T/SDACM 005-2024 "Guidelines for clinical practice of treating hypertension with emphasis on yang qi hyperactivity"
T/SDACM 005-2024 "Guidelines for clinical practice of treating hypertension with emphasis on yang qi hyperactivity"
Basic Information
Scope
Main Technical Content: According to the "China Cardiovascular Health and Disease Report 2023", the prevalence of cardiovascular diseases in China is on the rise. Cardiovascular diseases are the leading cause of death for urban and rural residents in China, with a prevalence rate of 48.89% in rural areas and 47.35% in urban areas [1]. Hypertension is one of the risk factors for cardiovascular diseases. The prevalence of hypertension in China has been increasing year by year. In 2018, the weighted prevalence of hypertension among adults aged ≥18 in China was 27.5% [2]. Further improving the prevention and treatment of hypertension is an important task explicitly proposed in the "Healthy China 2023 Plan Outline" [3]. Currently, the awareness, treatment, and control rates of hypertension patients in China have improved significantly, but the overall levels remain low, reaching 51.6%, 45.8%, and 16.8%, respectively [3]. Hypertension is associated with an increased risk of stroke, coronary heart disease, and cardiovascular mortality in a continuous, independent, and direct manner [4]. According to the clinical manifestations of hypertension and traditional Chinese medicine (TCM) diagnoses such as "dizziness", "headache", "wind dizziness", and "head wind", the traditional view holds that "hepatic hyperactivity" is an important pathogenesis of dizziness. Its essence lies in the deficiency of liver and kidney yin and the disturbance of hyperactive yang. Treatment typically focuses on nourishing yin and calming yang. Reviewing the literature on the pathogenesis of dizziness and hyperactive yang in ancient TCM, we have preliminarily recognized that the causes of hyperactive yang can be divided into deficiency and excess. However, the content is complex and lacks systematicness and coherence. Hyperactive yang is an important link in the pathological mechanism of hypertension, permeating the entire process of hypertension's occurrence, development, and symptom evolution. Howeve