高血壓西醫臨床表現與中醫辨證分型之相關性

Relationship between Clinical Features of Hypertension and Classification in Traditional Chinese Medicine

陳淑華(Shu-Hwa Chen) ； 呂萬安(Wan-An Lu)

《北市醫學雜誌》 6卷2期 (2009/04) Pp. 103-116

https://doi.org/10.6200/TCMJ.2009.6.2.03

摘要

Objectives: Modern medicine began to name the diagnosis of hypertension, but this is also a short period of 100 years of history, but it is already the world's most common diseases, and its associated cardiovascular disease such as stroke and coronary heart disease that caused by the incidence of disease and mortality premium. The symptomatic treatment of Modern medicine is the simple in the each single symptom, although effectively lower blood pressure, but the patient's clinical symptoms (dizziness, fatigue, insomnia, etc.) have not yet fully improved, acute events such as the brain or the incidence of cardiovascular disease has not been significantly reduced. In recent years modern medicine to ”individual response patterns” it seems that this line of thought and spirit and traditional Chinese medicine (TCM) treatment of ”Differential Treatment” happens to coincide with the truth. The purpose of these study was in the light of hypertension patients receiving modern medicine treatment, to proceed the investigation of TCM type to find out whether the classification of TCM and mordern medicine treatment modalities in the Factor in connection TCM in order to confirm the necessity and importance, as the future development of integrated medical reference and basis. Methods: On an interview on survey, sampling I-lan County to facilitate the two regional hospitals, in line with standard sampling of 135 patients with hypertension for the study, of which Ganyangkang 44 (32.6%), Yinxuyangkang 23 (17.0%), Tanshiyongsheng 47 (34.8%), Yin and Yang deficiency 21 (15.6%). Results: We found that Tanshiyongsheng-up followed by Ganyangkang type. Basic information on cases in the course of disease, waist circumference, BMI, gender, smoking, drinking, family history, complications, receiving alternative therapies and the classification of TCM type, no statistically significant difference. On the contrary the classification of TCM and the age of hypertension patients connected to the significant correlation (p=0.03＜0.05, F=3.08). Conclusion: There are significant correlation between the classification of TCM and the age of hypertension patients, in other words, the classification of TCM was significant connected to the ageing. This demonstrated that the classification of TCM was evidence on actuality. This study will provide health care workers and people on hypertension prevention and attention, and as a modern and future reference in integrative medicine.

關鍵字

高血壓 ； 個體化治療方案 ； 併發症 ； 辨證分型 ； 整合醫學

並列摘要

Objectives: Modern medicine began to name the diagnosis of hypertension, but this is also a short period of 100 years of history, but it is already the world's most common diseases, and its associated cardiovascular disease such as stroke and coronary heart disease that caused by the incidence of disease and mortality premium. The symptomatic treatment of Modern medicine is the simple in the each single symptom, although effectively lower blood pressure, but the patient's clinical symptoms (dizziness, fatigue, insomnia, etc.) have not yet fully improved, acute events such as the brain or the incidence of cardiovascular disease has not been significantly reduced. In recent years modern medicine to ”individual response patterns” it seems that this line of thought and spirit and traditional Chinese medicine (TCM) treatment of ”Differential Treatment” happens to coincide with the truth. The purpose of these study was in the light of hypertension patients receiving modern medicine treatment, to proceed the investigation of TCM type to find out whether the classification of TCM and mordern medicine treatment modalities in the Factor in connection TCM in order to confirm the necessity and importance, as the future development of integrated medical reference and basis. Methods: On an interview on survey, sampling I-lan County to facilitate the two regional hospitals, in line with standard sampling of 135 patients with hypertension for the study, of which Ganyangkang 44 (32.6%), Yinxuyangkang 23 (17.0%), Tanshiyongsheng 47 (34.8%), Yin and Yang deficiency 21 (15.6%). Results: We found that Tanshiyongsheng-up followed by Ganyangkang type. Basic information on cases in the course of disease, waist circumference, BMI, gender, smoking, drinking, family history, complications, receiving alternative therapies and the classification of TCM type, no statistically significant difference. On the contrary the classification of TCM and the age of hypertension patients connected to the significant correlation (p=0.03＜0.05, F=3.08). Conclusion: There are significant correlation between the classification of TCM and the age of hypertension patients, in other words, the classification of TCM was significant connected to the ageing. This demonstrated that the classification of TCM was evidence on actuality. This study will provide health care workers and people on hypertension prevention and attention, and as a modern and future reference in integrative medicine.

並列關鍵字

Hypertension ； individual response patterns ； complication ； classification type ； integrated medicine