基于"邪伏膜原"理论探讨新型冠状病毒肺炎无症状感染者的发病机制与辨证论治思路  

Analysis of pathogenesis, syndrome differentiation and treatment of asymptomatic infectors of coronavirus disease 2019 based on the theory of "pathogen hiding in the pleurodiaphragmatic interspace"

作　　者：李玉明 王进忠[1,2] 覃小兰 刘云涛[1,2,3,4] Li Yuming;Wang Jinzhong;Qin Xiaolan;Liu Yuntao(Department of Emergency,the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China;Department of Emergency,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China;Key Laboratory of Research on Infectious Diseases,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China;Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China)

机构地区：[1]广州中医药大学第二附属医院急诊科,广州510120 [2]广东省中医院急诊科,广州510120 [3]广东省中医院传染病重点研究室,广州510120 [4]广东省中医急症研究重点实验室,广州510120

出　　处：《中华危重病急救医学》2020年第10期1160-1164,共5页Chinese Critical Care Medicine

基　　金：广东省中医急症研究重点实验室项目(2017B030314176);广东省科技厅项目(2020B111110001);广东省广州市科技计划项目(202008040001);广东省中医院谭爕尧、张浣天名中医学术经验传承工作室建设项目(E48807)。

摘　　要：在2019新型冠状病毒(2019-nCoV)感染的新型冠状病毒肺炎(新冠肺炎)患者中,相对于有症状感染者来说,无症状感染者携带的2019-nCoV因其隐匿性和被忽视性,更容易被广泛传播蔓延,从而给当前的新冠肺炎防治工作带来严峻挑战。目前针对无症状感染者的治疗方法尚在探索阶段,通过挖掘祖国医学典籍发现,"邪伏膜原"理论以其"伏而不发或表里九传"的独特辨证体系和"先证用药以截断病原、开达膜原以扭转病位、早逐客邪以防传变、瘥后调护以防复发"的标本兼治疗效,可为中医药治疗新冠肺炎无症状感染者提供临床应用参考,并为进一步发挥中医药在抗击传染病战役中的重要作用提供理论资源。Among coronavirus disease 2019(COVID-19)patients who infected with 2019 novel coronavirus(2019-nCoV),compared with the symptomatic infection patients,2019-nCoV carried by asymptomatic infection patients are more likely to be widely spread due to secrecy and neglect,thus brings severe challenges to the current prevention and treatment of COVID-19.The therapies of asymptomatic 2019-nCoV infection are still in research.Through excavating the Chinese medical classics,it was found that the theory of"pathogen hiding in the pleurodiaphragmatic interspace",with its unique syndrome differentiation system and curative effect of treating symptoms and causes,can provide clinical reference for the treatment of asymptomatic 2019-nCoV infections and provide theoretical basis traditional Chinese medicine in the battle against infectious diseases.

关 键 词：邪伏膜原 新型冠状病毒肺炎 无症状感染 发病机制 辨证论治 

分 类 号：R563.1[医药卫生—呼吸系统]