【摘要】 总结李果烈教授从“升清降浊”辨治直立性低血压（OH）的临床经验。认为直立性低血压的核心病机在于从卧位到直立的体位变动过程中，机体因中焦运化失调、枢机不利，导致清阳不升，浊阴不降。治疗以升清降浊为总则，临证强调辨明主次，清阳不升为主者，以自拟李氏升清降浊汤加减益气升清，健运中焦；浊阴不降为主者，以自拟五香清浊饮加减化痰祛瘀，和中降浊。更多还原

【Abstract】 This paper summarizes professor LI Guolie’s clinical experience in treating orthostatic hypotension(OH) based on the theory of "raising the clear and directing the turbid downward". It is considered that the core pathogenesis of OH lies in the body’s transition from a supine to an upright position, during which dysfunction of the middle jiao(焦) transformation and transportation, along with impaired pivot function, hinders the ascending of clear yang and the descending of turbid yin. Treatment should follow the general principle of "ascending the clear and directing the turbid downward", placing emphasis on distinguishing the primary and secondary aspects. For cases where the clear yang fails to ascend, the self-formulated Li’s Shengqing Jiangzhuo Decoction(李氏升清降浊汤) is used to supplement qi, raise the clear, and strengthen the middle jiao. For cases where the turbid yin fails to descend, the self-formulated Wuxiang Qingzhuo Beverage(五香清浊饮) with modifications is applied to resolve phlegm, eliminate stasis, harmonize the middle, and descend the turbid.更多还原