摘要
目的以新冠病毒感染为例,基于《瘟疫论》理论,从“湿疫咳”角度探讨新冠病毒感染病因病机及中医诊治策略。方法钻研经典,结合临证经验,分析湿浊、疫疠毒邪伏膜原与新冠病毒感染的关系。结果以湿浊为特性的疫疠毒邪是新冠病毒感染的关键病因之一,患者多有湿证表现(风湿、寒湿、湿热),疫毒遏湿致病特性、邪伏膜原(主要损及肺脾二经)与新冠病毒感染相关。治疗当祛湿辟秽法贯穿防治始终,祛邪宜快务尽,重视透达膜原方法,以期截断扭转;病位在肺,当顺应肺的生理特性,及时清理继发病理产物;恢复期注重调理肺、脾、肾。所举医案,具体诠释了上述辨证思路和治疗经验。结论疫毒湿邪在新冠病毒感染进展中起重要作用,重视把握邪伏膜原的关键时机与疾病的转归预后密切相关。从病名、病因、病机、病位、治法层面探讨可加深对“湿疫咳”与感染本质的理解,对于中医学临床防治疫病具有重要指导意义。
Objective Taking COVID-19 as an example,based on the theory of"Plague Treatise",this paper discusses the etiology and pathogenesis of COVID-19 from the perspective of"wet epidemic cough"and TCM diagnosis and treatment strategies.Methods Study the classics and analyze the relationship between damp turbidity,epidemic toxic pathogen lurking in the Moyuan(interpleuro-diaphragmatic space)and COVID-19 combined with clinical experience.Results Epidemic toxin,which is characterized by dampness and turbidity,is one of the key causes of COVID-19.Most patients have dampness syndrome(rheumatism,cold dampness,damp heat).The pathogenic characteristics of epidemic toxin suppressing dampness,and the pathogen underlying Moyuan are related to COVID-19.When the method of removing dampness and removing filth is used throughout the prevention and treatment,it is better to eliminate evil spirits quickly and pay attention to the original method of penetrating Moyuan to cut off and reverse.The location of the disease is in the lung.It should comply with the physiological characteristics of the lung,and timely clean up the secondary pathological products.During the recovery period,the lung,spleen and kidney should be recuperated.The medical records cited specifically explain the above dialectical ideas and treatment experience.Conclusion The pathogenic dampness of epidemic toxin plays an important role in the progress of COVID-19,and attention should be paid to the key time when the pathogenic factor ambushes the Moyuan,which is closely related to the prognosis of the disease.The pathogenic disease of epidemic toxin can deepen the understanding of the essence of"wet epidemic cough"and COVID-19 from the aspects of disease name,etiology,pathogenesis,disease location and treatment,which has important guiding significance for the clinical prevention and treatment of epidemic diseases in traditional Chinese medicine.
作者
方芳
吴国水
FANG Fang;WU Guoshui(Shaoxing People's Hospital,Shaoxing 312000,Zhejiang,China)
出处
《实用中医内科杂志》
2023年第2期50-53,156,共5页
Journal of Practical Traditional Chinese Internal Medicine
基金
浙江省中医药科技计划项目(2020ZB271)
关键词
新型冠状病毒感染
湿浊
疫疠毒邪
膜原
祛湿辟秽
COVID-19 pneumonia
Dampness and turbidity
Epidemic toxic pathogen
Moyuan(interpleuro-diaphragmatic space)
Eliminating dampness and expelling filth
