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对146例原发性高血压患者作中医辨证分型,并进行各种临床观察及实验室检查。发现原发性高血压患者绝大多数属气阴两虚型及阴虚阳亢型。阴虚阳亢型血浆肾素活性均值(包括基础及激发值)明显高于气阴两虚型,且其中高肾素型较多,低肾素型较少,年龄较轻,病情较轻,24小时尿量及白天尿量较多,而注射速尿后尿量较少,气阴两虚型则相反。认为阴虚阳亢型相当于Laragh等所指的肾素依赖型,而气阴两虚型相当于Laragh等所指的容量依赖型。
146 patients with essential hypertension for TCM syndromes, and a variety of clinical observations and laboratory tests. Found that the vast majority of patients with essential hypertension is both Qi and Yin Deficiency Yang yin type. Yin yang hyperactivity plasma renin activity (including the basal and excitation values) was significantly higher than the qi and yin deficiency type, and in which high renin type, low renin type less, younger, less serious, 24-hour urine output and more urine during the day, but less urine after injection furosemide, Qi and Yin Deficiency on the contrary. The type of yin deficiency and hyperactivity is considered to be equivalent to the renin-dependent type referred to by Laragh et al., While the deficiency of both qi and yin type is equivalent to the capacity-dependent type referred to by Laragh et al.