新型冠状病毒肺炎的中医认识及治疗现状  

TCM Understanding and Treatment Status of COVID-19

作　　者：邵灿灿[1] 王豪杰 孟鹏飞[3] 马秀霞[3] 丁雪[3] 魏征[4] 陈关征 张世玺 徐立然[1,3] SHAO Cancan;WANG Haojie;MENG Pengfei;MA Xiuxia;DING Xue;WEI Zheng;CHEN Guanzheng;ZHANG Shixi;XU Liran(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;Henan Provincial Chest Hospital,Zhengzhou Henan China 450008;The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;Henan Academy of Chinese Medicine,Zhengzhou Henan China 450004;Luoyang No.1 Hospital of Chinese Medicine,Luoyang Henan China 471000;Shangqiu Municipal Hospital,Shangqiu Henan China 476000)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南省胸科医院,河南郑州450008 [3]河南中医药大学第一附属医院,河南郑州450000 [4]河南省中医药研究院,河南郑州450004 [5]洛阳市第一中医院,河南洛阳471000 [6]商丘市立医院,河南商丘476000

出　　处：《中医学报》2020年第4期704-708,共5页Acta Chinese Medicine

基　　金：国家“十三五”科技重大专项项目(2017ZX10205502);国家自然科学基金项目(U1604287)。

摘　　要：从临床一派湿邪表现,考虑"内湿"是新型冠状病毒肺炎(corona virus disease2019,COVID-19)主要病因,结合武汉地理位置,气候阴雨湿气重考虑"外湿"病因所在,内外湿邪相合而发病。"湿浊疠气"导致的壅滞闭塞是COVID-19主要的病理机制。治疗以"解毒祛邪"为主,总的治疗原则是"疏表透邪,宣肺肃降,升清降逆,通腑泻浊,理气活血"之"通"法。在COVID-19的不同阶段、不同病证,选择不同治疗法则和方药,"扶正祛邪"应贯穿始终。"扶正"以提高机体抵抗力,人参、党参、黄芪等剂量宜大;"祛邪"降低疫疠之气的损害,使之逐出、透出体外,有益于机体正气的恢复,麻黄、大黄、半夏等方中常用。From the clinical manifestations of dampness,we consider " internal dampness" as the main cause of corona virus disease 2019( COVID-19). Combined with the geographical location of Wuhan,the climate is rainy and humid. It is considered that the disease also has the cause of " external dampness",which is caused by the combination of internal dampness and external dampness. The main pathological mechanism of COVID-19 is dampness and obstruction caused by " dampness turbid and pestilential qi". The main treatment is " detoxication and eliminating pathogen method". The general principle of treatment is " Tongfa",that is, " dredging the exterior and penetrating the pathogen,ventilating lung qi for lowering adverse qi,ascending clear and lowering adverse qi,clearing the fu visceras and purging the turbidity,and regulating the qi and activating the blood circulation".In different stages and syndromes of COVID-19,different treatment methods and prescriptions should be selected,and " strengthening the body resistance to eliminate pathogenic factors" should run through the treatment. " Strengthening the body resistance " is to improve the body’s resistance and the dosage of Renshen( Radix Ginseng),Dangshen( Radix Codonopsis),Huangqi( Radix Astragali seu Hedysari) should be large. " Eliminating pathogenic factors" can reduce the damage of epidemic qi,expel it from the body,and restore the healthy qi of the body. Mahuang( Herba Ephedrae),Daihuang( Radix et Rhizoma Rhei),Banxia( Rhizoma Pinelliae) which are beneficial to the recovery of healthy qi are commonly used in prescriptions.

关 键 词：新型冠状病毒肺炎 “内湿” “湿浊疠气” 解毒祛邪法 扶正祛邪法 辨证论治 免疫力 

分 类 号：R256.1[医药卫生—中医内科学]