张丽丽 顾健霞

    【摘 要】 高血压和失眠临床较为常见，两者多相兼出现、相互影响。顾健霞主任醫师认为高血压合并失眠以情志因素多见，其病机虽多从肝肾论治，但从发病过程及发病年龄来看，肝失疏泄占主要地位，同时因气、火、痰、瘀、虚病理因素的不同产生诸多变证;治疗上予以“平肝”为要，兼以理气化痰、益气养阴、活血化瘀、顾护脾胃等治疗，其疗效显著。

    【关键词】 高血压;眩晕;失眠;不寐

    【中图分类号】R249.2/.7? 【文献标志码】 A? 【文章编号】1007-8517(2021)22-0122-04

    Gu Jianxia，Chief Physician of TCM Treatment of Hypertension with Insomnia Clinical Experience

    ZHANG Lili1 GU Jianxia2△

    1.Anhui University of Chinese Medicine， Hefei 230000， China;

    2.The First Affiliated Hospital of Anhui University of Chinese Medicine， Hefei 230000， China

    Abstract：Hypertension and insomnia are common in clinic.Chief physician Gu Jianxia believed that hypertension combined with insomnia was mostly due to emotional factors. Although the pathogenesis was mostly treated from the liver and kidney， liver loss and drainage were the main factors in the course of onset and the age of onset. At the same time， there were many changes due to different pathological factors such as qi， fire， phlegm， blood stasis and deficiency.The treatment is to “calm the liver”， and to regulate qi and dissolve phlegm ......