从山东地域特点论新型冠状病毒肺炎核心病机与诊疗思路  

Discussion on Core Disease Mechanism,Diagnosis and Treatment of COVID-19 from Geographical Characteristics of Shandong Province

作　　者：杨帆[1] 张伟[2] YANG Fan;ZHANG Wei(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2020年第5期429-432,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省人民政府“泰山学者”建设工程专项经费资助项目(编号:ts201712096);济南市科技计划项目(编号:JG56234763)。

摘　　要：新型冠状病毒肺炎(新冠肺炎)属中医学疫病范畴,具有"湿"的特点,核心病机为湿疫内蕴,主要病位在肺、脾,山东地域与时令特点导致患者易感受寒邪、燥邪。治疗当分为初期、中期、极期与缓解期四期进行辨证论治,治法以化湿、辟秽、解毒为主,并灵活运用活血化瘀、温阳益气等法处理兼证,最终达到减少危重症、降低病死率的目的。COVID-19 pertains to the category of epidemic diseases in traditional Chinese medicine(TCM),with the characteristics of "dampness". The core disease mechanism is the internal accumulation of dampness evil. COVID-19 is mainly located in the lung and spleen. According to the geological distributions and seasonal characteristics of Shandong Province,patients with COVID-19 are usually affected by cold evil and dry evil. The treatment should be divided into four stages for syndrome differentiation and treatment :early stage,middle stage,extreme stage and remission stage. The treatment manly involves resolving dampness,dispelling filth,and detoxification,with flexible application of activating blood and resolving stasis,warming yang and strengthening qi for the accompanying symptoms,to ultimately achieve the purpose of reducing critical cases and mortality.

关 键 词：新型冠状病毒肺炎 湿邪 疫毒 化湿 辟秽 解毒 山东地域特点 

分 类 号：R259.631[医药卫生—中西医结合]