基于病证结合探讨“太息”一词  

Exploration of the term taixi (sighing) based on the combination of disease and syndrome

作　　者：许心奕 李一鸣 刘玥芸 赵歆 XU Xinyi;LI Yiming;LIU Yueyun;ZHAO Xin(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学中医学院,北京100029

出　　处：《现代中医临床》2024年第3期90-93,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.82174278);北京市自然科学基金面上项目(No.7212182);中央高校基本科研业务费专项(No.2020-JYB-ZDGG-014)。

摘　　要：太息作为中医常用术语,最早见于《黄帝内经》,既是正常人的生理现象,也是一种病理表现,作为症状时称“善太息”。太息特征明显、易于分辨,但中医古籍中对其描述比较简略,后世医家运用也存在偏差。本文基于太息的文献涵义,从释义、近义层面进行讨论,区分“太息”与“叹息”“大息”。结合中医古籍条文、医案和现代临床疾病,运用脏腑辨证方法,对抑郁症、慢性胆囊炎、冠心病稳定性心绞痛、慢性非萎缩性胃炎等4种有“善太息”症状表现的疾病病位、病因病机、主症进行探讨,以期为临床治疗提供一定理论支撑。Taixi,or sighing,a commonly used term in traditional Chinese medicine,first appeared in the Huangdi Neijing.It represents both a physiological phenomenon in normal individuals and a pathological manifestation,often referred to as shantaixi(frequent sighing) when symptomatic.While sighing is easily recognizable,ancient traditional Chinese medicine texts often provide only concise descriptions,leading to potential misinterpretations by later practitioners.This article delves into the multifaceted meanings of taixi,distinguishing it from related terms such as tanxi and daxi,through an analysis of interpretative and synonymous perspectives.Drawing from classical Chinese medical literature,clinical cases,and modern medical practice,the study explores the manifestation of sighing in conditions like depression,chronic cholecystitis,stable angina pectoris of coronary heart disease,and chronic non-atrophic gastritis.Employing zangfu syndrome differentiation,the article discusses the disease location,etiology,pathogenesis,and main symptoms associated with sighing,aiming to provide theoretical underpinnings for clinical treatment.

关 键 词：太息 善太息 脏腑辨证 病证结合 

分 类 号：R241.6[医药卫生—中医诊断学]