新型冠状病毒肺炎辨证论治的临床体会  

Clinical experience of the treatment of coronavirus disease 2019 based on syndrome differentiation

作　　者：姜磊[1] 王非[1] 杨晶[1] 李梅芳[1] 王翠[1] 金玉 JIANG Lei;WANG Fei;YANG Jing;LI Meifang;WANG Cui;JIN Yu(Department of Encephalopathy,Wuhan Hospital of Traditional Chinese Medicine,Hubei Province,Wuhan430000,China)

机构地区：[1]武汉市中医医院脑病科,湖北武汉430000

出　　处：《中国医药导报》2021年第5期139-142,共4页China Medical Herald

基　　金：国家重点研发计划“公共安全风险防控与应急技术装备”项目(2020YFC0841600)。

摘　　要：新型冠状病毒肺炎疫情蔓延全球,具有较强的传染性和流行性,属于中医“疫”病范畴。根据新型冠状病毒肺炎的发病及临床表现特点,以“湿毒疫”为病机,以“肺”“脾”为病变核心,以湿、热、毒、瘀及气虚为主要证候要点,通过“腹泻”“咳嗽”“气促及胸闷”三则案例,阐述对于无发热症状的新型冠状病毒肺炎患者应从一人一方、辨证论治的中医思维出发,治疗此病。运用藿香正气散、桑贝止嗽散、小陷胸汤、葶苈大枣泻肺汤、千金苇茎汤,改善患者的症状,减轻邪毒、截断及逆转病程,调动机体自身的抗病能力。中医辨证论治新型冠状病毒肺炎在改善临床症状、减少并发症、提高生活质量等方面具有独特优势。The coronavirus disease 2019 coronavirus disease 2019 epidemic is spreading all over the world with strong infectivity and epidemic.It belongs to the category of“pestilence”disease of TCM.According to the pathogenesis and clinical features of coronavirus disease 2019,with“dampness-toxicity and pestilence”as the pathogenesis,“lunge”and“spleen”as the cores of the disease,and dampness,heat,toxicity,blood stasis and qi deficiency as the main syndrome points,through three cases of“diarrhea”,“cough”and“short breath and chest distress”,this paper expounds that coronavirus disease 2019 patients without fever should be treated according to the traditional Chinese medicine thinking of one-person-one-prescription and treatment based on syndrome differentiation.Huoxiang Zhengqi Powder,Sangbei Zhisou Powder,Xiaoxian Xiong Decoction,Tingli Dazao Xiefei Decoction and Qianjin Weijing Decoction are used to improve the symptoms of patients,reduce the toxin,cut off and reverse the course of disease,and mobilize the body’s own resistance to disease.Traditional Chinese medicine treatment based on syndrome differentiation of coronavirus disease 2019has unique advantages in improving clinical symptoms,reducing complications and improving quality of life.

关 键 词：新型冠状病毒肺炎 湿毒疫 辨证论治 临床体会 

分 类 号：R256.1[医药卫生—中医内科学]