【摘要】 动脉血管是中医经脉系统的主要组成部分，血压是经脉功能状态的一种具体体现。通过对生理性血压升高中医机理的分析，推理出经脉中血量病理性的增多是导致病理性血压升高的中医机理。高血压病的主要危险因素通过不同的路径、机制导致经脉中血量病理性增多，使血压升高，形成高血压病。此外，在生命周期中，金气对经脉的坚敛作用使其坚硬而致血压升高是病理性血压升高的另一机制。笔者认为高血压病可由中医心病、肝病、脾之体病、脉病中一种或多种疾病组合而成；病机包括心的阳旺阴虚（心火亢盛）、肝的阳旺阴虚（包括肝火上炎、肝肾阴虚、虚风上扰）、脾的气虚湿盛等。更多还原

【Abstract】 Arterial vessels are the primary component of meridian system of traditional Chinese medicine(TCM),then blood pressure is a concrete manifestation of the functional state of the meridian. Through the analysis of the mechanism of physiological blood pressure increase in TCM, it is deduced that the pathologic increase of blood volume in meridians is the mechanism of TCM, by which that causes pathologic increase of blood pressure. The main risk factors of hypertension lead to the pathological increase of blood volume in the meridians through different pathways and mechanisms, and raise blood pressure and result in hypertension. In addition, the strengthening and convergence of metal qi on the meridians makes it hard and causes the increase of blood pressure, which is also the second mechanism of the pathological blood pressure increase. It was thought hypertension can be formed by one or more diseases of heart disease, liver disease, body disease of spleen and pulse disease in TCM. The pathogenesis includes ‘yang wang and yin deficiency of the heart(hyperactive heart fire), yang wang and yin deficiency of the liver(including inflammation of liver fire, yin deficiency of liver and kidney and disturbance of deficiency wind), qi deficiency and dampness of the spleen, etc..更多还原