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HYPERTENSION
Lee Chong Leng
1
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
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A very common disease, also called
“primary hypertension”
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Marked by increasing blood pressure
•
It can cause pathological changes of
the heart, kidney and brain, etc
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Its occurrence often associates with
age, occupation and family history
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PRIMARY HYPERTENSION
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A major syndrome of frequent
elevation of blood pressure
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Accounts for 80%-90% in clinical
patients.
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Systolic pressure -- 140mmHg
Diastolic pressure >= 90 mmHg
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SECONDARY HYPERTENSION
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One of the syndromes occurring
during the course of other diseases.
•
It may be present or not, temporary or
protracted
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Accounting for 10%-20% in clinical
treatment
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CLINICAL MANIFESTATIONS
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•
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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
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CLINICAL DIVISION
Two types:
1. Slow progressive type
2. Rapid progressive type
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SLOW
PROGRESSIVE HYPERTENSION
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The symptoms include headache,
dizziness, insomnia, memory failure,
dysphoria, lassitude, on and so on
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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,
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brain and kidneys.
RAPID
PROGRESSIVE HYPERTENSION
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•
•
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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
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Hypertension is defined as systolic
blood pressure >= 140mm Hg and
diastolic blood pressure >= 90 mmHg
without taking antihypertension drugs
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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
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The patient takes a sitting position
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Pushing and rubbing Qiaogong for about
1 minute
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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)
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OPERATION
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Rubbing the forehead from one side
of Taiyang (EX-HN 5) to the other
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Using clean and dissipating
manipulations to rub the Gallbladder
meridian of foot-shaoyang
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Rubbing the forehead, face and
Jiaosun, Jingming (BL 1) and Taiyang
(EX-HN 5) about 3 minutes
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Jiaosun (角孙)
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OPERATION
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Grasping the vertex and , using just
three fingers, rubbing Dazhui (GV 14) at
neck and nape region
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Pressing and kneading Baihui (GV 20)
and Fengchi (GB 20)
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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)
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OPERATION
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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)
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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)
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CAUTIONS
1. Live a regular life:
•avoid
overstrain
•do
exercise under the instruction of the
doctor
•abstain
alcohol
from greasy food and strong
2. Avoid emotional stimulation
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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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THANK YOU
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