中医药辨治老年新型冠状病毒肺炎合并基础疾病验案2则  

Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID-19 infection complicated with underlying diseases

作　　者：熊必丹[1] 折哲[1] 石克华[1] 唐斌擎[1] 张亚达 陆云飞[2] 丁楚 XIONG Bidan;ZHE Zhe;SHI Kehua;TANG Binqing;ZHANG Yada;LU Yunfei;DING Chu(Department of Pulmonary Diseases,Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Department of Traditional Chinese Medicine,Shanghai Public Health Clinical Center,Shanghai 201508,China)

机构地区：[1]上海中医药大学附属市中医医院肺病科,上海200071 [2]上海市公共卫生临床中心中医科,上海201508

出　　处：《上海中医药杂志》2022年第8期15-17,26,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫健委传染病中医药防治能力培育项目(ZYYB-NLPY-11)

摘　　要：结合2则验案,分析老年新型冠状病毒肺炎(新冠肺炎)合并基础疾病患者的病机特点和中医药治疗策略。老年新冠肺炎患者具有在湿、热、毒、瘀、虚的基础上更突出虚、瘀的病机特点,正气不足贯穿疾病始终。中医药治疗老年新冠肺炎应早期干预,祛邪与扶正兼顾,重视运用宣肺通腑、清热化湿、益气扶正诸法,使邪有出路。此外,还应重视基础疾病的治疗,新病宿疾并治,分清主次,灵活变通。In this article we analyzed the pathogenic characteristics and treatment strategies of COVID-19 infection complicated with underlying diseases in the elderly by introducing 2 proved cases.Elderly patients with COVID-19 are identified with pathogenesis of dampness,heat,toxicity,stasis and deficiency,and the pathogenesis of deficiency and stasis is the most prominent.The deficiency of vital qi exists throughout the disease course.Traditional Chinese medicine(TCM)treatment principles for elderly patients with COVID-19 include:early intervention,integration of pathogen-eliminating and vital-qi strengthening,and application of treatment methods to guide pathogens out,for instance,the method of dispersing lungs and unblocking bowels,the method of clearing heat and resolving dampness,and the method of supplementing and strengthening vital qi,etc.Additionally,attention should be paid to the treatment of underlying diseases.Treat both the newly contracted infection and persistent diseases,but one need to distinguish the priorities,and treat accordingly and flexibly.

关 键 词：新型冠状病毒肺炎 新型冠状病毒 奥密克戎变异株 疫病 老年人 扶正祛邪 临床经验 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]