver is the place where blood is stored and produced. Due to the strong yang fire in the liver, the liver is now like a heating furnace. The blood flowing out of the liver is heated and must lose part of the water, resulting in higher blood concentration. At the same time, the blood temperature rises, Thermal expansion and cold contraction, the volume of the blood flowing out of the liver will increase after the temperature rises, but the thickness of the blood vessels remains the same, and the natural pressure becomes higher."

This is the first time I have heard such an explanation of the causes of high blood pressure and high blood lipids. Although I don't know if it is correct, Liu Jiahui feels that it makes sense.

After listening to Huang Su's explanation, Liu Jiahui asked curiously again: "Why did I go to a Western doctor? They advised me to drink less alcohol and eat less greasy food. I also controlled my diet, but my blood pressure has never dropped. I can only rely on blood pressure to lower it." Fat medicine maintenance, is it because my high blood pressure is so severe that I can no longer control it with diet.”

Huang Su explained with a knowing smile: "What they said can't be said to be wrong, but it's not entirely true. Drinking alcohol can temporarily increase the body's heat. When encountering liver wind, it is easy to have a stroke. Hypertension with hyperactivity of liver yang and hyperlipidemia should try to avoid alcohol. , can reduce the risk of stroke, as for eating less greasy food, it is more suitable for high blood pressure and high blood lipids of the spleen and stomach weakness type in traditional Chinese medicine."

After many years of clinical practice in traditional Chinese medicine, hypertension and hyperlipidemia can be divided into two types, the type with hyperactivity of liver yang and the type with weak spleen and stomach.

Weakness of the spleen and stomach leads to a decline in the ability to transport and transform Qi and blood.The more you eat, the more serious the stagnation of phlegm and stagnation in the body will be, and the thicker the blood will become.The treatment method is to invigorate the spleen and stomach, reduce phlegm and relieve stasis.

According to the clinical summary of traditional Chinese medicine combined with blood pressure values, particularly high pressure belongs to the hyperactivity of liver yang type, and particularly high low pressure belongs to the spleen and stomach weakness type.

The treatment of such diseases in Chinese medicine is based on individual treatment.

Seeing hope, Liu Jiahui hurriedly asked: "Brother Huang, how can I treat my disease?"

Huang Su said: "I'll give you a prescription for nourishing yin and calming the liver, calming the potential and calming the nerves, removing blood stasis and dredging collaterals."

“何慧记方，桑寄生30g、杜仲10g、天麻6g、钩藤15g、珍珠母30g（先下），龙齿20g（先下）、草决明20g、菊花12g、夏枯草10g、益母草15g、赤芍15g、丹参15g、葛根15g、生山楂15g。”

For Liu Jiahui's illness, Huang Su mainly flavored Tianma Gouteng Drink.

Gastrodia elata, Uncaria calms the liver and relieves wind; Chrysanthemum, Cassia officinalis, Prunella vulgaris, motherwort clears heat and calms the liver; Sangji, Eucommia nourishes the kidney and calms the liver; Pearl oyster, dragon tooth calms the liver and calms the nerves; , the combination of various medicines can benefit the kidney and calm the liver, reduce fire and quench the wind, dredge the collaterals and calm the nerves.

Huang Su handed the prescription to Liu Jiahui and said, "Drink seven doses according to this prescription, and then come back for a review."

seven days later.

Liu Jiahui pushed open the door of the Department of Traditional Chinese Medicine, couldn't hide his excitement and gave a thumbs up: "Brother Huang, your medical skills are like this. After drinking seven doses of your medicine, my blood pressure has dropped to a high pressure of [-] and a low pressure of [-]. I My dizziness has also subsided, and I can finally sleep peacefully at night."

After Liu Jiahui calmed down and sat down, Huang Su checked his pulse and looked at his tongue coating.

(End of this chapter)