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胸痹是指以胸部闷痛,甚则胸痛彻背,喘息不得卧为主症的一类病证,其病位在心,涉及脾肺,主要病机为阳微阴弦,病性为本虚标实,常见病理产物为寒邪、痰饮、瘀血、气滞.李胜涛教授善于在辨证论治的基础上,以补气四味方(生黄芪、生白术、党参、茯苓)为基础,临证加减以治疗不同证型的胸痹,疗效显著.现将李教授用补气四味治疗胸痹的经验总结整理,希望为临床上中医治疗胸痹提供新的思路.“,”Thoracic obstruction is a disease targeted on stuffy chest pain,back pain and lay down barriers,thoracic obstruction occurs in heart and has a close relation with the visceral organs of spleen and lung,its mechanism of pathogenesis is that Yang is weak and Yin is tight.The nature of the disease is that healthy Qi is deficiency and pathogenic Qi is excess,thoracic obstruction often happens with cold,phlegm-fluid retention,blood stasis,Qi stagnation.Professor LI Shengtao is good at treating different kinds of thoracic obstruction based on Buqi Siwei Recipe (Huangqi,Baizhu,Dangshen,Fuling),with the premise of syndrome differentiation and treatment.This paper summarizes professor LI Shengtao's clinical experience of treating thoracic obstruction.Proved cases were included in order to provide reference for the clinical treatment of thoracic obstruction.