摘要
根据新型冠状病毒肺炎患者临床资料,结合《黄帝内经》理论,认为此次新型冠状病毒感染起于外燥,后内传中焦,影响脾胃运化导致痰湿,最后深入下焦,转为内燥,导致肝肾阴亏,真水涸竭,熏蒸于肺,炼液为痰为栓;治疗除口服新型冠状病毒肺炎诊疗指南(第七版)推荐的人参、附子、山茱萸回阳救逆外,还可按《黄帝内经》五行学说,取培土生金,金水相生之理,予大剂量麦冬或可帮助清除远在肺泡的痰栓;其机制可能与麦冬抗炎、抗血栓、抗氧化、免疫调节及抑制胶原蛋白表达有关。
In light of clinical data of COVID-19 patients,combined with the theory of Huangdi Neijing,the infection of SARS-CoV-2 results from external dryness,later transmits to middle energizer,and affects the transportation and transformation of spleen and stomach,which could cause phlegm dampness,consequently transforming into internal dryness after lowering to lower energizer.Yin depletion of liver and kidney,kidney essence drying up,fumigation in lung,refining the fluid into the sputum and bolt.For critical type COVID-19,except oral administration of the herbs of restoring Yang and saving the reverse such as Renshen(Ginseng Radix Et Rhizoma),Fuzi(Aconiti Lateralis Radix Praeparata)and Shanzhuyu(Cornifructus)recommended in diagnostic and therapeutic guideline for COVID-19(the seventh edition),the therapy could follow the theory of five elements in Huangdi Neijing,the principle of reinforcing earth to generate metal,the generation of metal and earth,large dose of Maidong(Radix Ophiopogonis)could be given to eliminate sputum bolt in pulmonary alveoli.The mechanism might be related to that it could fight against the inflammation and blood clots,regulate the immune system,resist oxidation and inhibiting the expressions of collagen.
作者
宋元泽
李兴芳
SONG Yuanze;LI Xingfang(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)
出处
《西部中医药》
2021年第9期4-6,共3页
Western Journal of Traditional Chinese Medicine
关键词
新型冠状病毒肺炎
危重型
内燥
痰栓
麦冬
COVID-19,critical type
internal dryness
sputum bolt
Maidong
