BP and eight principles

[Guest guest]

I read this at

 

http://www.acupuncturetoday.com/archives2004/oct/10changchen.html

in an article correlating BP with eight principle dx.

 

" Type 4: Systolic pressure (low) + Diastolic pressure (low) + Heart rate (fast)

= Yin Deficiency Heat

 

The last group might appear to reflect heat because of the rapid rate, but the

low blood pressure tells a different story: the insufficient quantities of blood

and yin in circulation require a rapid heart rate to maintain positive

circulation. This is similar to a car engine running with insufficient oil:

eventually, heat begins to build up from the deficiency of lubricating yin.

These patients are suffering from yin deficiency heat, and must be treated with

herbs that tonify yin and sedate the deficiency heat. "

 

I found this peculiar as Liver yang rising with yin vacuity is a primary cause

of hypertension, usually presenting as elevated systolic and diastolic. However

this presentation is attributed solely to a yang excess heat presentation, for

which tonics are prohibited. I would say one most certainly does see a

presentation of

 

Type 1: Systolic pressure (high) + Diastolic pressure (high) + Heart rate

(fast)

 

in many patients who are yin deficient. however the pulse is not just fast, it

is also thin. This is the more common distinction in my experience. Those with

hypertension and excess heat present with forceful, slippery, wiry pulses and

red tongues with thick yellow coats. others?