Hypertension secondary to other diseases (nephritis, pyelonephritis, renal artery stenosis, pheochromocytoma, hyperthyroidism, etc. As long as the primary disease can be treated well, it can be controlled. General antihypertensive treatment can only be symptomatic treatment; For some essential hypertension, it is very important to pay attention to overcoming the related incentives. Many patients, due to emotional irritability, sleepless nights and large blood pressure fluctuations, may have a good antihypertensive effect with some sedatives. Some elderly obese patients have higher blood pressure with the increase of weight. If they can lose weight effectively, it will help their blood pressure drop to normal. Fatigue and tension are also common causes and should be avoided.
Drug treatment is the first consideration for many patients. As long as we insist on medication and use it rationally, patients with hypertension will get satisfactory therapeutic effect. However, the antihypertensive drugs used by each patient are not necessarily the same, and the specific situation of each patient should be considered. Many patients with early hypertension have only mild symptoms, and some even have no symptoms. They don't need to take strong antihypertensive drugs immediately, just take some common diuretics. If the blood pressure does not drop after a period of treatment with hydrochlorothiazide, cyclopentazine and aminopterin. You can add some sedatives, such as valium and hypnotics. For some patients with moderate hypertension, diuretics and antihypertensive drugs are often combined with propranolol. Severe hypertension can be treated with combined drugs. The use of vasodilators in the treatment of hypertension has achieved good results. Prazosin hydrochloride and aminoacylpropranolol are very popular drugs, especially aminoacylpropranolol and propranolol, which are more suitable for hypertensive patients with fast heart rate. In recent years, there have been many new antihypertensive drugs, such as clonidine, verapamil, thiazides, nifedipine, captopril, nitrendipine, betaloc, sodium nitroprusside, captopril, nicardipine, lacidipine, Loroxide and so on. It has a good curative effect on all kinds of refractory hypertension patients. Combined application of multi-variety and low-dose antihypertensive drugs can not only reduce side effects, but also improve the curative effect, which is a new way to treat hypertension. It is often noticed that no matter what antihypertensive drugs are used, people should not increase their dosage if their blood pressure has dropped to normal. However, many people often stop taking drugs immediately after their blood pressure drops to normal, which often causes blood pressure to rebound or fluctuate, which may increase more complications. People don't realize the harm of this practice. Therefore, when using antihypertensive drugs to lower blood pressure, you can reduce the drug to the minimum effective dose, continue to take it for half a year to one year, and then decide whether to take it according to the condition. The World Health Organization put forward the authoritative "ladder plan" for the treatment of hypertension, but the plan has been revised repeatedly. The most reasonable treatment plan should be analyzed according to the specific situation of patients, and strive to find a suitable individualized plan, which is the principle of "individualization".
Most patients with hypertension are mental workers. If patients can participate in appropriate physical activities, symptoms can be alleviated. This is especially important for hypertensive patients who are mainly mental workers. You can choose walking, jogging, Tai Ji Chuan, Qigong, radio exercises and other activities according to different situations. Health massage can often relax tense muscles, relax human peripheral blood vessels and lower blood pressure. When someone presses bilateral Quchi points for 5 minutes, the blood pressure of hypertensive patients can be reduced by 1.3~2.7 kPa, that is, 10~20 mm Hg. Developing good regular living habits, going to bed early and getting up early, exercising properly, combining work and rest, avoiding nervousness, eliminating anxiety, and quitting smoking and drinking all play an important role in treating hypertension. For patients with nervousness and insomnia, do not hesitate to use antipsychotic drugs, such as pinaro and diazepam.
Modern medicine pays special attention to the auxiliary treatment of hypertension with low-salt diet. Patients with high-salt diet have increased sodium and blood volume, and their blood pressure is easy to rise, while hypertension is not easy to fall. After applying a low-salt diet, blood pressure can be easily controlled and maintained at a good therapeutic level. Tianma Gouteng Decoction is often used to treat hypertension in traditional Chinese medicine. Its prescription includes Gastrodia elata, Uncaria rhynchophylla, Concha Haliotidis, Flos Chrysanthemi Indici, Scutellariae Radix, Achyranthis Radix, Eucommiae Cortex, Herba Leonuri, Polygoni Multiflori Radix, Radix Paeoniae Alba, Poria, etc. There are many remedies that can be chosen as appropriate. Peanuts in red are soaked in aged vinegar 1 week, and taken 5 ~ 10 capsules every night before going to bed. After taking 1 week, it has a certain antihypertensive effect. The curative effect of acupuncture on hypertension is affirmative. Acupuncture at Quchi point can immediately lower blood pressure and can be used as a good medicine for first aid of hypertension.