CAJ | 학술논문

目的：挖掘与总结周宜轩教授临床辨治高血压病的诊疗规律及学术思想。方法选取2012年12月－2013年12月周教授诊治的原发性高血压病患者149例，208诊次，将其初诊数据录入数据库，进行名词标准化，对其临床证候、治法、方药进行统计分析。结果149例高血压病患者，按照证候出现频次排序，由高到低依次为痰湿中阻证、气虚血瘀证、气阴两虚证、肝阳上亢证、肝肾阴虚证等。方剂多为参苓白术散、补阳还五汤、生脉散、天麻钩藤饮、六味地黄丸等加减。用药频次排序，由高到低依次为炙黄芪、佛手、川芎、丹参、当归、山萸肉、白芍、赤芍、炒白术、酸枣仁、枳壳、薏苡仁、党参、合欢皮、水蛭。结论高血压病是本虚标实证，临床以气虚、气阴两虚、肝肾阴虚为本，肝阳上亢、瘀血、痰浊为标。周教授善于用益气、养阴、理气、化痰、活血、安神法治疗高血压病，体现了周教授的学术思想。
목적：알굴여총결주의헌교수림상변치고혈압병적진료규률급학술사상。방법선취2012년12월－2013년12월주교수진치적원발성고혈압병환자149례，208진차，장기초진수거록입수거고，진행명사표준화，대기림상증후、치법、방약진행통계분석。결과149례고혈압병환자，안조증후출현빈차배서，유고도저의차위담습중조증、기허혈어증、기음량허증、간양상항증、간신음허증등。방제다위삼령백술산、보양환오탕、생맥산、천마구등음、륙미지황환등가감。용약빈차배서，유고도저의차위자황기、불수、천궁、단삼、당귀、산유육、백작、적작、초백술、산조인、지각、의이인、당삼、합환피、수질。결론고혈압병시본허표실증，림상이기허、기음량허、간신음허위본，간양상항、어혈、담탁위표。주교수선우용익기、양음、리기、화담、활혈、안신법치료고혈압병，체현료주교수적학술사상。
Objective To investigate the clinical experience and scientific theory for treating hypertension by Zhou Yixuan. Methods The clinical records of 149 patients with hypertension treated by Zhou Yixuan were input into the database, and the terms were standardized. The Chinese medical diagnosis , therapeutic principles, prescriptions and Chinese herbs were analyzed. Results The syndromes of 149 patients with hypertension appeared frequently in the phlegm dampness, qi deficiency and blood stasis, qi and yin deficiency, hyperactivity of liver-yang, liver and kidney yin deficiency. The prescriptions appeared frequently in Shenling-Baizhu powder, Buyang-Huanwu decoction Shengmai powder, Tianma-Gouteng Yin, Liuwei-Dihuang pill. The Chinese herbs appeared frequently in honey-fried milkvetch root, finger citron, Szechwan lovage rhizome, danshen root, Chinese angelica, fructus corni, white peony alba, red peony root, prepared largehead atractylodes rhizome, spine date seed, orange fruit, coix seed, tangshen, silktree albizia bark, and leech. Conclusions The syndromes of hypertension appeared in deficiency complicated with excess. Qi deficiency, qi and yin deficiency, liver and kidney yin deficiency were deficiency syndromes. Hyperactivity of liver-yang, blood stasis and phlegm were empirical syndromes. Zhou Yixuan was good at treating hypertension with the methods of benefiting vital energy, nourishing yin, regulating vital energy, promoting blood circulation, reducing phlegm and calming the nerves.