漳州地区新型冠状病毒肺炎中医证候特征及病机特点初探  

TCM Syndrome Characteristics and Pathogenesis of Corona Virus Diseases 2019(COVID-19)in Zhangzhou District

作　　者：郑镪 林燕 陈文喜[2] 张喜奎 洪敏俐[2] ZHENG Qiang;LIN Yan;CHEN Wenxi;ZHANG Xikui;HONG Minli(Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou,Fujian 363000,China;Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou,Fujian 363000,China;College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China)

机构地区：[1]福建医科大学附属漳州市医院,福建漳州363000 [2]漳州市中医院,福建漳州363000 [3]福建中医药大学中医学院,福建福州350122

出　　处：《福建中医药》2020年第2期7-9,共3页Fujian Journal of Traditional Chinese Medicine

基　　金：漳州市名中医洪敏俐主任医师传承工作室建设项目[漳卫中医(2018)-4号]。

摘　　要：目的通过分析漳州地区新型冠状病毒肺炎的临床资料,探讨漳州地区新冠肺炎的中医证候特征和病机特点,为辨证论治提供依据。方法收集漳州市医院朝阳分院截至2020年2月18日收治的新冠肺炎患者20例,分析有完整资料的19例患者的一般资料、中医证候特征和辨证分型。结果①症状:19例患者中发热14例(73.7%),稀溏便12例(63.2%),乏力、咳嗽各11例(各57.9%),少痰10例(52.6%),口干9例(47.4%),胸闷7例(36.8%),纳差、头晕各6例(各31.6%)。②舌象表现:从舌色看,舌淡红10例(52.6%),舌红5例(26.3%),舌淡白、红绛、淡黯、暗红各1例(各5.3%);从舌体看,舌体胖大兼齿痕2例(10.5%),单纯胖大1例(5.3%),单纯齿痕舌2例(10.5%),裂纹舌3例(15.8%),正常11例(57.9%);从舌苔看,腻苔10例(52.6%),薄黄苔5例(26.3%),薄微黄苔2例(10.5%),燥黄厚、薄白苔各1例(各5.3%)。③辨证分型:寒湿郁肺7例(36.8%),湿热蕴肺9例(47.4%),疫毒闭肺兼气阴两伤2例(10.5%),疫毒闭肺兼气阴两伤、痰瘀阻肺1例(5.3%)。结论湿邪致病是漳州地区新冠肺炎的基本特征,可见寒湿郁肺和湿热蕴肺两种证型,病情进展可发展为疫毒闭肺。病位以气分为主,病程缠绵,易伤津耗气,有基础病老年患者更易正气受损,虚实夹杂。治疗应遵循三因制宜的原则。Objective:To study the distribution characteristics of TCM syndromes and explore the pathogenesis characteristics of 2019 Novel Coronavirus Diseases(COVID-19)in Zhangzhou,so as to provide basis for TCM syndrome differentiation and treatment of this disease.Methods:Twenty cases of COVID-19 admitted to Chaoyang branch hospital of Zhangzhou hospital affiliated to Fujian medical university before February 18,2020 were collected in this study.The general information,TCM syndrome characteristics and syndrome type differentiation of 19 patients with complete information were recorded and analyzed.Results:①Symptoms:Among 19 patients,14 were fever(73.7%),12 had loose stools(63.2%),11 had fatigue and cough(57.9%respectively),10 had a little phlegm(52.6%),and 9 feltthirsty(47.4%),chest tightness in 7 cases(36.8%),anorexia and dizziness in 6 cases(31.6%each).②Tongue picture:In terms of tongue color,10 cases(52.6%)were light-reddish tongue followed by red tongue in 5 cases(26.3%),light-whitish tongue,deep-red tongue,pale-dark tongue and dull red tongue in 1 case respectively(5.3%respectively).In terms of tongue body,there were 2 cases(10.5%)with bulgy tongue and tooth-marked tongue,1 case(5.3%)with bulgy tongue,2 cases(10.5%)with tooth-marked tongue,and 3 cases(15.8%)with fissured tongue.In terms of tongue fur,greasy tongue fur were found in 10 cases(52.6%)followed by thin and yellow tongue fur in 5 cases(26.3%),thin pale-yellow tongue fur in 2 cases(10.5%),thick dry-yellow tongue fur,thin and white tongue fur in 1 case respectively(5.3%,respectively).③Syndrome differentiation of TCM:7 cases(36.8%)of cold syndrome and dampness stagnation in the lung,9 cases(47.4%)of dampness and heat accumulating in the lung,syndrome of pestilence poison closing in the lung with qi and yin asthenia in 2 cases(10.5%),syndrome of pestilence poison closing in the lung with qi and yin asthenia,phlegm and blood stasis retention in the lung in 1 case(5.3%).Conclusion:The pathogenesis of dampness was the basic characteristics of COVID-19 in Zh

关 键 词：新型冠状病毒肺炎 中医证候 病机 漳州 

分 类 号：R259[医药卫生—中西医结合]