探讨新型冠状病毒肺炎重症患者的中医治疗原则和方剂  

Some principles in TCM treatment of patients with severe pneumonia inducedby novel coronavirus

作　　者：肖党生[1] 方辉 杨介钻 Xiao Dangsheng;Fang Hui;Yang Jiezuan

机构地区：[1]浙江大学医学院附属第一医院老年科,浙江杭州310003 [2]浙江大学附属第一医院急诊科,浙江杭州310003 [3]浙江大学附属第一医院传染病诊治国家重点实验室,浙江杭州310003

出　　处：《中医临床研究》2020年第6期71-73,共3页Clinical Journal Of Chinese Medicine

摘　　要：人体生命本质是伴随干细胞分裂分化过程的能量代谢过程。干细胞分裂分化过程是人体内抗损伤修复的核心过程。在新型冠状病毒感染的早期,病毒侵犯和炎性反应导致肺上皮细胞死亡增加,适度增强干细胞分裂分化过程就可以修复组织损伤,阻止炎性反应进展。但是,随着患者病情恶化,机体内干细胞分裂分化过程中会出现热化和寒化表现,即免疫细胞生成方向会强化(热化),成为炎症风暴形成的细胞基础;肺部上皮细胞生成受阻(寒化)。重症患者出现严重肺部炎性病变。患者康复过程也是肺部炎症消退的过程,治疗原则包括温肾阳,补脾气,化痰湿,祛血瘀、血热;同时注意温解太阳经上的寒气。避免过度劳作和不良作息也是治疗康复过程中需要注意的问题。The life in our body can be defined as a chemical system capable of undergoing the metabolisms of energy agents and stem cell proliferation&differentiation(SCPD)for the energy conversions.SCPD is the way for our body to repair the damaged tissues and organs.In initial stage,virus invasion and inflammatory reaction will increase the death of epithelial cells and the facilitated SCPD will repair the damaged tissue and arrest the inflammation.However,with the progress of virus invasion and inflammatory reaction,the SCPD in body is disturbed:more immunity cells are produced which will lead to cytokine storm with less epithelial cells being produced which lead to low capability of repairing the damaged tissues and organs.In this case,severe pneumonia is inevitable.The way to help the patient with severe pneumonia get recovery is to clear inflammatory lesions in lung.In tradition Chinese medicine(TCM),the general principles for this treatment are to warm kidney yang and erase phlegm and blood stasis.At the same time,treatment against the cold in Taiyang(太阳)meridian is necessary.Avoiding overwork and poor work schedules are another principles for the patients infected by novel coronavirus.

关 键 词：新型冠状病毒肺炎 干细胞 炎症风暴 少阴病 厥阴病 

分 类 号：R563.1[医药卫生—呼吸系统]