CAJ | 학술논문

[目的]探讨高血压病的中医病名、病位与病机。[方法]在研读《内经》的基础上，逐次对高血压病的中医病名、病位、病机等方面进行探析。[结果]高血压病相对应的中医病名应为《内经》所述的“脉胀”，其病位主要在心，关乎五脏，心主血脉异常是主要病机。[结论]传统的从肝论治高血压病的经典辨证模式应该发生改变，临证时应根据心主血脉异常的病机理论，从心论治，治病求本，这对高血压病的辨证治疗具有一定意义。
[목적]탐토고혈압병적중의병명、병위여병궤。[방법]재연독《내경》적기출상，축차대고혈압병적중의병명、병위、병궤등방면진행탐석。[결과]고혈압병상대응적중의병명응위《내경》소술적“맥창”，기병위주요재심，관호오장，심주혈맥이상시주요병궤。[결론]전통적종간론치고혈압병적경전변증모식응해발생개변，림증시응근거심주혈맥이상적병궤이론，종심론치，치병구본，저대고혈압병적변증치료구유일정의의。
[Objective]Discussion on TCM name and pathogenesis of hypertension. [Method]To further explore and analyze the TCM name, location as wel as pathogenssis of hypertension after learning“Neijing”. [Result]Hypertension corresponding TCM diseases should be the "veins bulge" from“Neijing”. The location of the disease is heart,while it relates to internal organs. The main pathogenesis is that heart commanding blood abnormality. [Conclusion ]The traditional classical dialectical mode from the liver treatment of hypertension should be changed,the clinical treatment of hypertension is due to the heart according to the theory of pathogenesis which the heart commands blood vessels.Seeking the key reason is important to differential treatment of hypertension.