HYPERTENSION

Lee Chong Leng

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CONTENTS

1)

Introduction 5 - 16

2)

Clinical Manifestations 17 - 20

3)

Essentials for Diagnosis 21

4)

Treatment with Tuina Therapy

12- 42

5)

Cautions 43

6)

Summary 44

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HYPERTENSION

• A very common disease, also called “primary hypertension”

• Marked by increasing blood pressure

• It can cause pathological changes of the heart, kidney and brain, etc

• Its occurrence often associates with age, occupation and family history

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PRIMARY HYPERTENSION

• A major syndrome of frequent elevation of blood pressure

• Accounts for 80%-90% in clinical patients.

• Systolic pressure -- 140mmHg

Diastolic pressure >= 90 mmHg

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SECONDARY HYPERTENSION

• One of the syndromes occurring during the course of other diseases.

• It may be present or not, temporary or protracted

• Accounting for 10%-20% in clinical treatment

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CLINICAL MANIFESTATIONS

• The clinical manifestations of hypertension varies greatly

• Some patients show no subjective symptoms and hypertension is often found by accident

• The common symptoms are vertigo, headache, red face and eyes, bitter taste in mouth, palpitation, constipation, reddish tongue and taut pulse 17

CLINICAL DIVISION

Two types:

1.Slow progressive type

2.Rapid progressive type

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SLOW PROGRESSIVE

HYPERTENSION• The symptoms include

headache, dizziness, insomnia, memory failure, dysphoria, lassitude, on and so on

• The severity of the symptoms is irrelevant to the level of hypertension.

• The state of this type at the advanced stage is concerned with the pathological changes of the heart, brain and kidneys.

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RAPID PROGRESSIVE

HYPERTENSION• It occurs suddenly and develop

rapidly• It commonly occurs among young

people and those below 40• Pathological changes of the kidney

and heart occur later• Subject to cerebrovascular disease,

heart failure and acute renal insufficiency

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ESSENTIALS FOR DIAGNOSIS• Hypertension is defined as

systolic blood pressure >= 140mm Hg and diastolic blood pressure >= 90 mmHg without taking antihypertension drugs

• The patient who has a hypertension history and takes antihypertension drugs

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TREATMENT WITH TUINA THERAPY

Principle:

Smoothing the liver to tranquilize mind, resolving phlegm and descending turbid Yin.

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ACUPOINTS AND LOCATION

Qiaogong, Yintang (EX-HN 3), Taiyang (EX-HN 5), Baihui (GV 20), Fengchi (GB 20), Jiaosun (SJ 20), Dazhui (GV 14), Guanyuan (CV 4), Qihai (CV 6), Shenshu (BL 23), Mingmen (GV 4), Yongquan (KI 1), head and face, neck and nape.

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OPERATION• The patient takes a sitting position• Pushing and rubbing Qiaogong for

about 1 minute• Pushing from Yintang (EX-HN 3) to

the hairline, along the eyebrows to Taiyang (EX-HN 5), and then around the eye socket from Yintang (EX-HN 3) to Jingming (BL 1)

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Qiaogong (桥弓 )

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Yintang (印堂 )

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Taiyang (太阳 )

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Jingming (睛明 )

OPERATION• Rubbing the forehead from one

side of Taiyang (EX-HN 5) to the other

• Using clean and dissipating manipulations to rub the Gallbladder meridian of foot-shaoyang

• Rubbing the forehead, face and Jiaosun, Jingming (BL 1) and Taiyang (EX-HN 5) about 3 minutes

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Jiaosun (角孙 )

OPERATION

• Grasping the vertex and , using just three fingers, rubbing Dazhui (GV 14) at neck and nape region

• Pressing and kneading Baihui (GV 20) and Fengchi (GB 20)

• Pushing from Fengfu (GV 16) down to Dazhui (GV 14)

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Dazhui (大椎 )

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Baihui (百会 )

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Fengchi (风池 )

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Fengfu (风府 )

OPERATION

• The same operation is performed on the bilateral courses of the bladder meridian about 4 minutes.

• Finally the operation is continued to the face with separate manipulation from the forehead to Yingxiang (LI 20) back and forth for about 3-5 minutes.

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Yingxiang (迎香 ) ， Cuanzhu ( 攒竹 )

OPERATION

• The patient takes a recumbent position

• Rubbing the abdomen clockwise and at the same time pressing the six Acupoints mentioned above for about 10 minutes

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OPERATION

• Rubbing Shenshu (BL 23), Mingmen (GV 4) and the Governor vessel until it is warm in the local area

• Rubbing vertically Yongquan (KI 1) on the bottom of foot until it is warm

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Shenshu (肾俞 ) ， Dachangshu (大肠俞 )

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Mingmen (命门 )

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Yongquan (涌泉 )

CAUTIONS

1. Live a regular life:•avoid overstrain•do exercise under the instruction of the doctor •abstain from greasy food and strong alcohol

2. Avoid emotional stimulation43

SUMMARY

Tuina therapy is suitable for treating slow progressive hypertension and can be used as the supplementary treatment for rapidly progressive hypertension.

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