从沴疬寒疫辨治新型冠状病毒肺炎
The Sydrome Differentiation of COVID-19 by Scrofula and Cold
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摘要: 2019年12月底,湖北武汉发生了新型冠状病毒肺炎(简称“新冠肺炎”)疫情,患者以发热、乏力、干咳等为主要临床表现。王灿晖教授分别从中医病名、病因病机、辨证要点、治则治法等方面对本病进行论述。认为此次新冠肺炎,属于“沴疬寒疫”范畴;病因病机主要是感染疠气挟寒湿之气,与体内的伏燥之邪,合而为病;主张采用卫气营血辨证和三焦辨证并结合脏腑辨证;提出以平为期,以通为要,截断扭转,开达膜原的治则;具体治法则以清肺解毒为首务,宣肺止咳为重要环节,随证可予以祛风利咽、化湿泄浊、化瘀通络、扶正固本等治法。Abstract: COVID-19 began spreading in Wuhan, China in December 2019. The main clinical manifestation was pyrexia, lassitude and tussiculation. Professor Wang Canhui discussed it from its name, etiology, pathogenesis, syndrome differentiation, therapeutic principle and methods in traditional Chinese medicine. It is held that COVID-19 was an epidemic disease characterized by stagnance, scrofula and cold. The etiology and pathogenesis was pestilential qi attack accompanied by cold-dampness, combined with latent dryness. Syndrome differentiation of qi-nutrient-blood, triple energizer and zang-fu should be applied. The therapeutic principle should be calming and unblocking so as to truncating and reversing as well as relieving Moyuan. As for therapeutic methods, the priority was to clear lung and dissolve toxin with the key to diffuse the lung and relieve cough. These methods can also be applied in accordance with clinical manifestations: Dispelling wind to relive sore throat, removing dampness to drain turbidity, dissolving stasis to unblock the colleterals and reinforcing healthy qi to consolidate the constitution.
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[1] 国家卫生健康委员会.关于印发新型冠状病毒肺炎诊疗方案(试行第六版)的通知[EB/OL].(2020-02-18)[2020-02-19].http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2.shtml. [2] 曹洪欣.温病大成[M].福州:福建科学技术出版社,2007:294,1181. [3] 叶霖.难经正义[M].上海:上海科学技术出版社,1981:100. [4] 吴瑭.温病条辨[M].北京:人民卫生出版社,2005:14,63,14. [5] 陆云飞,杨宗国,王梅,等.50例新型冠状病毒感染的肺炎患者中医临床特征分析[J].上海中医药大学学报,2020,34(2):1-4. [6] 黄帝内经[M].北京:中华书局,2010:712,734,955,275,358. [7] 吴又可.温疫论[M].天津:天津科学技术出版社,2005:4. [8] 王士雄.温热经纬[M].北京:中国中医药出版社,1996:66. [9] 张仲景.金匮要略[M].北京:人民卫生出版社,2005:25. [10] 何廉臣.重订广温热论[M].福州:福建科学技术出版社,2006:204.
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