√лавна€  аталог болезней Ѕолезни сердца и сосудов √ипертони€ (гипертензи€)
–едакци€ портала
20 декабр€ 2013, 20:21 605 +4

√ипертони€ (гипертензи€) 

√руппа заболеваний: болезни сердца и сосудов
—межные болезни: гипертоническа€ болезнь, гипертонический криз
¬рачи в каталоге: кардиотерапевт, кардиолог
ѕораженные органы: сердце, кровеносные сосуды
 

‘акторы риска

ќбщие факторы риска:
  • наследственность;
  • солидный возраст;
  • избыточна€ масса тела;
  • нерациональное питание;
  • избыточное потребление поваренной соли;
  • малоподвижный образ жизни;
  • чрезмерное употребление алкогол€;
  • нерациональный режим труда и отдыха;
  • курение;
  • психоэмоциональное перенапр€жение.
ѕоражение органов-мишеней:
  • увеличение левого желудочка сердца;
  • белок в моче;
  • атеросклероз;
  • сужение артерий сетчатки глаза.
—опутствующие заболевани€ сосудов головного мозга:
  • ишемический инсульт;
  • геморрагический инсульт;
  • транзиторна€ ишемическа€ атака.
—опутствующие заболевани€ сердца и сосудов:
  • инфаркт миокарда;
  • стенокарди€;
  • застойна€ сердечна€ недостаточность;
  • состо€ние после аортокоронарного шунтировани€.
—опутствующие заболевани€ почек:
  • диабетическа€ нефропати€;
  • почечна€ недостаточность.
—опутствующие заболевани€ сосудистые заболевани€:
  • расслаивающа€ аневризма аорты;
  • симптоматическое поражение периферических артерий.
—опутствующие гормональные заболевани€:

ќписание

јртериальна€ гипертензи€ (ј√ син. гипертони€) — стойкое повышение артериального давлени€ от 140/90 мм рт.ст.. 

јртериальное давление возрастает, когда работа сердца усилена по сравнению с "нормой", а некоторые из кровеносных сосудов сужаютс€. » то, и другое €вл€етс€ не чем иным, как реакцией сердечно-сосудистой системы на активизацию нервной де€тельности.

јртериальна€ гипертензи€ — одно из самых распространЄнных заболеваний сердечно-сосудистой системы. ”становлено, что гипертонией страдают 20-30% взрослого населени€. — возрастом распространенность болезни увеличиваетс€ и достигает 50-65% у лиц старше 65 лет.

Ќеобходимо понимать разницу в пон€ти€х:

  • јртериальна€ гипертензи€ (гипертони€) — повышение артериального давлени€ от 140/90 мм рт.ст.;
  • Ёссенциальна€ артериальна€ гипертензи€ (гипертоническа€ болезнь) — хроническое заболевание, форма артериальной гипертензии;
  • √ипертонический криз — неотложное состо€ние, вызванное чрезмерным повышением артериального давлени€.

 лассификаци€

¬иды артериального давлени€ в виде —јƒ (систолическое артериальное давление) мм рт. ст. / ƒјƒ (диастолическое артериальное давление) мм рт. ст.:

  • ќптимальное артериальное давление: выше 120 / ниже 80;
  • Ќормальное артериальное давление: 120-129 / 80-84 (предгипертензи€ согласно JNC-VII);
  • ¬ысоконормальное артериальное давление: 130-139/85-89 (предгипертензи€ согласно JNC-VII).
  • »золированна€ систолическа€ гипертони€: выше или равно 140 / ниже 90.

¬рачи выдел€ют три степени гипертонической болезни:

  • I степень 140-159/90-100;
  • II степень 160-179/100-109; 
  • III степень 180 и выше / 110 и выше.

–азличают синдромы гипертензии:

  • первичной артериальной гипертензии, развивающа€с€ на фоне стресса;
  • вторичной артериальной гипертензии, возникающа€ на фоне иных факторов, например, сопутствующих заболеваний.

ѕричины

Ёкспертами ¬ќ« и »ј√ больные распределены по группам абсолютного риска в зависимости от уровней јƒ и наличи€:

  • факторов риска;
  • поражений органов, обусловленных ј√;
  • сопутствующих клинических ситуаций.

” здорового человека давление поднимаетс€ при серьезных физических нагрузках или эмоциональных "всплесках", но вскоре после того, как причина, вызвавша€ этот подъем, перестает действовать, показатели артериального давлени€ возвращаютс€ к норме. ≈сли же давление оказываетс€ повышенным посто€нно, можно говорить о наличии гипертонической болезни.

—ледует учитывать, что на уровень артериального давлени€ вли€ют курение, прием спиртных напитков, пищи, кофе, крепкого ча€, а также врем€ суток (давление ниже в первую половину дн€, увеличиваетс€ к вечеру, затем к полуночи снижаетс€ и вновь достигает максимума в период с 4 до 9 часов утра) и времени года (зимой давление выше, чем летом).

ѕри наличии у пациентов факторов риска развити€ осложнений даже небольшое повышение уровн€ артериального давлени€ значительно увеличивает угрозу развити€ мозговых инсультов и инфаркта миокарда. ѕри этом к числу пациентов с высоким риском могут относитьс€ лица и с первой стадией гипертензии, которые составл€ют значительную часть среди общего числа больных.

ƒоказано также, что соль, удержива€ воду в организме, способствует набуханию его тканей, что тоже приводит к повышению давлени€. 

ѕовышению давлени€ способствует излишн€€ полнота. ”ченые установили, что дл€ кровоснабжени€ каждых 500 г жировых клеток требуетс€ около 2 км капилл€ров. ѕоэтому, если человек прибавл€ет в весе 1 кг, его сосудиста€ сеть увеличиваетс€ на 4 км. ¬ результате увеличени€ общей прот€женности сосудистой системы, котора€ у взрослого человека составл€ет примерно 100 000 км, увеличиваетс€ нагрузка на сердце, так как оно должно сильнее и чаще сокращатьс€, чтобы под большим давлением проталкивать кровь ко всем органам и ткан€м. —табильное усиление сердечной де€тельности приводит к повышению артериального давлени€.

ƒругие возможные причины повышени€ давлени€:

  • в кровь неожиданно "выбрасываетс€" слишком много веществ, способных сужать сосуды (это, в основном, определенные гормоны);
  • в крови оказываетс€ излишнее количество сахара или соли;
  • плохо работают почки или печень;
  • нарушен процесс всасывани€ в тонком кишечнике;
  • плохо функционируют кровеносные сосуды (нарушены их мембранные свойства) и так далее.

Ёссенциальна€ артериальна€ гипертензи€ (син. гипертоническа€ болезнь, √Ѕ) составл€ет 90-95% случаев ј√.

¬ остальных случа€х диагностируют вторичные, симптоматические артериальные гипертензии:

  • почечные (нефрогенные) 3-4%;
  • эндокринные 0,1-0,3 %;
  • гемодинамические;
  • неврологические;
  • стрессовые;
  • обусловленные приЄмом некоторых веществ (€трогенные);
  • ј√ беременных, при которых повышение давлени€ крови €вл€етс€ одним из симптомов основного заболевани€.

—индром вторичной (симптоматической) артериальной гипертензии почечного генеза наблюдаетс€ при поражении почечных артерий (вазоренальные, или реноваскул€рные гипертензии) и при паренхиматозных гипертензи€х: IgA-нефропатии, хроническом гломерулонефрите, вторичных гломерулонефритах, осложнивших острый гломерулонефрит, нефропатию беременных, диабетической нефропатии, подагре, коллагенозах, васкулитах, при опухол€х почек, мочекаменной болезни

ѕрочими причинами симптоматических гипертензий могут служить заболевани€ эндокринной системы, последстви€ заболеваний и травм головного мозга, воспалительные заболевани€ и пороки развити€ аорты и многие другие. ѕо мере развити€ симптоматических (вторичных) гипертензий при отсутствии своевременного лечени€ вызвавших их заболеваний у больных возникает и √Ѕ, и после излечени€ этих заболеваний ј√ становитс€ менее выраженной, но не исчезает из-за √Ѕ.

—имптомы

ќбщие симптомами артериальной гипертензии:

  • головные боли;
  • шум в ушах;
  • головокружени€;
  • учащенное сердцебиение, которое больной ощущает сам;
  • сильна€ потливость;
  • краснота лица;
  • возникновение ознобов или приливов;
  • формирование приступов пульсации в голове;
  • нарушени€ пам€ти;
  • приступы тревоги, раздражительности, ощущение внутреннего напр€жени€;
  • мелькание мушек перед глазами;
  • снижение работоспособности, посто€нна€ усталость, ощущение хронического недосыпа;
  • отечность вокруг глаз, одутловатость лица с утра;
  • онемение пальцев рук и ног, отечность рук и ног.

ѕодобные про€влени€ в начальных стади€х гипертензии возникают непосто€нно, проход€т после отдыха или успокоени€.

≈сли не начать коррекции гипертензии, симптомы прогрессируют, станов€тс€ посто€нными, также к ним присоедин€ютс€:

  • снижение пам€ти и интеллекта;
  • нарушени€ координации;
  • изменени€ в походке;
  • ухудшени€ зрени€;
  • нарушение чувствительности, слабость в руках или ногах;
  • проблемы с работой почек, сосудов, головного мозга.

—индром первичной артериальной гипертензии в начале заболевани€ часто характеризуетс€ недлительным периодом лабильной артериальной гипертонии, иногда осложн€ющейс€ гипертоническими кризами. Ѕольной может не ощущать ухудшени€ самочувстви€ вплоть до начала гипертонического криза и не подозревать о болезни до постановки диагноза врачом.

” здоровых людей даже при часто способствующей успехам в различной де€тельности гипертензивной реакции днЄм јƒ значительно снижаетс€ до оптимальных величин во врем€ ночного сна, а у больных √Ѕ это обычно не происходит. 

—индрому вторичной (симптоматической) артериальной гипертензии обычно сопутствуют симптомы — боли в по€сничной области, дизурические €влени€, отЄки, а также патологи€ мочевого осадка и изменени€ в анализах крови воспалительного характера.

ƒиагностика

ќсновные методы врачебной диагностики:

  • сбор полного анамнеза и определение характерных симптомов;
  • измерение артериального давлени€;
  • физикальное обследование;
  • электрокардиограмма.

Ќа первом приеме врач вы€вл€ет жалобы пациента, проводит подробный расспрос с вы€снением и точной фиксацией всех факторов риска.

«атем следует осмотр пациента с измерением артериального давлени€ и пульса. ѕроведение измерений необходимо в полном покое трижды за прием, чтобы исключить фактор стресса на «белый халат». ѕри оценке уровн€ давлени€ определ€ют его стабильность, максимальные и минимальные цифры, вли€ние медикаментов, внешних вли€ний и т.д. ќсобо эмоциональным пациентам и дл€ вы€влени€ «рабочего» или базового давлени€ назначают измерение давлени€ сразу после сна дома и в течение дн€, на ночь. ћожет быть назначено суточное мониторирование уровн€ давлени€ особым прибором. 

ƒополнительно могут понадобитьс€ консультации: невролога, эндокринолога, нефролога дл€ исключени€ вторичной природы гипертонии.

ƒалее, в зависимости от состо€ни€ пациента, врач назначит р€д диагностических и лабораторных исследований:

  • общий анализ крови и мочи;
  • биохимию крови и мочи, крови на уровень глюкозы, белковый профиль крови, уровень креатинина, азота крови и мочи, липидограмма крови, уровень кальци€ и натри€, кали€ плазмы, уровень мочевой кислоты и фосфатов;
  • также показано проведение Ё √, холтеровского мониторировани€;
  • ”«» сердца, почек, по показани€м других органов;
  • рентгенограмма грудной клетки;
  • при необходимости тесты с нагрузкой, велоэргометри€.

Ћечение

÷елью лечени€ €вл€етс€ снижение артериального давлени€ (не простое снижение давлени€, а устранение причины этого высокого давлени€) — ниже 140/90 мм.рт.ст, за исключением пациентов с высоким/очень высоким риском (сахарный диабет, »Ѕ— и прочее), значени€ целевого јƒ дл€ которых меньше 130/80.

1. ћодификации образа жизни придаЄтс€ первоочередное значение. Ќачинать лечение артериальной гипертензии необходимо с немедикаментозной терапии и лечени€ заболеваний, симптомом которых €вл€ютс€ вторичные гипертензии. 

Ќемедикаментозное лечение артериальной гипертонии включает:
  • соответствующее "гипертоническое" питание с соблюдением диеты с ограничением поваренной соли, жиров, легкоусваиваемых углеводов;
  • отказ от курени€, алкогол€ и некоторых лекарственных препаратов;
  • "психогигиена" (по возможности стоит избегать острых стрессовых ситуаций, овладевать навыками релаксации и так далее);
  • благопри€тный режим труда и отдыха;
  • отказ от злоупотреблени€ алкоголем, курени€, употреблени€ иных психоактивных веществ;
  • ежедневную умеренную физическую активность, 
  • нормализацию массы тела. 

2. “олько при неэффективности этого подхода немедикаментозную терапию дополн€ют медикаментозным лечением. ѕрепараты об€зательно должен назначать врач, и прием их нельз€ прекращать раньше указанного им срока, даже если симптомы гипертонии пациента уже не тревожат. ¬ начале лечени€ (в зависимости от стратификации риска) показана монотерапи€. „аще всего используют диуретики и бета-блокаторы. 

3. ѕри неэффективности монотерапии применение низкодозовых комбинаций антигипертензивных средств предпочтительнее, чем монотерапи€ прежним препаратом, но в максимальной дозе.  ¬озможна комбинированна€ терапи€. ¬ соответствии с рекомендаци€ми, в первую очередь назначаютс€ средства, улучшающие прогноз (снижают смертность и риски нефатальных инфарктов и инсультов).

ѕрофилактика

ƒл€ предупреждени€ развити€ гипертонической болезни очень важно как можно раньше определить ее возникновение. ќдним из основных методов, позвол€ющих воврем€ вы€вить начало заболевани€, €вл€етс€ систематический контроль за состо€нием кров€ного давлени€. Ћюд€м, относ€щимс€ к группе риска (имеющих хот€ бы один из факторов риска, см. выше), необходимо посто€нно следить за артериальным давлением. јртериальное давление измер€етс€ с помощью специального аппарата — тонометра. 

Ќародна€ медицина

–ецепты народной медицины дл€ снижени€ артериального давлени€:

  1. ¬ течение нескольких мес€цев трижды в день (до еды) выпивать по 1 столовой ложке свежеотжатого морковного сока.
  2. —мешать равные количества свежеприготовленного свекольного сока и меда. ѕринимать по 2-3 столовые ложки трижды в день.
  3.  люква — 600 г, сахарный песок — 1/2 кг, вода — 200 г.  люкву растереть, добавить сахар и воду, вскип€тить. «атем процедить и пить вместо ча€.
  4. —ок свеклы — 200 г, сок моркови — 200 г, хрен — 100 г, лимон — 1 шт., мед — 200 г. ’рен натереть на терке, залить водой в соотношении 2:1 и настаивать 36 часов. »з лимона выжать сок, смешать его с настоем хрена, соками свеклы и моркови, медом. ѕринимать по 1 столовой ложке два-три раза в день, за один час до или через два-три часа после еды.  урс лечени€: 2 мес€ца.
  5. —ок красной смородины — 200 г, кастой хрена (см. рецепт 4) — 200 г, мед — 200 г, лимон — 1 шт. »з лимона выжать сок, смешать с остальными компонентами. ѕринимать по 1 столовой ложке трижды в день за час до еды. ѕриготовленную смесь хранить в плотно закрытой посуде в холодильнике.
  6. —вежеотжатый сок €год бо€рышника принимать по 2 столовые ложки два-три раза в день за полчаса до еды.
  7.  аждое утро натощак принимать по 3 капли свежего сока алоэ (раствор€€ их в чайной ложке кип€ченой воды).  урс лечени€ - два мес€ца, обычно этого оказываетс€ достаточно дл€ того, чтобы давление снизилось до нормы.
  8. —емена укропа-2 столовые ложки, корень валерианы - 2 столовые ложки, трава пустырника-3 столовые ложки.  орень валерианы измельчить, смешать все компоненты. ¬з€ть 1 столовую ложку смеси, залить стаканом кип€тка. Ќастаивать полчаса, процедить. ѕринимать по трети стакана трижды в день.
  9. Ћимон или апельсин — 1 шт., сахарный песок — 100 г. Ћимон или апельсин натереть на терке вместе с кожурой, смешать с сахаром. ¬ начальной стадии гипертонии принимать по 1 чайной ложке трижды в день.  урс лечени€: три недели.
  10. Ћисть€ м€ты перечной — 1 столова€ ложка, плоды бо€рышника кроваво-красного — 2 столовые ложки, трава пастушьей сумки — 2 столовые ложки, семена льна посевного — 2 столовые ложки, трава сушеницы топ€ной — 2 столовые ложки, лист земл€ники лесной — 4 столовые ложки, трава пустырника п€тилопастного — 8 столовых ложек. 2-3 столовые ложки смеси насыпать в термос, залить двум€ стаканами кип€тка. Ќастаивать в течение ночи. ¬ыпивать настой в течение дн€ в теплом виде в три приема за полчаса до приема пищи.
  11.  рахмал картофельный — 15 г, вода — 100 г. –астворить крахмал в кип€ченой воде, выпивать каждое утро натощак, за полчаса до завтрака.  урс лечени€: две недели. ¬место раствора крахмала можно съедать 1 столовую ложку тертого сырого картофел€. ¬о врем€ лечени€ необходимо ежедневно контролировать артериальное давление.
  12. ÷ветки бессмертника песчаного-25 г, лист вахты трехлистной — 25 г. —мешать травы, залить смесь двум€ литрами воды, довести до кипени€, затем выпаривать до тех пор, пока объем не уменьшитс€ вдвое. ѕринимать порци€ми по 50 мл трижды в день.  урс лечени€: один мес€ц.
  13.  артофельную кожуру тщательно промыть под проточной водой, залить крутым кип€тком, варить 10 минут. Ќасто€ть и пить по 2 столовые ложки четыре раза в день непосредственно перед приемом пищи. ѕри необходимости дозировку можно увеличить.
  14. ÷ветки пижмы обыкновенной — 1 чайна€ ложка, корень дев€сила высокого — 1 чайна€ ложка.  орень дев€сила измельчить, смесь трав залить литром кип€тка. ƒержать на пару полтора часа, затем сн€ть с огн€ и процедить. ѕринимать по половине стакана трижды в день за два часа до приема пищи.
  15. Ћук репчатый — 5 шт., чеснок — 20 зубчиков, лимоны — 5 шт., сахарный песок — 1 кг, вода — 2 л. Ћуковицы очистить от шелухи, лимоны — от кожуры и сем€н. ¬се компоненты тщательно перемешать, залить холодной кип€ченой водой. Ќастаивать в течение трех суток в темном месте при комнатной температуре. Ќе процеживать! ѕринимать по 1 столовой ложке трижды в день за 20 минут до еды.
  16. Ћисть€ омелы белой (собранные с молодых побегов) — 6г, трава герани луговой — 30 г, трава чистеца буквице цветного — 15 г. —месь трав залить литром кип€тка, укутать посуду, настаивать полчаса. «атем размешать, процедить, остаток отжать.  аждый день выпивать по стакану гор€чего насто€.  урс лечени€-полгода.
  17. Ћук репчатый — 2 шт., водка — 1/2 л. Ћуковицы очистить и измельчить, залить водкой. Ќастаивать в течение недели в темном месте при комнатной температуре. ѕринимать по 1 чайной ложке каждое утро натощак (настойку разводить в трех столовых ложках воды).
  18. “рава тыс€челистника обыкновенного — 2 чайные ложки, цветки бо€рышника кроваво-красного — 1 чайна€ ложка, трава хвоща полевого — 1 чайна€ ложка, лист омелы белой - 1 чайна€ ложка, лист барвинка малого — 1 чайна€ ложка. ¬з€ть столовую ложку смеси, залить стаканом гор€чей воды. Ќастаивать в течение трех часов, затем п€ть минут кип€тить. ѕоставить остывать на четверть часа, затем процедить. ѕринимать по 1/2 стакана трижды в день.
  19. „еснок — 1 зубчик, вода — 1/3 стакана, уксус €блочный — 1 чайна€ ложка. ≈жедневно натощак съедать зубчик чеснока, сразу же запива€ его водой с уксусом. ѕродолжать прием до полного выздоровлени€.
  20. “рава горца птичьего — 2 столовые ложки, трава желтушника седеющего — 2 столовые ложки, цветки календулы лекарственной - 1 столова€ ложка, корень валерианы (с корневищами) — 1 столова€ ложка. ¬з€ть столовую ложку измельченной смеси, залить стаканом воды, насто€ть, процедить. ѕринимать по 1 столовой ложке трижды в день.
  21. ѕриготовить чесночный порошок. ƒл€ этого чеснок очистить, мелко порезать, разложить на марле тонким слоем и высушить. «атем смолоть в кофемолке. ѕорошок хран€т в плотно закрытой посуде, в темном сухом и холодном месте. ѕринимать по 1/2 чайной ложке порошка трижды в день до еды, запива€ настоем листьев м€ты (перечной или лимонной).
  22. „еснок — 4 головки, водка — 200 мл. „еснок очистить и тщательно измельчить, оставить в плотно закрытой посуде на полчаса. «атем удалить верхнюю половину чесночной кашицы, а то, что осталось, залить водкой. Ќастаивать в темном, прохладном месте в течение двух недель, регул€рно взбалтыва€. «атем процедить отсто€вшуюс€ масл€нистую жидкость. ’ранить настойку в посуде темного стекла, в темном, прохладном месте. ѕринимать по 20 капель трижды в день за четверть часа до еды.  урс лечени€ — три недели. Ёто эффективное средство при склеротической форме гипертонии.
  23. ѕлоды тмина — 10 г, лист барвинка — 10 г, цветки бо€рышника — 10 г, трава руты — 5 г, корневище валерианы (с корн€ми) — 40 г. 1 столовую ложку смеси залить стаканом холодной кип€ченой воды, настаивать три часа. «атем проварить в течение 5 минут, оставить остывать на 15 минут. ¬ыпивать настой в течение дн€.
  24. Ћук репчатый — 1 шт., чеснок (с фиолетовой кожурой) — 4-5 зубчиков, сухие €годы р€бины красной — 1 столова€ ложка, вода — 1л, сушена€ трава сушеницы топ€ной — 1 столова€ ложка, укроп и петрушка (свежа€ зелень) — по 2 столовые ложки (или по 1 столовой ложке сушеной зелени). “щательно измельчить лук и чеснок, поместить их в эмалированную кастрюлю, добавить туда же €годы р€бины. «алить холодной водой, кастрюлю плотно закрыть и варить 15 минут. «атем добавить измельченную траву сушеницы, укроп и петрушку, все перемешать и кип€тить еще 15 минут. «атем настаивать в течение 45 минут, процедить. ѕринимать по 1,5 столовые ложки 4 раза в день за полчаса до еды.  урс лечени€: 10 дней, затем сделать перерыв на две недели, повтор€ть до полного выздоровлени€. √отовое средство можно хранить в холодильнике не более п€ти дней.
  25. ћука кукурузна€ — 1 столова€ ложка, вода. ¬ечером положить в стакан кукурузную муку, залить доверху гор€чей водой и оставить на ночь. — утра выпить настой натощак (не размешивать, употребл€ть только жидкость, но не гущу).
  26. „еснок — 3 головки, лимон — 3 шт., вода — 1,5 л. „еснок измельчить. Ћимон очистить от кожуры и сем€н, растереть. —мешать чеснок с лимоном, залить смесь кип€тком и настаивать в плотно закрытой посуде в теплом и темном месте в течение суток. ѕринимать по 1 столовой ложке трижды в день за полчаса до еды. Ёто же средство полезно и при атеросклерозе, при подагре.
  27. —ушеные €годы черной смородины — 2 столовые ложки, вода — 250 мл. ягоды залить кип€тком, поставить на малый огонь на 10 минут. «атем настаивать в течение часа, процедить. ѕринимать по 1 /4 стакана 4 раза в день.
  28. ‘асоль золотиста€ — 100 г, вода — 1/2 л, чеснок. „еснока нужно вз€ть столько зубчиков, сколько лет больному; дл€ всех больных старше 50 лет требуетс€ 50 зубчиков, это количество уже не мен€етс€. ‘асоль и чеснок залить крутым кип€тком, посуду плотно закрыть и укутать, настаивать 10 минут. ѕить как чай, подслащива€ медом.
  29. —творки фасоли стручковой — 20 г, вода — 1л. —твор1си фасоли измельчить, залить водой, кип€тить три-четыре часа. «атем остудить и процедить. ѕринимать по 1/2 стакана четыре-п€ть раз в день.
  30. „тобы быстро снизить давление, можно смочить кусочек ткани 5%-ным уксусом (обычным или €блочным) и приложить ткань к ступн€м на п€ть-дес€ть минут.
  31. √воздика разноцветна€ (трава) — 1 столова€ ложка, вода-250 мл. «алить траву кип€тком, настаивать в течение часа. «атем процедить. ѕринимать по 1 столовой ложке трижды в день.
  32. Ћисть€ салата посевного — 1 столова€ ложка, вода - 200 мл. Ћисть€ салата залить кип€тком, настаивать два часа. ѕринимать по 1/2 стакана дважды в день.
  33. ѕлоды р€бины обыкновенной — 1 столова€ ложка, вода — 1 стакан. «алить плоды р€бины кип€тком, настаивать до тех пор, пока вода не остынет. «атем процедить. ѕринимать по 1/3 стакана трижды в день.
  34.  орень валерианы — 10 г, вода — 250 мл. «алить валериану кип€тком, кип€тить полчаса, затем настаивать в течение двух часов. ѕринимать по 1-2 столовые ложки трижды в день после еды.
  35. —ушеные €годы черники — 4 чайные ложки, вода — 250 мл. — вечера залить €годы водой, настаивать ночь. ¬ыпивать настой в течение суток.
  36.  левер луговой (цельные соцвети€) — 2 столовые ложки, вода — 1,5 стакана.  левер залить кип€тком, настаивать полчаса, процедить. ѕринимать по 1 /2 стакана трижды в день.  урс лечени€ — три недели.
  37. ягоды лоха узколистного — 1/2 стакана, вода — 250 мл. ягоды тщательно измельчить, залить кип€тком, настаивать в течение часа. ѕить, подсластив медом. ѕредупреждение: при склонности к запорам это средство употребл€ть не рекомендуетс€.
  38. ƒонник лекарственный — 2 чайные ложки, вода — 1,5 стакана. «алить траву кип€ченой водой комнатной температуры, настаивать два часа, затем процедить. ѕринимать по 1/3-1/2 стакана трижды в день. Ёто средство не только снижает артериальное давление, но и способствует увеличению количества лейкоцитов в крови.
  39. “рава пустырника— 1 столова€ ложка, вода — 250 мл. «алить пустырник крутым кип€тком, настаивать три часа. ѕринимать по 1 столовой ложке трижды в день за час до приема пищи.
  40.  орень аралии маньчжурской — 10 г, водка — 100 мл.  орень аралии измельчить, залить водкой, настаивать в темном месте в течение двух недель. ѕринимать по 30-40 капель два-три раза в день за полчаса до еды.
  41. —вежие листь€ магнолии — 1 кг, водка — 1 л. Ћисть€ магнолии измельчить, залить водкой, настаивать три недели в темном и теплом месте. ѕринимать по 1 столовой ложке трижды в день, за полчаса до еды.  урс лечени€: один мес€ц.
  42.  ора или корень барбариса — 30 г, водка — 250 мл.  орень или кору барбариса измельчить, залить водкой, настаивать в темном месте при комнатной температуре в течение трех недель. ѕринимать по следующей схеме: в первые три дн€ — по 1 столовой ложке каждый час, затем — трижды в день.
  43. ѕлоды шиповника — 1 столова€ ложка, вода — 3 стакана. «алить шиповник водой, вскип€тить, сн€ть с огн€. «атем еще раз довести до кипени€, после этого три часа держать на вод€ной бане. ѕить вместо ча€ (вообще другой жидкости в течение дн€ не употребл€ть).  урс лечени€ — полтора мес€ца.
  44. “рава пустырника — 4 столовые ложки, трава сушеницы болотной — 4 столовые ложки, цветки бо€рышника - 4 столовые ложки, лист омелы белой — 2 столовые ложки. ќдин стакан сбора из трав залить литром кип€тка, посуду укутать и настаивать четыре часа. «атем процедить, остаток отжать. ѕринимать но 1-2 столовые ложки трижды в день за полчаса до еды.  урс лечени€ — 3-4 недели.
  45. „еснок — 150 г, лист омелы белой — 150 г, трава хвоща полевого — 150 г, плоды бо€рышника — 150 г, цветки бо€рышника — 150 г, цветки арники — 50 г, цветки тыс€челистника — 200 г. „еснок измельчить, все компоненты смешать. ¬з€ть 1 столовую ложку смеси, залить стаканом кип€тка, укутать посуду и настаивать полчаса. «атем процедить, остаток отжать. ѕринимать по 1/4 стакана трижды в день за полчаса до еды.
  46. “рава адониса — 100 г, цветки бо€рышника — 200 г, листь€ березы — 100 г, трава пустырника — 200 г, трава сушеницы — 200 г, трава хвоща полевого — 100 г. ¬се компоненты измельчить, смешать. ¬з€ть 2 столовые ложки смеси, залить двум€ стаканами крутого кип€тка. Ќастаивать в термосе в течение шести часов. ѕринимать в теплом виде по 1/2 стакана трижды в день за 15-20 минут до еды. Ётот сбор рекомендуетс€ при гипертонической болезни в сочетании с осложненной сердечной недостаточностью I и II степени в стадии компенсации и субкомпенсации.
  47. “рава адониса — 100 г, плоды бо€рышника — 100 г, трава м€ты перечной — 200 г, трава пустырника — 300 г, трава сушеницы — 200 г, почечный чай — 100 г. ¬се компоненты измельчить, смешать. ¬з€ть 2 полные столовые ложки смеси, залить двум€ стаканами холодной кип€ченой воды. Ќастаивать в течение трех часов. «атем варить 5 минут, настаивать еще четверть часа. ѕринимать в теплом виде по 1/2 стакана четыре раза в день за 20 минут до еды. Ётот сбор примен€ют при лечении гипетонической болезни и при симптоматических гипертони€х со стенокардией.
 
–едакци€ портала
20 декабр€ 2013, 20:21
+4

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