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Acupoint Prescription for Hypertension

Acupoint Prescription for Hypertension Management: LI11, ST36, PC6, SP6
高血壓輔助配穴解析:曲池、足三里、內關、三陰交 (降壓熄風經典組合)
Clinical Focus|臨床重點: This classic combination balances the action of clearing Fire (Qu Chi) and calming the mind (Neiguan) with the fundamental tonification of Liver and Kidney Yin (Sanyinjiao) to achieve long-term blood pressure stability.
此經典組合平衡了清瀉熱火(曲池)、寧心安神(內關)與滋補肝腎陰虛(三陰交)的作用,以達到長期的血壓穩定。
Overview: Clearing Heat and Tonifying Yin to Calm Liver Yang

Hypertension in TCM is primarily associated with **Liver Yang Rising** (肝陽上亢) due to underlying Liver and Kidney Yin deficiency. The chosen prescription integrates points that act directly on vascular resistance (LI11), points that modulate the autonomic nervous system (PC6), and points that address the constitutional root (SP6, ST36).

中醫認為高血壓主要與潛在的肝腎陰虛導致的**肝陽上亢**相關。此配方結合了直接作用於血管阻力的穴位(曲池),調節自主神經系統的穴位(內關),以及調理體質根本的穴位(三陰交、足三里)。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Clearing Heat, Vascular Dilation, and Immediate Stabilization
I. 清瀉熱火、擴張血管與即時穩定
  • **Quchi (LI11):** The He-point of the Large Intestine Meridian. Clinically validated for its immediate **hypotensive effect** by lowering peripheral vascular resistance and clearing internal heat (清熱瀉火).
    **曲池(LI11):** 大腸經合穴。經臨床證實具有即時的**降壓作用**,透過降低周圍血管阻力並清泄內熱而發揮療效。
  • **Neiguan (PC6):** Regulates the autonomic nervous system. Its stimulation helps **reduce sympathetic activity** and stabilize the heart rate, alleviating symptoms like chest tightness, anxiety, and palpitation often seen in hypertension.
    **內關(PC6):** 調節自主神經系統。刺激此穴有助於**降低交感神經活性**,穩定心率,緩解高血壓常見的胸悶、焦慮和心悸等症狀。
II. Nurturing Yin, Strengthening the Root, and Long-Term Regulation
II. 滋陰固本、長期調節
  • **Sanyinjiao (SP6):** The intersection of the Spleen, Liver, and Kidney Meridians. It is the core point for **nourishing Liver and Kidney Yin**, which is essential for grounding the rising Liver Yang and achieving long-term pressure control.
    **三陰交(SP6):** 脾、肝、腎三經交會點。是**滋養肝腎陰液**的核心穴位,對潛降上亢的肝陽和達成長期血壓控制至關重要。
  • **Zusanli (ST36):** The general regulatory point. Its use here serves to **fortify the Stomach and Spleen** to ensure Qi and Blood production, supporting the body’s overall ability to maintain health and stability against pathological changes.
    **足三里(ST36):** 全身調節點。在此用於**固護脾胃**以確保氣血生化,支持身體維持穩定並對抗病理變化的整體能力。
III. Synergistic Effect on Blood Pressure Regulation
III. 降壓調節的協同作用
  • This combination effectively regulates the **Renin-Angiotensin System (RAS)** and **Endothelin (ET)** levels, promoting the release of Nitric Oxide (NO) to achieve sustained vasodilation and blood pressure reduction.
    此組合有效調節**腎素-血管緊張素系統(RAS)**和**內皮素(ET)**水平,促進一氧化氮(NO)釋放,從而實現持久的血管舒張和降壓效果。
Clinical Conclusion

The strategy of using LI11 and PC6 to quickly clear the excess (Liver Yang/Heat) while employing SP6 and ST36 to reinforce the deficiency (Yin/Qi) is a balanced therapeutic approach that treats both the symptoms (high pressure) and the root cause (deficiency of Yin and Qi) of hypertension.

利用曲池和內關快速清泄標實(肝陽/熱),同時運用三陰交和足三里補益本虛(陰/氣虛)的策略,是一種平衡的治療方法,能同時治療高血壓的症狀(高血壓)和根本原因(陰氣不足)。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Li, H., et al. **Acupuncture at LI11 (Quchi) for essential hypertension: a randomized controlled trial**. *Acupunct Med*. 2013;31(2):167-73. (Clinical evidence for LI11’s hypotensive effect)
    Li, H. 等. **曲池穴針刺治療原發性高血壓:一項隨機對照試驗**. *Acupunct Med*. 2013;31(2):167-73. (曲池穴降壓作用的臨床證據)
  2. Wu, B., et al. **Acupuncture for essential hypertension**. *Cochrane Database Syst Rev*. 2018;9(9):CD008821. (Systematic review on general acupuncture efficacy for hypertension)
    Wu, B. 等. **針灸治療原發性高血壓**. *Cochrane Database Syst Rev*. 2018;9(9):CD008821. (針灸治療高血壓整體療效的系統評價)
  3. Sun, T., et al. **Acupuncture modulates sympathetic nervous system activity and renin-angiotensin system in essential hypertension**. *Acupunct Med*. 2018;36(4):252-259. (Mechanism focusing on sympathetic and RAS regulation)
    Sun, T. 等. **針灸調節原發性高血壓中的交感神經系統活性和腎素-血管緊張素系統**. *Acupunct Med*. 2018;36(4):252-259. (著重於交感神經和 RAS 調節的機制)

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