“三因制宜”理论辨治新型冠状病毒肺炎探析  

Differentiating and Treating COVID-19 by Theory of “Treatment Individualized to Patient, Season and Locality”

作　　者：冯芮琪 路童 战丽彬[1] FENG Ruiqi;LU Tong;ZHAN Libin(Nanjing University of Chinese Medicine,Nanjing 210023,Jangsu,China;Medical College of Jinzhou Medical University,Jinzhou 121011,Liaoning,China)

机构地区：[1]南京中医药大学,江苏南京210023 [2]锦州医科大学医疗学院,辽宁锦州121011

出　　处：《中华中医药学刊》2020年第4期15-19,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：江苏省中医药领军人才项目(SLJ0227);江苏省双创团队项目(20182036)。

摘　　要：目的在"三因制宜"理论指导下,探讨国家及各省市制定的《新型冠状病毒肺炎中医诊疗方案》,统计分析各方案中的辨治异同。方法整理全国七大区各省市制定的中医诊疗方案,筛选出常见的证型及方药、中成药、穴位等。结果北方地区以寒湿为主多夹杂燥邪,治以散寒化湿润燥,南方地区以湿热为主,治以清热解毒化湿。老年人多配伍益气养阴药,孕妇多配伍健脾安胎药或清热安胎药,儿童及患有基础疾病的感染者用药各有偏重。结论此次疫情的发生与特殊的时令、异常的气候及人体抵抗力三者密切相关,且不同的地区、不同的人群症状具有差异性,单一的治疗方案并不适合所有人群,因此要用"三因制宜"的理论指导临证辨治。Objective Under the guidance of the theory of "treatment individualized to patient, season and locality"to explore the Traditional Chinese Medicine Diagnosis and Treatment Program for Corona Virus Disease 2019(COVID-19)formulated by various provinces and cities and analyze the differences and treatments in each diagnosis.Methods We sorted out and compared the traditional Chinese medicine diagnosis and treatment plans formulated by the seven provinces in China and screened out the common syndrome types, prescriptions, proprietary Chinese formulae and acupoints.Results The northern area patients are mainly cold and damp, and mixed with dryness syndrome. The medication is mainlynourishing Yin and moistening.The southern area patients are mainlydamp and heat syndrome.The main medication is to clear the heat and detoxify and eliminate the dampness.The elderly patients use supplementary medicines more frequently, pregnant women use birth-settling medicines, and children and thosewith basic diseases have different preferences.Conclusion The occurrence of COVID-19 is closely related to the special season, abnormal climate and human resistance, and the symptoms in different regions and different populations are different.

关 键 词：新型冠状病毒肺炎 三因制宜 临证辨治 

分 类 号：R511[医药卫生—内科学] R259.631[医药卫生—临床医学]