진료지침 DB

1. Background and purpose

Hypertension is the most common disease among chronic circulatory diseases and is an important risk factor such as cerebrovascular disease, cardiovascular disease, kidney disease and arteriosclerosis. Especially, it is reported that 35% of patients with cerebrovascular disease and 21% of patients with cardiovascular disease have high risk of contributing to hypertension. therefore, it is an important disease requiring continuous treatment and management. In recent years, advanced countries such as USA have reported to reduce the dosage of hypotensive agents through meditation, Taichi, Qigong, acupuncture and moxibustion and interest in alternative therapies is increasing. On the other hand, despite the fact that it is an important part of the medical field of hypertension, the treatment of hypertension in a clinical setting of Korean medicine is insucient to be included in the Korean medical care outpatient 50th. therefore, there is a growing need for standard Korean medical treatment guidelines for the treatment of hypertension to show additional blood pressure lowering effect, and to lead the management of blood pressure in pre-hypertension or patients with stage 1 hypertension through various treatment methods such as herbal medicine, acupuncture, moxibustion, Qigong, Taichi and breathing therapy.
In this clinical practice guidelines, we tried to present recommendations that can be applied to a clinician by gathering accessible grounds at the present time. and evaluating the level of evidence so that clinicians can make an objective evaluation.

2. Overview of disease

the hypertension targeted in this guideline is essential (primary) hypertension, as the major category of KCD is I10 primary hypertension, in the subclass, I10.0 positive hypertension, I10.9 unspecified hypertension, R03.0 prehypertension (elevated blood-pressure reading, without diagnosis of hypertension).
Hypertension (I10.9) is defined as when the systolic blood pressure is 140 mmHg or higher or the diastolic blood pressure is 90 mmHg or higher. In addition, hypertension is defined as the first stage hypertension when the systolic blood pressure is 140-159 mmHg or the diastolic blood pressure is 90-99 mmHg.