Review Article

Traditional Chinese Medicine Syndromes for Essential Hypertension: A Literature Analysis of 13,272 Patients

Table 6

Chinese herbs and classical formulas that lower BP and improve symptoms according to syndrome differentiation.

SyndromeFormulaComponentsTCM efficacyLabelChinese herbs

Internal fire syndromeHuanglian Jie Du Tang (detoxicant decoction of Coptis) Rhizoma Coptidis, Radix Scutellariae, Radix et Rhizoma Rhei, and Cortex Phellodendri Chinensis Clear heat and toxins from liverClassical prescription of Arcane Essentials from the Imperial Library dispensed by Wang Tao in Tang dynastyXiakucao (Prunella vulgaris L.), Huanglian (Coptis chinensis), Huangqin (Scutellaria baicalensis Georgi), Huang-bai (Phellodendron bark), and Zhizi (Gardenia)

Yin deficiency with yang hyperactivity Tianma Gouteng Yin (decoction of Gastrodia and Uncaria) Rhizoma Gastrodiae, Ramulus Uncariae cum Uncis, Concha Haliotidis, Cortex Eucommiae, Radix Achyranthis Bidentatae, Herba Taxilli, Fructus Gardeniae, Radix Scutellariae, Herba Leonuri, Sclerotium Poriae Pararadicis, and Caulis Polygoni Multiflori Suppressing liver yang hyperactivity, clearing heat, activating blood, and nourishing the kidneyClassical prescription of New Meanings of Treatment in Miscellaneous Diseases with Traditional Chinese Medicine Tianma (Gastrodia), Gouteng (Uncaria), Niuxi (Achyranthes root), and Duzhong (Eucommia ulmoides)

Phlegm-dampness retentionWuling powder Alisma, Polyporus, Poria cocos, Ramulus Cinnamomi, Rhizoma Atractylodis Macrocephalae Dissolving phlegm, draining water-dampness, and warming YangClassical prescription of Treatise on Febrile and Miscellaneous Diseases by Zhang Zhongjing in the Eastern Han Dynasty Zexie (Alisma), Zhuling (Polyporus), Fuling (Poria cocos), Banxia (The tuber of pinellia), baizhu (Rhizoma Atractylodis Macrocephalae), Zelan (Herba Lycopi), and Shichangpu (Rhizoma Acori Tatarinowii)
Zexie Tang (decoction of Alisma) Alisma, Rhizoma Atractylodis Macrocephalae Dissolving phlegm and draining water-dampnessClassical prescription of Treatise on Febrile and Miscellaneous Diseases by Zhang Zhongjing in the Eastern Han Dynasty
Wendan Tang jiawei decoction (modified decoction for clearing away gallbladder heat) Caulis Bambusae in Taenia, Fructus Aurantii Immaturus, Rhizoma Pinelliae, Pericarpium Citri Reticulatae (aged tangerine peel), Poria, Radix et Rhizoma Glycyrrhizae, Radix Codonopsis, Radix Curcumae, and so forth. Dissolving phlegm and boosting qiModified classical prescription of
Prescriptions Assigned to the Three Categories of Pathogenic
Factors of Diseases

Wind-phlegmBanxia Baizhu Tianma Tang (decoction of Pinellia ternata, Atractylodes macrocephala, and Gastrodia elata) Rhizoma Pinelliae Praeparatum, Rhizoma Gastrodiae, Pericarpium Citri Reticulatae, Poria, and Radix et Rhizoma Glycyrrhizae Calmed the liver, strengthened the spleen, removed dampness, and reduced phlegmClassical prescription of Medical Revelations dispensed by Cheng Zhongling in Qing dynastyFuling (Poria cocos), Banxia (Pinellia ternata), Baizhu (Rhizoma Pinelliae Praeparatum), Tianma (Rhizoma Gastrodiae), and Chenpi (Pericarpium Citri Reticulatae)

Blood stasisXuefu Zhuyu Tang Radix Angelicae Sinensis, Radix Rehmanniae, Semen Pruni Persicae, red flower , Fructus Aurantii, Chinese thorowax root, red peony root, Radix et Rhizoma Glycyrrhizae, Platycodon grandiflorum, Ligusticum chuanxiong Hort, and Radix Achyranthis Bidentatae Removing blood stasis and promoting Qi Classical prescription of Yi Lin Gai Cuo (correction of the errors of medical works) by Wang Qingren in the Qing DynastyDanggui (Radix Angelicae Sinensis), Chishao (red peony root), Danshen (Salvia miltiorrhiza), Yimucao (Leonurus japonicus), Chuanxiong (Ligusticum chuanxiong Hort), and Shengdi (Radix Rehmanniae)

Liver-kidney yin deficiencyLiu Wei Dihuang Wan (pill of Rehmannia) Rehmannia glutinosa, Fructus corni, Rhizoma Dioscoreae, Alisma, Poria cocos, and Cortex Moutan Radicis Replenish liver and kidney yinXiaoer Yaozheng Zhijue (Pediatric medicine card straight) by Qianyi in the Song DynastyShanyurou (Fructus corni), Duzhong (Eucommia), Shudi (Rehmannia glutinosa), Gouqizi (Lycium barbarum L.), and Huangjing (Rhizoma Polygonati)

Yang deficiencyShen qi Wan (kidney qi pill)Rehmannia glutinosa, Fructus corni, Rhizoma Dioscoreae, Alisma, Poria cocos, Cortex Moutan Radicis, Cortex Cinnamomi, and Radix Aconiti Carmichaeli Recuperate kidney yangClassical prescription of Treatise on Febrile and Miscellaneous Diseases by Zhang Zhongjing in the Eastern Han DynastyFuzi (Radix Aconiti Carmichaeli), Bajitian (Morinda officinalis),Yinyanghuo (Epimedium), Buguzhi (Psoralea fruits), and Rousongrong (Cistanche)

Qi deficiencyBuzhong yiqi Tang Codonopsis pilosula, Astragalus membranaceus, Rhizoma Atractylodis Macrocephalae, Tangerine Peel, Rattletop, Radix Bupleuri, Angelica sinensis, and Liquorice Replenish qi to invigorate the spleenClassical prescription of Treatise on Spleen and Stomach by Li Dongyuan in the Jin DynastyDangshen (Codonopsis pilosula), Huangqi (Astragalus membranaceus), and Baizhu (Rhizoma Atractylodis Macrocephalae)

Blood deficiencyDanggui siwu Tang Angelica sinensis, Radix Paeoniae Rubra, Ligusticum chuanxiong Hort, and Rehmannia glutinosa LiboschEnrich and nourish blood Classical prescription of Treatise on Febrile and Miscellaneous Diseases by Zhang Zhongjing in the Eastern Han DynastyDanggui (Angelica sinensis), Chuanxiong (Ligusticum chuanxiong Hort), Shudihuang (Rehmannia glutinosa Libosch), and Baishao (Radix Paeoniae Rubra)