Review Article

Trends in the Treatment of Hypertension from the Perspective of Traditional Chinese Medicine

Table 1

Crucial Chinese herbs in classical formulas recommended for hypertension treatment.

SyndromeFormulasComponentsTCM efficacyCrucial Chinese herbs

Fire syndromeTianma Gouteng Yin (decoction of Gastrodia and Uncaria)Tianma (Gastrodia), Gouteng (Uncaria), Shijueming (Abalone shell), Duzhong (Eucommia ulmoides), Niuxi (Achyranthes root), Sangjisheng (Loranthus), Zhizi (Gardenia), Huangqin (Scutellaria Baicalensis Georgi), Yimucao (Leonurus japonicus), Yejiaoteng (Caulis polygoni multiflori), and Fushen (Poria cocos).Suppressing liver yang hyperactivity, clearing heat, activating blood, and nourishing the kidney.Tianma (Gastrodia), Gouteng (Uncaria), Duzhong (Eucommia ulmoides), and Niuxi (Achyranthes root).
Huanglian Jie Du Tang (detoxicant decoction of Coptis)Huanglian (Coptis Chinensis), Huangqin (Scutellaria Baicalensis Georgi), Huangbai (Phellodendron bark), and Zhizi (Gardenia).Counteracting heart fire syndrome, clearing heat and toxic materials, and relieving headache and dizziness.Huanglian (Coptis Chinensis), Huangqin (Scutellaria Baicalensis Georgi), Huangbai (Phellodendron bark), and Zhizi (Gardenia).
Zeng Ye Tang (fluid-increasing decoction)Xuanshen (Radix scrophulariae), Maidong (Dwarf lilyturf tuber), and Shengdihuang (Radix rehmanniae).Counteracting stomach fire and intestinal fire syndrome and nourishing yin to relieve the symptoms of dryness.Xuanshen (Radix scrophulariae) and Shengdihuang (Radix rehmanniae).

Fluid retention syndromeWuling powderFuling (Poria cocos), Guizhi (Cassia twig), Zhuling (Polyporus), Zexie (Alisma), and Baizhu (Atractylodes).Removing dampness by promoting dieresis.Zexie (Alisma) and Baizhu (Atractylodes).
Zexie Tang (decoction of Alisma)Zexie (Alisma) and Baizhu (Atractylodes).Counteracting fluid retention syndrome.Zexie (Alisma) and Baizhu (Atractylodes).
Banxia Baizhu Tianma Tang (decoction of Pinellia ternata, Atractylodes macrocephala, and Gastrodia elata)Banxia (Pinellia ternate), Baizhu (Atractylodes), Tianma (Gastrodia), Chenpi (Tangerine peel), Fuling (Poria cocos), Gancao (Glycyrrhiza), Shengjiang (Ginger), and Hongzao (Red jujube).Calming the liver, strengthening the spleen, and dissipating excessive fluid.Tianma (Gastrodia).

Deficiency syndromeLiu Wei Dihuang Wan (pill of Rehmannia)Dihuang (Radix rehmanniae), Shanyurou (Pulp of cornus), Shanyao (Yam), Fuling (Poria cocos), Zexie (Alisma), and Danpi (Cortex moutan).Replenishing kidney yin.Dihuang (Radix rehmanniae) and Danpi (Cortex moutan).
Shen qi Wan (kidney qi pill)Guizhi (Cassia twig), Fuzi (Prepared aconite root), Dihuang (Radix rehmanniae), Shanyurou (Pulp of cornus), Shanyao (Yam), Fuling (Poria cocos), Zexie (Alisma), and Danpi (Cortex moutan).Recuperating the kidney yang.Dihuang (Radix rehmanniae) and Danpi (Cortex moutan).