Abstract: Objective　To explore the effect of traditional Chinese medicine (TCM) diet therapy in regulating phlegm-dampness constitution type hypertension based on the theory of "simultaneous conditioning of five internal organs". Methods　Seventy hypertensive patients with phlegm-dampness constitution who were treated in Lingling District Hospital of Traditional Chinese Medicine in Yongzhou City from January 2018 to June 2019 were collected as the research objects, and they were divided into two groups by the random number table method, with 35 patients in each group. There were 18 males and 17 females in the control group, aged (59.80±11.96) years; there were 21 males and 14 females in the treatment group, aged (58.20±11.64) years. The control group was given routine clinical treatment, and the treatment group was given TCM diet intervention based on the theory of "simultaneous conditioning of five internal organs" on the basis of conventional treatment. The phlegm-dampness constitution symptoms, blood pressure and blood lipid levels, and qualities of life of the two groups were compared and analyzed. Independent sample t test was used for inter-group comparison of the measurement data, paired t test was used for intra-group comparison of the measurement data, and χ² test was used for the count data. Results　After intervention, the scores of chest tightness and abdominal distension, heavy body, mouth phlegm, and thick greasy tongue coating in the treatment group were (0.62±0.12) points, (0.52±0.10) points, (0.67±0.13) points, and (0.56±0.11) points, respectively, which were lower than those in the control group [(0.71±0.14) points, (0.58±0.12) points, (0.75±0.15) points, and (0.64±0.13) points], with statistically significant differences (all P<0.05). After intervention, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the treatment group were (113.67±12.63) mmHg (1 mmHg=0.133 kPa) and (79.65±8.85) mmHg, respectively, which were lower than those in the control group [(121.54±13.50) mmHg and (84.31±9.37) mmHg], with statistically significant differences (both P<0.05). After intervention, the levels of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) in the treatment group were (4.12±0.82) mmol/L, (1.25±0.25) mmol/L, (2.47±0.49) mmol/L, respectively, which were lower than those in the control group [(4.65±0.93) mmol/L, (1.41±0.28) mmol/L, and (2.79±0.56) mmol/L], and the level of high-density lipoprotein cholesterol (HDL-C) was (1.82±0.36) mmol/L, which was higher than that in the control group [(1.64±0.33) mmol/L], with statistically significant differences (all P<0.05). After intervention, the scores of physical function, psychological function, social function, and material life in the treatment group were (81.47±9.05) points, (83.61±9.29) points, (84.36±9.37) points, and (82.73±9.19) points, respectively, which were higher than those in the control group [(75.52±8.50) points, (76.82±8.54) points, (79.24±8.80) points, and (77.19±8.57) points], with statistically significant differences (all P<0.05). Conclusions　Based on the theory of "simultaneous conditioning of five internal organs", TCM dietetic conditioning has a good effect on hypertensive patients with phlegm-dampness constitution. The physical symptoms of the patients are greatly relieved, their blood pressure and blood lipid levels are effectively improved, and their quality of life is improved.

Key words: Hypertension, Phlegm-dampness constitution, Simultaneous conditioning of five internal organs, Traditional Chinese medicine diet therapy

摘要： 目的　探究基于“五脏同调”理论指导的中医食疗调理痰湿体质高血压的作用。方法　选取2018年1月至2019年6月在永州市零陵区中医医院进行治疗的70例痰湿体质高血压患者为研究对象，采用随机数字表法分为两组，每组35例。对照组男18例、女17例，年龄（59.80±11.96）岁，给予常规临床治疗；治疗组男21例、女14例，年龄（58.20±11.64）岁，在常规治疗基础上增加基于“五脏同调”理论指导的中医食疗干预。对两组患者痰湿体质症状、血压、血脂水平及生活质量情况进行比较分析。计量资料组间比较采用独立样本t检验，组内采用配对t检验，计数资料采用χ²检验。结果　干预后，治疗组胸闷腹胀、身体沉重、口黏痰多、舌苔厚腻评分分别为（0.62±0.12）分、（0.52±0.10）分、（0.67±0.13）分、（0.56±0.11）分，均低于对照组（0.71±0.14）分、（0.58±0.12）分、（0.75±0.15）分、（0.64±0.13）分，差异均有统计学意义（均P<0.05）。干预后，治疗组收缩压（SBP）、舒张压（DBP）水平分别为（113.67±12.63）mmHg（1 mmHg=0.133 kPa）、（79.65±8.85）mmHg，均低于对照组（121.54±13.50）mmHg、（84.31±9.37）mmHg，差异均有统计学意义（均P<0.05）。干预后，治疗组总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）水平分别为（4.12±0.82）mmol/L、（1.25±0.25）mmol/L、（2.47±0.49）mmol/L，均低于对照组（4.65±0.93）mmol/L、（1.41±0.28）mmol/L、（2.79±0.56）mmol/L，高密度脂蛋白胆固醇（HDL-C）水平为（1.82±0.36）mmol/L，高于对照组（1.64±0.33）mmol/L，差异均有统计学意义（均P<0.05）。干预后，治疗组躯体功能、心理功能、社会功能、物质生活评分分别为（81.47±9.05）分、（83.61±9.29）分、（84.36±9.37）分、（82.73±9.19）分，均高于对照组（75.52±8.50）分、（76.82±8.54）分、（79.24±8.80）分、（77.19±8.57）分，差异均有统计学意义（均P<0.05）。结论　基于“五脏同调”理论指导的中医食疗调理对痰湿体质高血压患者有较好作用，患者体质症状显著减轻，血压、血脂水平得到有效改善，生活质量有所提高。

关键词: 高血压, 痰湿体质, 五脏同调, 中医食疗