Hypertension is more common in "dizziness" and "headache" in traditional Chinese medicine. It is due to diet fatigue, emotional internal injury, congenital deficiency, acquired malnutrition, senility, imbalance of liver and kidney yin and yang, insufficiency of heart and spleen, imbalance of qi and blood, endogenous wind and fire, and mutual resistance of phlegm and blood stasis. In the early stage of the disease, the pathogen is mainly pathogenic excess or deficiency, and in the later stage, it is mainly deficiency syndrome. Treatment methods include: clearing liver and purging fire, warming spleen and kidney, eliminating phlegm and dampness, promoting blood circulation and removing blood stasis, nourishing water and clearing heart, tonifying kidney and purging fire, etc.
Fangyi Ziyin Yangyang Prescription (Liu Yixuan)
Source "China Famous Doctors and Prescriptions"
It is prepared from Radix Rehmanniae Preparata 15g, Herba Taxilli 15g, Radix Ophiopogonis 15g, Radix Morindae Officinalis 15g, Cortex Eucommiae 15g, Fructus Corni 12g, Herba Cistanches 12g and Radix Codonopsis.
Function of nourishing yin and warming yang, tonifying kidney and benefiting essence.
Indications of hypertension. Deficiency of kidney essence and deficiency of both yin and yang. Symptoms include dizziness, palpitation, shortness of breath, listlessness, forgetfulness, frequent urination, soreness of waist and knees, chest tightness and nausea, impotence and nocturnal emission, chills in limbs, pale face, edema in limbs, pale and tender tongue with little coating.
Fang Jie Dihuang nourishes blood and nourishes yin, replenishing essence and marrow; Ophiopogon japonicus benefits the stomach and moistens the lungs, nourishing yin and promoting fluid production; Taxilli, Eucommia ulmoides and Cornus officinalis can tonify liver and kidney; How Morinda officinalis how to tonify kidney and help yang, dispel wind and remove dampness; Cistanche deserticola tonifies the kidney and helps yang, moistens the intestines and relaxes the bowels; Ramulus Cinnamomi warms meridians and promotes yang; Codonopsis pilosula tonifies middle energizer, nourishes body fluid and nourishes blood.
Pharmacology Modern pharmacological research shows that Radix Rehmanniae Preparata and Radix Ophiopogonis can regulate the immune function of the body. Taxilli, Eucommia ulmoides and Cornus officinalis have antihypertensive and diuretic effects. The water extract of cistanche deserticola can reduce blood pressure in experimental animals. Morinda officinalis has corticosteroid-like effect and hypotensive effect.
Usage: decoction, daily 1 dose.
Fangge Yixin Jiannao Decoction (Zhou Ciqing)
Source "China Famous Doctors and Prescriptions"
It consists of 30-60g of Radix Astragali, 0/5-30g of Radix Puerariae/kloc, 0/5-30g of Herba Taxilli, 20-40g of Radix Salviae Miltiorrhizae, 9- 15g of Fructus Crataegi and 6-9g of Rhizoma Chuanxiong.
The function of invigorating qi and promoting blood circulation.
Indications: hypertension, qi deficiency and blood stasis.
Fang Jie Radix Astragali tonifies the heart and lungs, Radix Puerariae enhances the spleen and stomach, and Herba Taxilli tonifies the kidney. Danshen Xin, raw hawthorn for depression, Chuanxiong for liver blood. The combination of all kinds of medicines can tonify the qi of various organs, activate the blood of the whole body, make the qi flourish and the blood live, make the heart and veins connect and nourish the brain, so as to achieve the function of benefiting the heart and strengthening the brain.
Pharmacology Modern pharmacological research shows that Astragalus membranaceus may play a role in lowering blood pressure by directly dilating peripheral blood vessels. Pueraria lobata decoction, extract and total flavonoids all have certain antihypertensive effects. Hawthorn flavonoids, hydrolysates and triterpenoid acids all have antihypertensive effects on anesthetized cats. Salvia miltiorrhiza and Ligusticum chuanxiong can improve blood circulation, prevent thrombosis and reduce blood lipid.
Usage: decoct in water, daily 1 dose, and warm for 2 ~ 3 times.
Fang San Shuang Jiang Tang
Source "China Famous Doctors and Prescriptions"
It comprises 20g of Polygonatum sibiricum, 20g of Polygonum multiflorum Thunb, 0g of hawthorn15g, 0g of chrysanthemum15g, 5g of cassia seed15g, 5g of salvia miltiorrhiza, 20g of Taxilli, 20g of Herba Siegesbeckiae15g and 20g of Alisma orientalis.
Function nourishing liver and kidney, promoting blood circulation and removing turbidity.
Indications: hypertension, hyperlipidemia, yin deficiency of liver and kidney, phlegm and blood stasis syndrome.
Fang Jiefang uses Polygonum Multiflori Radix, Polygonatum sibiricum and Taxilli to tonify liver and kidney, and consolidate essence and qi; With Alisma orientalis and Herba Siegesbeckiae, it can clear the damp turbidity of lower energizer; Cassia seed and chrysanthemum have the functions of calming the liver, suppressing yang and calming the heart. Hawthorn strengthens the spleen and permeates dampness, promoting digestion and guiding stagnation; Use salvia miltiorrhiza to promote blood circulation, cooperate with hawthorn to relieve depression and promote blood circulation, and reconcile yin and yang. The combination of all the medicines can tonify the middle energizer but not greasy, firm but not astringent, and has the functions of tonifying liver and kidney, dredging collaterals and guiding turbidity, lowering blood lipid and lowering blood pressure.
Pharmacological and pharmacological studies show that Polygonatum decoction can obviously reduce triglyceride, β-lipoprotein and blood cholesterol in hyperlipidemia rabbits. Polygonum multiflorum Thunb and Alisma orientale can improve lipid metabolism and reduce the absorption of intestinal cholesterol. Hawthorn lowers blood pressure and blood lipid. The water extract and alcohol extract of cassia seed have antihypertensive and diuretic effects on experimental animals. Herba Siegesbeckiae has the functions of dilating blood vessels and lowering blood pressure. Herba Taxilli diuretic and hypotensive.
Usage: decoction, daily 1 dose.
Fangsi Bawei Jiangya Decoction (Zhou Ciqing)
Source: Academic Experience Collection of Famous and Old Chinese Medicine Experts in China 4.
It consists of Polygonum Multiflori Radix 15g, Radix Paeoniae Alba 12g, Radix Angelicae Sinensis 9g, Rhizoma Chuanxiong 5g, parched Eucommiae Cortex 18g, Radix Astragali 30g, Cortex Phellodendri 6g and Uncaria 30g.
Function of supplementing qi and nourishing blood, nourishing yin and reducing fire.
Indications: Hypertension, manifested as yin-blood deficiency, headache, dizziness, fatigue, tinnitus and palpitation.
In the prescription, Polygonum multiflorum Thunb. Nourish essence and blood; Radix Paeoniae Alba, Radix Angelicae Sinensis and Rhizoma Chuanxiong nourish blood and promote blood circulation; Eucommia ulmoides Oliv Nourish liver and kidney; Astragalus qi; Phellodendron chinense clearing heat and drying dampness; Uncaria rhynchophylla clearing away heat and calming the liver.
Pharmacology Polygonum multiflorum Thunb can reduce blood lipid and prevent the occurrence and development of atherosclerosis. Paeoniflorin can obviously dilate coronary vessels and peripheral vessels and lower blood pressure. Eucommia ulmoides Oliv It has good diuretic and antihypertensive effects. Angelica sinensis and Uncaria rhynchophylla can dilate peripheral blood vessels and reduce resistance. Chuanxiong improves peripheral blood circulation, inhibits platelet aggregation and prevents thrombosis.
Usage: decoction, daily 1 dose.
Wu Fang Tianma Gouteng Drink
Source "New Meaning of Syndrome Differentiation and Treatment of Miscellaneous Diseases"
Consists of 9 grams of Rhizoma Gastrodiae, Uncaria rhynchophylla (lower back)12g, Concha Haliotidis (decocted first)18g, 9 grams of Gardenia Scutellariae Radix, 9 grams of Radix Cyathulae12g and 9 grams of Eucommia ulmoides Oliv. Motherwort, Taxilli, Polygonum Multiflori Radix, Poria.
Calming the liver and suppressing yang, nourishing liver and kidney.
The indication of hypertension is hyperactivity of liver yang. Symptoms include dizziness, tinnitus, headache, abdominal distension, fatigue and irritability, numbness and tremor of limbs, insomnia and dreaminess, soreness of waist and knees, or flushing, red tongue with yellow fur and rapid pulse.
Gastrodia elata and Uncaria rhynchophylla can calm the liver and calm the wind; Concha Haliotidis can calm the liver and suppress yang, clear away heat and improve eyesight, and can be combined with Gastrodia elata and Uncaria to enhance the function of calming the liver and calming the wind. Achyranthes bidentata draws blood downwards; Gardenia and Scutellaria baicalensis can clear away heat and purge fire, so that the heat of liver meridian is not disturbed; Motherwort promotes blood circulation and diuresis; Eucommia ulmoides Oliv Parasitic mulberry nourishes liver and kidney; Caulis Polygoni Multiflori and Zhu Fu soothe the nerves.
Pharmacological animal experiments show that Tianma Gouteng Decoction has the function of regulating the central nervous system. It has obvious antihypertensive effect on dogs with renal, primary and neuronal hypertension. At the same time, it has the effects of anti-platelet aggregation, improving cerebral circulation and inhibiting the production of lipid peroxide in liver, heart, brain and kidney.
Decoct with water.
Liu Fang Longdan Xiegan Decoction
Source: "Medical Prescription Collection"
It consists of 6 grams of Gentiana scabra, 9 grams of fried Scutellaria baicalensis Georgi, 9 grams of fried Gardenia, 9 grams of Alisma orientalis, 6 grams of Akebia stem, 3 grams of fried Angelica sinensis, 6 grams of dried rehmannia root, 6 grams of Bupleurum root, 6 grams of raw licorice root and 6 grams of plantain seed.
Function: clearing liver and purging fire, and clearing away damp-heat.
Indicating hypertension, it belongs to damp-heat due to excess fire in liver meridian. Symptoms include headache, red eyes, hypochondriac pain, bitter taste, irritability, insomnia, dreaminess, red face, short and red urine, yellow and greasy tongue coating and rapid pulse.
In the prescription, Gentiana scabra can clear excess fire in liver and gallbladder and purge damp-heat in liver and gallbladder. Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis have the functions of purging fire and detoxifying, eliminating dampness and clearing heat; Plantago seed, Akebia stem and Alisma orientalis ooze moisture and release heat, which leads away the damp heat in the waterway; Nourishing yin in raw land; Angelica supplements blood; Bupleurum soothes the liver and gallbladder, and introduces various drugs into the liver and gallbladder; Licorice can slow down the bitter cold and hurt the stomach, and it can also reconcile various drugs. The whole prescription can clear away fire and heat, and eliminate dampness and turbidity, so all diseases can be treated.
Pharmacological experiments show that Longdan Xiegan decoction has obvious diuretic effect and can significantly increase urine volume, but has no obvious effect on sodium and potassium excretion. It has obvious hypotensive effect on anesthetized cats, and the greater the dose, the stronger the effect. It can also dilate isolated rabbit ear blood vessels and increase the number of perfusion drops.
Decoct with water.
Fangqi Banxia Baizhu Tianma Decoction
Source "Medical Heart"
Consists of 9 grams of Pinellia ternata, 6 grams of Gastrodia elata, 6 grams of Poria, 6 grams of orange, 3 grams of Atractylodes macrocephala 15, 3 grams of licorice, 2 pieces of ginger 1 tablet and jujube.
Function of eliminating dampness and phlegm, calming the liver and calming the wind.
The indication is hypertension, which is caused by phlegm and turbidity. Symptoms include heavy head, chest tightness, nausea, vomiting, expectoration, white greasy fur and slippery pulse.
Pinellia ternata is used for eliminating dampness and resolving phlegm, reducing adverse reactions and stopping vomiting. Tianma calms the liver and calms the wind to stop dizziness; Atractylodes macrocephala strengthens spleen and dries dampness; Poria cocos is combined with Atractylodes macrocephala for invigorating spleen and eliminating dampness, especially for treating phlegm. Orange is used to regulate qi and eliminate phlegm, so that qi is smooth and phlegm is eliminated; Licorice. Ginger and jujube harmonize the spleen and stomach. The combination of various drugs has the effect of resolving phlegm and calming wind.
Pharmacology Gastrodia elata, Gastrodin and its aglycone can reduce peripheral resistance and have antihypertensive effect. The decoction and fluid extract of Atractylodes macrocephala have obvious and lasting diuretic effects on rats, rabbits and dogs by gavage or intravenous injection. Porphyrin has a similar structure to aldosterone and its antagonist, and can regulate water and salt metabolism.
Decoct with water.
Fangba Bushen recipe
Source: China Medical Journal.
Is prepared from Taxilli15-30g, Astragalus15-30g, Alisma orientalis15-24g, Epimedium15-24g, Eucommia ulmoides12-18g and leech 6-/8g.
Function nourishing liver and kidney, promoting blood circulation and promoting diuresis.
Indications of hypertension in the elderly. Symptoms include dizziness or dizziness, headache, tinnitus or deafness, memory loss, soreness of waist and knees, retention of urine or incontinence after urination, mental fatigue, shortness of breath, laziness, frequent micturition at night, palpitation and insomnia, constipation, spontaneous sweating, cold limbs, pale tongue or petechiae, and thready or astringent pulse.
In the prescription, Herba Taxilli, Herba Epimedii and Eucommiae Cortex can tonify liver and kidney; Astragalus qi and water; Alisma orientalis has weak osmotic and diuretic effects; Leech and motherwort promote blood circulation and promote diuresis.
Pharmacology Alisma orientalis, Eucommia ulmoides and Taxilli have diuretic and antihypertensive effects. Astragalus membranaceus and Epimedium dilate peripheral blood vessels, reduce peripheral resistance and lower blood pressure. Leech has obvious effects of thrombolysis, lowering blood lipid, reducing blood viscosity, improving microcirculation and accelerating capillary blood flow, thus lowering blood pressure.
Usage: decoction, one dose a day, once in the morning and once in the evening.
Fangjiu Shenqi Chapu Decoction
Source: Anhui Clinical Journal of Traditional Chinese Medicine
Consists of 30g of Salvia Miltiorrhiza Radix, 0/0g of Notoginseng Radix, 0/5g of Rhizoma Gastrodiae, 0/0g of Rhizoma Acori Graminei, 30g of raw hawthorn, 0/0g of Uncaria rhynchophylla, and 0/0g of leech.
Function of promoting blood circulation and resolving phlegm, calming the liver and calming the wind.
Indications: essential hypertension.
Salvia Miltiorrhiza, Notoginseng Radix and Hirudo in the prescription promote blood circulation and remove blood stasis; Gastrodia elata and Uncaria rhynchophylla calm the liver and calm the wind; Acorus gramineus eliminates phlegm and regulates stomach; Raw hawthorn can help digestion and disperse blood stasis. The whole recipe promotes blood circulation and phlegm, calms the liver and calms the wind.
Pharmacologically, salvia miltiorrhiza and panax notoginseng in Shenqi Zhapu decoction have good effects of dilating blood vessels and improving blood circulation. Hawthorn can reduce serum cholesterol, triglyceride and lipoprotein; Acorus gramineus can excite spinal nerves and significantly reduce blood lipid, and the volatile oil has sedative and spasmolytic effects on the central nervous system. Uncaria rhynchophylla can reduce the excitability of cerebral cortex, dilate peripheral blood vessels, lower blood pressure and improve its hypoxia tolerance, which has obvious protective effect on complete cerebral ischemia model animals and has the effect of reducing blood lipid. Leech contains hirudin, heparin, antithrombin and so on. It has obvious effects of thrombolysis, reducing blood lipid, reducing blood viscosity, improving microcirculation and accelerating capillary blood flow speed, making blood flow unobstructed and capillaries more open, thus reducing blood pressure.
Usage: decoct in water, daily 1 dose, half an hour after breakfast and dinner.