中文摘要：

目的：观察刮痧疗法对原发性高血压的降压疗效。方法：采用循经走穴刮拭法,以头部、颈部、项背部的督脉、膀胱经、胆经及手足阳明经循行区域为主要刮拭部位,虚证采用轻刺激补法,实证采用重刺激泻法。按监测时间点测量第1次刮痧前及第8次刮痧后下午2点至8点血压,监测时间点包括2：00pm、2：30pm、3：00pm、3：30pn、4：00pm、5：00pn、6：00pm、8：00pm。结果：第8次刮痧后各时间点血压与第一次刮痧前对应时间点血压比较,差异均有统计学意义（均P〈0.001）,血压由（147.42＋13.04）/（86.27＋11.91）mmHg下降至（129.35±9.16）/（800.15±9.41）mmH2;与治疗前比较,治疗后的中医证候分级量化积分明显降低（P〈0.01）,杜氏高血压生活质量量表积分明显升高（P〈0.01）。结论：刮痧疗法能有效降低原发性高血压患者血压,改善高血压患者临床症状,提高生活质量。

英文摘要：

Objective To observe the antihypertensive efficacy of guasha for essential hypertension.Methods Thirty-four cases of essential hypertension were treated with guasha along the following route of the governor vessel,the bladder meridian and the gallbladder meridian and the hand yangming large intestine meridian and the foot yangming stomach meridian on the head,neck and back.The gentle stimulation and supplementation method was applied for deficiency syndrome and the heavy stimulation and drainage method was applied for excess syndrome.Two times a week,total 8 treatments were given Blood pressure was measured at different time points from2：00PM to 8：00PM（2：00PM,2：30PM,3：00PM,3：30PM,4：00PM,5：00PM,6：00PM,8：00PM） before the first application of guasha and after the eighth treatment,respectively.Results Compared with each time point before the first application of guasha,there were statistically significant differences of blood pressure at each corresponding time point after the eighth guasha（all P〈0.01）.Blood pressure reduced from（147.42 ± 13.04） /（86.27 ± 11.91） mmHg to（129.35 ± 9.16） /（80.15 ± 9.41） mmHg;the score of grading and quantifying of TCM pattern significantly decreased（P〈0.01）.The score of quality of life scale of Duchenne hypertension significantly increased（P〈0.01）.Conclusion Blood pressure can be effectively reduced by adopting guasha,and the clinical symptoms and quality of life of patients with essential hypertension can be improved.