摘要
2019年12月以来,新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)在全球蔓延,且至今尚无有效抗病毒药物。笔者作为保定市新冠肺炎医疗救治专家组中医组成员,对保定市新型冠状病毒肺炎病例进行了中医证候的分析、梳理。认为新型冠状病毒肺炎属于中医"瘟疫"范畴,总属外感热病范畴,在诊疗过程中需要参考伤寒、温病、瘟疫等相关理论与方药进行辨证施治。认为本病的病因包括邪实与正虚两个方面,即脾虚失运、肺失通调的基础上外感以湿为主的疫疠之毒——"湿毒",蕴于上焦肺脏,发为本病。所以,在诊治过程中既要驱邪(湿毒)也要注意顾护人体的正气。对保定市确诊患者辨证分析,初步将保定市新型冠状病毒肺炎概况为寒湿郁肺(10例,25%)、湿热内蕴(16例,40%)、邪热蕴肺(4例,10%)、肺胃阴虚(2例,5.0%),恢复期表现为脾虚湿蕴。经中西医结合诊治,所有患者均治愈出院,平均住院时间10.81 d,疗效显著。
Since December 2019,coronavirus disease 2019 (COVID-19) has been spreading all over the world,and there is no effective antiviral drug till now. The TCM syndrome of COVID-19 in Baoding was analyzed and combed as a member of the TCM group of the Baoding COVID-19 treatment expert group. COVID-19 is considered to belong to " plague" in TCM,and it belongs toexogenous febrile diseases. In the process of diagnosis and treatment,it is necessary to consult the relevant theories and prescriptions of typhoid fever,febrile diseases and plague. It is considered that the etiology of the disease includespathogenic excess and vital Qi deficiency,that is,spleen deficiency and lung dysfunction,on the basis of which,the disease is caused by the external infection of " dampness toxin",which is mainly caused by dampness. Therefore,in the process of diagnosis and treatment,we should not only expel pathogenic factors (dampness toxin),but also take care of the vital Qi of human body. COVID-19 in Baoding was initially diagnosed as cold-damp syndrome (10 cases,25%),damp-heat syndrome (16 cases,40%),heat accumulation syndrome in the lung (4 cases,10%),and Yin deficiency of lung and stomach syndrome (2 cases,5%). The recovery stage was manifested as spleen deficiency and dampness accumulation syndrome. After the diagnosis and treatment of integrated traditional Chinese and Western medicine,all patients were cured and discharged.The average length of stay was 10. 81 days.
作者
杨慧敏
牛建海
张超
王洁晨
李琛琦
王庆艳
靳全友
YANG Huimin;NIU Jianhai;ZHANG Chao;WANG Jiechen;LI Chenqi;WANG Qingyan;JIN Quanyou(Baoding No.1 Hospital of Traditional Chinese Medicine,Baoding 071000,Hebei China)
出处
《实用中医内科杂志》
2020年第12期83-86,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
保定市“新型冠状病毒肺炎科技防治”项目(20207)。
关键词
新型冠状病毒肺炎
瘟疫
湿毒
辨证施治
COVID-19
plague
dampness toxin
syndrome differentiation and treatment
