摘要
新型冠状病毒肺炎早期多以外湿表湿为重,而康复期以内湿里湿居多,且初期寒湿疫毒首先侵犯肺卫,之后正邪斗争而发热,继而入里化热,侵犯脏腑,耗伤气血;康复期则以气阴两虚、肺脾不足为主,常见气短乏力,口干,汗出畏风,心烦失眠、纳差等症状,治疗需以化湿健脾、滋阴养肺等为主。朱丹溪祛内湿常以二陈汤加平胃散化痰燥湿、健脾利湿。同时因势利导辨证应用:湿在上半身,苍术宜量大;湿在下半身,宜用升麻升提阳气以化湿。治疗大病后阴虚者常用人参、黄芪、麦冬、白茯苓、竹茹、白芍。此外,朱丹溪注重情志调养,治郁着重于调气机,常以越鞠丸加减应用。
Corona virus disease 2019(COVID-19)mainly presents with superficial dampness in the early stage,while during rehabilitation,the majority of it is mostly internal dampness.In the early stage,the cold dampness epidemic virus first invades lungs,then the fight between vital qi and pathogenic qi causes fever,and then it enters the interior to transform heat,which can invade zang-fu visceras,and consumes qi and blood.During rehabilitation,the main symptoms are deficiency of both qi and yin,deficiency of lung and spleen.The common symptoms are shortness of breath and weakness,dry mouth,fear of wind from perspiration,restlessness and insomnia,poor appetite,etc.The treatment needs to be mainly removing dampness and strengthening spleen,nourishing yin and lung.Zhu Danxi often removes internal dampness by using Erchen Decoction plus Pingwei Powder to eliminate phlegm and dry dampness,invigorate spleen and promot diuresis.At the same time,according to the situation,the application should be based on syndrome differentiation:dampness in the upper body,Cangzhu(Atractylodes)should be large;dampness in the lower body,it is appropriate to use Shengma(Rhizoma Cimicifugae)to raise qang qi to removing dampness.In the treatment of yin deficiency after serious illness Renshen(Radix Ginseng),Huangqi(Astragalus),Maidong(Ophiopogon japonicus),Baifuling(Poria glabra),Zhuru(Caulis Bambusae in Taenia)and Baishao(Radix Paeoniae Alba)are commonly used.In addition,Zhu Danxi pays attention to emotional cultivation,and the treatment of depression focuses on regulating qi,often using modified Yueju Pill.
作者
吴海洋
吴军豪
WU Haiyang;WU Junhao(Huangpu Branch,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai China 200011)
出处
《中医学报》
CAS
2020年第5期912-915,共4页
Acta Chinese Medicine
关键词
新型冠状病毒肺炎
化湿健脾
滋阴养肺
解郁调心
朱丹溪
COVID-19
removing dampness and strengthening spleen
nourishing yin and lung
relieving depression and regulating heart qi
Zhu Danxi
