Clinical Observation on the Treatment of Hypertension by Combination of Western Medicine and TCM

Objective: To observe the clinical effect in the treatment of hypertension by integrate TCM with western medicine on basis of differentiation, classification and individuation. 

Method: 492 cases were from inpatients, outpatients and coordinate area. They were randomly divided into two groups, control group and observation group. The patients in the observation group were classified into six types by way of combining TCM with western medicine on the vases of differentiation, classification and individuation.

The administrated the series of Jiangyabao No. 00 to No.04 respectively. (the series of Jiangyabao consists of 5 kinds of products: Jiangyabao No. 00 for administering laxatives and resolving phlegm, invigoration the spleen and dispelling dampness; Jiangyabao No. 01 for replenishing qi and nourishing Yin, regulating and tonifying the liver and kidney; Jiangyabao No. 02 for tonifying Yin and checking exuberance of Yang, subduing Yang and endogenous wind; Jiangyabao No. 03 for subduing the liver and removing the fire, dispelling the heart and removing dysphasia; Jiangyabao No. 04 for replenishing qi and invigorating blood circulation, dispelling wind and administeringf the vessels. The drugs mentioned above are manufactured by the drug-manufacture center of the academy according to the relevant coordinate prescriptions to 0.5g capsule. The patient control group administrated nimodipine or compound Jiangya tablets. The criteria for diagnosis and evaluation of curative effect rate were based on Criteria Established by the Symposium on Epidemiology, Prevention and Treatment of Cardiovascular Disease.

Result: the overall effective rate and remarkable effective rate for the observation group were 98.3% and 88.3% respectively, 86.7% and 50.0% for the control group (P<0.05 and P,0.01) respectively. One to five years follow-up for the observation group showed the control rate of diastolic pressure lower than 90mmHg (12pa) was 87% and the series drugs of Jiangyabao, didn’t induced the disturbance of metabolism of potassium, lipoid and sugars.

Conclusion: The curative rate of the observation group was better than that of the control group and the control rate was improved. Moreover, there was no reverse effect on the metabolism of organism.

(By Deng Qihua & Fu Wenzeng, from Henan Academy of TCM, Zhengzhou, Hennan, China)