“善太息”五证辨析  

Differential analysis of the five patterns in“frequent sighing”

作　　者：朱潇旭 杨芙蓉 李晓娟 鄢黎 邹小娟 李澜 陈家旭 Zhu Xiaoxu;Yang Furong;Li Xiaojuan;Yan Li;Zou Xiaojuan;Li Lan;Chen Jiaxu(School of Basic Medical Science,Hubei University of Chinese Medicine,Hubei 430065,China;School of Traditional Chinese Medicine,Jinan University,Guangzhou,Guangdong 510632,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]湖北中医药大学基础医学院,湖北430065 [2]暨南大学中医学院 [3]北京中医药大学中医学院

出　　处：《北京中医药大学学报》2021年第10期879-882,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(No.81630104,No.81973748)暨南大学黄振东中医医学研究基金项目。

摘　　要：中医症状"善太息"是指患者自觉胸中憋闷,每欲叹气则舒。临床以善太息为主诉的病例主要包括因郁叹息和因虚叹息,常见证型可以概括为"善太息五证",即肝郁气滞证、胆虚气滞证、心肺气虚证、脾气虚证和心脉痹阻证。善太息属于气病,包括气滞和气虚两方面。其中心气虚推动无力,行血不利,还可发展为胸痹,多见于中老年人,其临床研究较多。善太息心脉痹阻证也可见于小儿,又称小儿叹气症,作为一种较为常见的小儿心系疾病应加以重视。临床诊疗善太息,应谨记"善太息五证"的病因病机,随证立法而治之。The symptom of traditional Chinese medicine“frequent sighing(shan tai xi)”means that patients feel tightness in their chest,which can be relieved temporarily by sighing.Frequent sighing as the main complaint can be divided into sighing due to stagnation and sighing due to deficiency.The commonly-seen clinical patterns can be summarized as five patterns of“frequent sighing”,namely,liver depression and qi stagnation,gallbladder deficiency qi stagnation,heart and lung qi deficiency,spleen qi deficiency and heart vessel obstruction.“Frequent sighing”is a qi disorder,including qi stagnation and qi deficiency.Deficient middle qi fails to promote blood circulation,which may also develop into chest bi-syndrome,especially in the middle-aged and elderly population.This has been reported in many clinical studies.The pattern of heart vessel obstruction can also be seen in children,also known as sighing in children.It is a common disorder and importance should be attached to its diagnosis and treatment.The etiology and pathogenesis of the five patterns of“frequent sighing”should be considered in deciding treatment accordingly.

关 键 词：善太息 证候 鉴别诊断 五证 

分 类 号：R256[医药卫生—中医内科学]