Thanks to Wukong for the invitation, and welcome to follow Dr. Tien's talk on rheumatism for more specialized medical science.

People have three emergencies, diseases also have priorities, heart gold for four minutes, brain hypoxia for six minutes, which all reflect the medical process of a word - emergency! Hypertensive emergency, is in the primary or secondary hypertension on the basis of certain triggers, so that the blood pressure suddenly and significantly increased, systolic blood pressure > 180mmHg or and diastolic blood pressure > 120mmHg, accompanied by progressive heart, brain, kidney and other important target organs function of acute damage, serious life-threatening clinical syndromes.

Hypertensive emergencies include hypertensive encephalopathy, intracranial hemorrhage, cerebral infarction, acute heart failure, pulmonary edema, acute coronary syndrome, aortic coarctation, and eclampsia, etc. Hypertensive emergencies, due to the sudden onset of the disease and the viciousness of the condition, are usually manifested by severe headache accompanied by nausea, vomiting, visual disturbances, and mental and neurological abnormal changes.

Chinese medicine, under the guidance of Chinese medicine theory, is used to prevent, treat and diagnose diseases and has the effect of rehabilitation and health care, although as a national treasure, but the effect is slow (effective or not, I really have to put a question mark!), and need more than one course of treatment to improve the symptoms. , need multiple courses of treatment to improve symptoms, and in the face of hypertension so urgent, if not resolved, cerebral hemorrhage, subarachnoid hemorrhage, ischemic cerebral infarction, acute heart failure, angina pectoris, acute aortic coarctation and acute chronic renal failure of the situation can occur suddenly, according to the degree of urgency of the lowering of blood pressure treatment, hypertensive emergencies can be divided into two categories of emergency and sub-emergency, the former need to be rapidly in a matter of minutes to an hour to The former requires a rapid reduction in blood pressure within minutes to an hour, usually administered by the intravenous route, whereas the latter can be slowed down slightly to reduce blood pressure within a few hours to 24 hours with fast-acting oral antihypertensive medications, such as sodium nitroprusside.Herbs would be best left alone at this point; acute hypotension is most important!

"Happy Little Dawg" has the answer for you.

summarize

Hypertensive emergencies are defined as severe elevation of blood pressure over a short period of time (hours or days) with diastolic blood pressure >130 mmHg and/or systolic blood pressure >200 mmHg accompanied by severe dysfunction or irreversible damage to vital organs and tissues, such as the heart, brain, kidneys, fundus, or aorta, and which require urgent management. Hypertensive sub-emergency is defined as a sudden and significant increase in blood pressure without target organ damage.

It can be seen in hypertensive disorders and certain secondary forms of hypertension, which occur in about 5% of hypertensive patients. Hypertensive emergencies often cause severe dysfunction and even failure of target organs.

Basic principles of antihypertensive therapy for hypertensive emergencies

1、Rapidly reduce blood pressure: usually need intravenous infusion pump or intravenous drip drug delivery, intravenous drip drug delivery has the advantage of flexible adjustment of the dosage of the drug according to the characteristics of the changes in blood pressure. If the situation permits, start oral antihypertensive drug treatment as early as possible.

2、Controlled blood pressure lowering: In order to avoid the obvious reduction of blood perfusion to vital organs caused by rapid blood pressure lowering, gradual controlled blood pressure lowering should be adopted.

3、Rational choice of antihypertensive drugs: choose drugs with rapid onset of action, short duration of action, faster disappearance of action after stopping the drug, small adverse reactions, and small impact on heart and brain blood flow.

The ultimate goal of blood pressure lowering is to protect organ function, reduce complications, and improve patient prognosis.

First aid for high blood pressure

If there are old and middle-aged hypertensive patients in the family, generally should be equipped with stethoscopes, blood pressure meters, commonly used antihypertensive drugs and nitroglycerin preparations and other cardiovascular disease first aid supplies, and conditions can also be added to the purchase of oxygen bags to prepare for the need of first aid. Once the onset of the disease, the correct first aid measures should be taken in a timely manner, which can save the patient's life to win valuable time.

1、Hypertensive crisis: severe headache due to sudden rise in blood pressure, accompanied by nausea, vomiting, chest tightness, visual impairment, blurred consciousness and other neurological symptoms.

First-aid measures: at this moment, the patient should rest in bed, and immediately take antihypertensive measures, using compound antihypertensive tablets, etc., can also be added to take diuretics, try to lower the blood pressure to a certain level. For patients with fuzzy consciousness, they should be given oxygen, and if their symptoms are still not relieved, they should be escorted to nearby hospitals for emergency treatment, and at the same time, they should further investigate the causes and triggers of hypertensive crisis to prevent recurrence.

2, angina pectoris: hypertensive patients if there is obvious coronary atherosclerosis, angina pectoris can occur, the onset of emotional fluctuations, fatigue or excessive satiety, the symptoms of paroxysmal pain in the anterior thoracic region, chest tightness, can be radiated in the neck, the left upper limb, the heavier there is a pale face, cold sweat and other symptoms.

First aid measures: At this time, the family should immediately let its quiet rest, and sublingual nitroglycerin 1 tablet, while giving oxygen inhalation, the symptoms can be gradually relieved, if still can not be relieved, the need to immediately prepare the car quickly sent to the hospital first aid, in order to prevent delays in the condition.

3, acute myocardial infarction: the symptoms of the onset of acute, often severe angina, pale, cold sweat, restlessness, fatigue and even fainting, the symptoms and consequences than angina pectoris is much more serious, the patient has a kind of never-experienced near-death horror. If the patient suddenly palpitation shortness of breath, sitting breathing state, lips and lips cyanosis, accompanied by pink foamy sputum and other symptoms, should be considered as a complication of acute left heart failure.

First aid measures: At this time, the family must let the patient absolute bed rest, is to eat and urinate and defecate do not get up, to avoid deepening the burden on the heart, can be the first to take valium, analgesic, cardiovascular, asthma medication, etc., and at the same time call the ambulance for emergency care, do not take the bus or help the patient to go to the hospital on foot, to prevent the expansion of the scope of the myocardial infarction, or even the occurrence of cardiac arrest, endangering the life of the patient.

4. Cerebral hemorrhage: blood pressure often rises suddenly on the eve of the onset of the disease, and there are obvious triggers. Patients may first have transient dizziness, headache, nausea, numbness, fatigue and other symptoms, or they may suddenly experience severe headache, vomiting, confusion, slurred vision, unilateral limb paralysis and other critical symptoms.

First aid measures: After the occurrence of cerebral hemorrhage, it is very important for family members to save the patient. At this time to let the patient completely bedridden, head slightly elevated, followed by supine side lying, so that vomitus timely discharge, to avoid asphyxia, can be given oxygen. To carry the patient to the hospital as soon as possible with a stretcher for emergency treatment, and avoid vibration, "especially require the patient to move less, because early moving can deepen the patient's bleeding, need to attract the attention of the family."

If the blood pressure does not drop excessively, the patient should continue to take the medication at the same dosage. If a part of the patients in the current blood pressure is really obviously low, then still according to the amount of winter to take medication may make the blood pressure drop too low, it is easy to appear, such as dizziness, insufficient blood supply to the brain, weakness or even lead to cerebral infarction or angina attack. Therefore, the best way to prevent high blood pressure from occurring is to maintain good daily habits.

First aid for hypertensive patients

1, the patient after exertion or excitement, angina pectoris, or even myocardial infarction or acute heart failure, pain in the anterior region of the heart, tightness in the chest, and extend to the neck, the back of the left shoulder or the upper limbs, pale, cold sweat, at this time should be told to rest quietly, take a piece of nitroglycerin or a amyl nitrite, and inhalation of oxygen.

2, hypertensive patients onset, will be accompanied by cerebrovascular accidents, in addition to headache, vomiting, and even impaired consciousness or paralysis of limbs, at this time to let the patient lying down, head to the side, so as to avoid impaired consciousness, or violent vomiting vomit inhalation into the airway, and then notify the emergency center.

3, the patient suddenly palpitations shortness of breath, sitting breathing state, lips cyanosis, limb activity failure, with pinched pink foamy sputum, to consider acute left heart failure, should be instructed to the patient's legs down, take a sitting position, such as the availability of oxygen bags, inhalation of oxygen in a timely manner, and quickly notify the emergency center.

4. Sudden increase in blood pressure, accompanied by nausea, vomiting, severe headache, panic, frequent urination, and even blurred vision, that is, hypertensive encephalopathy has occurred. Family members should comfort the patient not to be nervous, bed rest, and take antihypertensive drugs in a timely manner, but also another diuretics, sedatives and so on.

The standard first aid does not say to use pCms, so use them if you are not afraid to die.

Happy to follow "The Happy Little Dawg"

Thank you for your question.

(1) Doctors generally emphasize the principle of "treating the symptoms if they are urgent, and treating the root cause if they are slow". For some sudden illnesses, the first symptomatic treatment, first save life is important. Therefore, my answer is that it is unwise to take pCms to save lives in hypertensive emergencies.

(2) Hypertensive emergency should be said to be a relatively difficult problem, its sudden onset, the condition is dangerous, usually manifested as severe headache, accompanied by nausea and vomiting, visual impairment, and mental and neurological abnormalities, accompanied by progressive cardiac, cerebral, renal and other important target organs function of the acute damage to a serious life-threatening clinical syndrome, need to be injected with blood pressure-lowering drugs, symptomatic treatment. If the hypertensive emergency is not treated properly, the patient is likely to die.

For hypertensive emergencies, clinical treatment should be based on drugs with shorter half-life, using intravenous routes of administration, such as sodium nitroprusside: 0.25-10ug/kg.min intravenous injection, immediate onset of action, maintenance time of 1-2min; uradil 10-50mg intravenous injection, onset of action time of 5min, maintenance time of 4-6h; nicardipine 5-15mg/h intravenous injection, onset of action time of 5-10min, maintenance time of 1-4 hours, etc. Avoid oral or tongue fast antihypertensive drugs (such as nifedipine tablets), avoiding oral or tongue fast antihypertensive drugs (such as nifedipine tablets), avoiding oral and tongue. Avoid taking rapid antihypertensive drugs (e.g., nifedipine tablets) orally or sublingually. Of course, medication should be given in conjunction with general treatment, such as quiet rest, oxygen intake, maintenance of stable vital signs, and appropriate sedation.

(3) Except for a small number of first-aid proprietary Chinese medicines, such as quick-acting heart-saving pills, which can be taken sublingually for quick effect and can be life-saving. Most other proprietary Chinese medicines are generally slow to take effect, and are given more times per day, resulting in a relatively long course of treatment. Comparatively speaking, proprietary Chinese medicines are not suitable for emergency treatment of diseases.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

High blood pressure emergency take Chinese medicine is slow, but acupuncture to lower blood pressure fast ah. I have never taken western medicine since I suffered from hypertension. Because of the side effects of western medicine, can produce pharmacogenetic dysfunction, the wife has a problem. You can stop taking Chinese medicine and observe. Generally take 15 pairs of Chinese medicine can keep blood pressure stable for half a year.

I feel that if you suffer from hypertension emergency, the effect of pCms is a little slow, if hypertension emergency early not timely treatment, usually more life-threatening or death from complications, suggest that the later treatment can be used in pCms, the

Eat or do not eat, and allow me to slowly say, in our Chengdu Chengqitang Hall of Traditional Chinese Medicine, I do not know how many diagnosis and treatment of high blood pressure patients! So I use our medical center to actually contact the situation for you, for everyone, to solve the confusion, to answer this question!

First of all, as soon as we talk about high blood pressure, what is the first thing that comes to our mind being? Blood pressure meter, then take western medicine. Right or wrong? If it's some patients, surely they will think: "There is nothing wrong with it, my high blood pressure is suppressed. It's working!"

Indeed, we do not disagree with this statement, Western drugs are indeed useful in suppressing hypertension. Western drugs are fast and accurate, can effectively inhibit the cerebral cortex dysfunction caused by neurological, endocrine, metabolic and cardiovascular system function coordination disorders. But the biggest difficulty with western medicine is that no western medicine can cure hypertension, and many people need to take western medicine for life!

But according to more authoritative statistics, a large number of hypertensive patients die from kidney failure and heart failure, triggers that are linked to blood pressure-lowering drugs! Don't be so quick to disagree, Western drug loyalists.

In the end, this Western medicine for patients with high blood pressure, has a strong dependence, to the back of a crime, open the bottle, take medication. Behind all this lowering of blood pressure, brought about by other internal damage, heart, brain and kidney, dizziness and nausea panic asthma and so on these side effects, to a certain extent, these side effects are more painful than high blood pressure!

Blood pressure lowering drugs will lead to prompt the body's blood pressure regulation mechanism of high-speed degradation, so patients can not blindly take Western medicine! Upon medical advice!

On the contrary, let's talk about Chinese medicine!

Chinese medicine in the short term can not see the effect, so this makes a lot of patients directly is disillusioned with the Chinese medicine. Chinese medicine is better at supporting the right, the ability to suppress high blood pressure is more moderate, better in the long-term, long-term treatment!

These questions, our medical center to the high blood pressure patients are will be one by one truthfully say: "come slowly, really no western medicine treatment block, to be ready to take long-term medication."

So, in what ways do herbs suppress high blood pressure?

1. Yin-yang and five elements constraints in Chinese medicine

To regulate the balance of the main, traditional Chinese medicine because it is a variety of efficacy of the drug with the coordination and become, good at regulating, balancing the overall function of the body, thereby improving the human body cases, eliminate the discomfort of the human body, is the human body's flocculation of the function of the gradual return to normal, the advantages of these are proved to us with the exact efficacy of the treatment! But these checks and balances quotes will be relatively much longer, a year or even a dozen years, or even longer!

2. Chinese medicine to eliminate incidental symptoms

Patients with high blood pressure are often accompanied by dizziness, headache, panic, irritability and other additional symptoms, so it is quite certain that Chinese medicine has a great advantage in these discomforts. Since Chinese medicine recognizes hypertension as a multi-system, multi-linked dysfunction of the human body, Chinese herbs can be a great adjunct to treatment

3, Traditional Chinese Medicine Treatment of Hypertension

In addition to taking medication, Chinese medicine treatment is needed to cooperate with life regulation, eliminating many factors in life that lead to high blood pressure, such as eating less salt, quit smoking and drinking, adhere to the exercise, to have a good balance of mind, which will ensure that after cured with Chinese medicine, will not be how to rebound, but there is a point or to recognize that these are more applicable to early morning high blood pressure patients.

4. Diagnostic methods for different age levels

Older people, due to their age and weak constitution, their own blood pressure regulation stability is weaker and arteriosclerosis. For such a situation, Chinese medicine can effectively enhance the human body system, strengthen the automatic function of human body functions, and antihypertensive effect and slow. Can avoid is a come up to take a large number of antihypertensive western medicine, resulting in blood pressure drop too fast and appeared ischemia, dizziness limb weakness and so on symptoms!

Having said that, a wave of attention for those who think it makes sense!

Yes, many proprietary Chinese medicines contain blood pressure-lowering ingredients, but if the blood pressure is high, you need to first take western medicines with good antihypertensive effect, and then take proprietary Chinese medicines when the blood pressure is controlled within a certain range.

Acknowledgment. Patients with acute hypertension should take immediate antihypertensive measures. You can choose antihypertensive tablets and hope to achieve the purpose of lowering blood pressure. Proprietary Chinese medicine is not impossible to take, but as the acute stage is not as fast as the effect of Western medicine, so Western medicine is the main. When the condition is in remission, according to the degree of pathology, and then discretionary Chinese medicine to regulate. There are many kinds of proprietary Chinese medicines, but the patient can not take them without authorization, should be under the guidance of the doctor and then change the medicine. Thank you!