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class="title fg1 f42 w-1 ellipsis tac fcf ml10 mr10">柴胡加附子湯可以治療高血壓?jiǎn)?/div> <div id="9zzd5xpp" class="right-menu fs0 h-1 flex"> <a href="javascript:;" on="tap:header-sub-wrap.toggle" class="top-icon-menu h-1 fs0"></a> </div> </header> <mip-toggle id="header-sub-wrap" class="none" layout="nodisplay"> <div id="9zzd5xpp" class="top_menus"> <div id="9zzd5xpp" class="clr"> <a href="http://www.mmhgsj.com" class="fll cell">首頁(yè)</a> <a class="fll cell yiyuan">醫院</a> <a href="http://www.mmhgsj.com/dise/" class="fll cell jibing">疾病</a> <a href="http://www.mmhgsj.com/doctor/" class="fll cell yisheng">醫生</a> <a href="http://www.mmhgsj.com/zx/" class="fll cell zixun">資訊</a> <a href="http://www.mmhgsj.com/video/" class="fll cell shipin">視頻</a> <a href="http://www.mmhgsj.com/voice/" class="fll cell yuyin">語(yǔ)音</a> <a href="http://www.mmhgsj.com/article/" class="fll cell wenzhang">文章</a> <a href="http://www.mmhgsj.com/news/" class="fll cell xinwen">頭條</a> <a href="http://www.mmhgsj.com/ask/" class="fll cell wenda">問(wèn)答</a> <a href="http://www.mmhgsj.com/iask/" class="fll cell zhidao">知道</a> <a href="http://www.mmhgsj.com/media/" class="fll cell dshipin">短視頻</a> </div> </div> <div id="9zzd5xpp" class="header-sub-wrap-mask" on="tap:header-sub-wrap.toggle"></div> </mip-toggle>   <div id="9zzd5xpp" class="posr Js_topYiyuan"> <div id="9zzd5xpp" class="yilian_box_prev"></div> <div class="9zzd5xpp" id="5G2B4Z9E" class="yilian_box"></div> </div> <div id="9zzd5xpp" class="bw pl30 pr30 pb30 mb20"> <h1 class="f46 lh58 wbwr pt30 mb30">柴胡加附子湯可以治療高血壓?jiǎn)?/h1> <div id="9zzd5xpp" class="fc9 f24 flex aic lh32 mb10"> <time class="icon-time">2025-10-08</time> <span id="9zzd5xpp" class="icon-eye ml40"> 1519人瀏覽</span> </div> <div id="9zzd5xpp" class="detail-content wbwr f32 lh52 pt20 taj"><p>柴胡加附子湯一般不能作為高血壓的主要治療藥物。高血壓的治療需以現代醫學(xué)方案為主，中藥方劑可作為輔助手段，但須在中醫師辨證指導下使用。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/88/A9/o4YBAGjJClyAYbDnAAdeejfOIa0328.jpg"></p><p>柴胡加附子湯出自《傷寒論》，傳統用于治療少陽(yáng)病兼陽(yáng)氣虛衰證候，其組方以柴胡疏肝解郁、附子溫陽(yáng)散寒為主?，F代藥理研究表明，柴胡具有輕度鎮靜和抗炎作用，附子中的烏頭類(lèi)生物堿可能通過(guò)擴張外周血管產(chǎn)生短暫降壓效果，但該方劑缺乏明確持久的降壓機制。高血壓作為慢性疾病，核心病理環(huán)節涉及血管阻力增加、水鈉潴留等，需要鈣通道阻滯劑如苯磺酸氨氯地平片、血管緊張素轉換酶抑制劑如馬來(lái)酸依那普利片等藥物進(jìn)行針對性調節。臨床觀(guān)察顯示，單純使用柴胡加附子湯治療高血壓可能延誤規范治療時(shí)機，部分患者可能出現附子相關(guān)不良反應。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/88/A9/o4YBAGjJClyAIPHRAAmSssNVBMA682.jpg"></p><p>在特定情況下，中醫可能將本方用于高血壓伴特定證型者。如肝郁氣滯型高血壓患者出現胸脅脹滿(mǎn)、情緒波動(dòng)大等癥狀時(shí)，或在腎陽(yáng)虛型高血壓伴隨畏寒肢冷、夜尿頻多等表現時(shí)，經(jīng)中醫辨證后可能配伍使用。但需嚴格監測血壓變化，附子須經(jīng)規范炮制以降低毒性，且不可替代降壓藥物。合并冠心病、心律失常者更應慎用附子類(lèi)藥材。</p><p>高血壓患者應定期監測血壓，低鹽低脂飲食，保持規律運動(dòng)。若考慮聯(lián)合中藥調理，須至正規中醫院心血管科就診，避免自行服用含毒性成分的中藥方劑。目前尚無(wú)高質(zhì)量循證醫學(xué)證據支持柴胡加附子湯作為高血壓一線(xiàn)治療方案，患者切勿因服用中藥擅自停用降壓西藥。</p></div> <div id="9zzd5xpp" class="f24 fc9 lh40 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