气滞的特异性症状临床特征  

The Characteristics of Specific Symptoms of Qi Stagnation

作　　者：龙捷[1] 张启明[2] 白玉莹[3] 王义国[2] 牟梓君 高艳[4] 郭春霞[4] 

机构地区：[1]广西中医药大学,南宁530001 [2]中国中医科学院中医临床基础医学研究所,北京100700 [3]山东中医药大学,济南250014 [4]陕西中医药大学,陕西咸阳712046

出　　处：《中国中医基础医学杂志》2016年第2期165-166,180,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家科技重大专项(2012ZX10005010-004);十二五支撑计划(2012BAI25B07);中国中医科学院第九批自主选题(Z0408)

摘　　要：目的:给出证候要素气滞的确认方法。方法:依托中医症状病机数据库的症状病机解释,找出能且仅能用气滞作出直接病机解释的症状临床特征。结果:(胸闷或闷痛)太息缓解、(脘腹胀或胀痛)嗳气缓解、(腹部)攻冲作痛、(腹部)瘕聚、(胁肋胀或胀痛或窜痛、腹部胀或胀痛或攻冲作痛)矢气缓解。结论:传统中医认识气滞中的气应是指呼吸道和胃肠道中的气体,气滞发生的部位也仅限于中医学的肺藏、胃府和肠府。证候要素的确认依据是其具有特异性的症状临床特征。病机解释是建立证候要素与症状临床特征之间密切关系的依据。临床上出现上述5个症状的临床特征之一,即可直接诊断为气滞。Objective Find out a method that can confirm the syndrome element of Qi stagnation. Methods Based on the pathogenesis of each symptom in the symptom-pathogenesis database of traditional Chinese medicine, screening the symptom characteristics that their pathogenesis can and only can explained directly by Qi stagnation. Result Relieving of suppression or oppressive pain in chest after taking a deep breath, relieving of gastric distension or distensible pain after belching, wanderingdistensible pain in abdomen, gaseous mass in abdomen, relieving of distension or distensible pain or wandering pain in hypochondriums after exhausting, relieving of distension or distensible pain or wanderingdistensible pain in abdomen after exhausting. Conclusion： The Qi of the Qi stagnation in Chinese medicine should be the gas in the respiratory and gastrointestinal tracts. The locations of Qi stagnation are Lung, stomach and intestine. The evidences that can confirm a syndrome element is that the syndrome element have specific symptom characteristics. Pathogenesis explanation is the theoretic basis that can establish the close relationship between syndrome elements and symptom characteristics. Any one of the above five symptom characteristics appears, Qi stagnation can be directly diagnosed.

关 键 词：证候要素 气滞 特异性的症状临床特征 

分 类 号：R222.19[医药卫生—中医基础理论]