从“痰、热、虚”探析儿童青少年肥胖相关性高血压的中医病机及防治思路

Analysis of TCM pathogenesis and prevention and treatment strategies for obesity-associated hypertension in children and adolescents based on phlegm, heat and deficiency

摘要

儿童青少年肥胖与高血压在中医证候方面存在共性病理基础。痰、热、虚为儿童青少年肥胖相关性高血压的核心病理要素，脾虚肝旺阴亏为病之本，水液失调壅滞脉道为标，气机升降失常为病机之枢。儿童青少年肥胖相关性高血压防治思路包括：健脾化湿、利水化痰是治本之基；滋阴平肝以息风火，调和阴阳以安气机；清化痰热、分消走泄以通壅滞；温阳化饮、益火补土以运水湿；防治结合，形神共调。

Abstract

Childhood and adolescent obesity and hypertension share a common pathological basis in Traditional Chinese Medicine (TCM) patterns. Phlegm, heat, and deficiency are the core pathological factors of obesity-related hypertension in children and adolescents. Spleen deficiency, liver hyperactivity, and yin deficiency constitute the root of the disease; disordered fluid metabolism leading to vessel obstruction represents its manifestation; and abnormal ascent and descent of qi activity serves as the pivot of pathogenesis. The TCM prevention and treatment strategies for this condition are as follows: fortifying the spleen and resolving dampness, promoting urination and eliminating phlegm serve as the fundamental treatment; nourishing yin and calming the liver to extinguish wind-fire, and regulating yin and yang to stabilize qi movement; clearing phlegm-heat and draining dampness to relieve obstruction; warming yang to resolve fluid retention and invigorating fire to strengthen the spleen to regulate fluid movement; and integrating prevention with treatment to coordinate body and spirit.

关键词

儿童青少年 / 肥胖相关性高血压 / 痰热虚 / 气机升降失常 / 中医防治

Key words

children and adolescents / obesity-associated hypertension / phlegm, heat, and deficiency / disorder of qi movement / TCM prevention and treatment

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基金资助

中国中医科学院科技创新工程课题(CI2021A02509)