浅谈新型冠状病毒肺炎的中医辨证分析  

Discussion on the analysis of traditional Chinese medicine syndrome differentiation in COVID-19

作　　者：张璐[1] 余德海[1] 党思捷 刘若阳[1] 林娟[1] ZHANG Lu;YU Dehai;DANG Sijie;LIU Ruoyang;LIN Juan(Sichuan Second Hospital of Traditional Chinese Medicine,Chengdu 610031,China)

机构地区：[1]四川省第二中医医院,成都610031

出　　处：《天津中医药》2021年第3期301-304,共4页Tianjin Journal of Traditional Chinese Medicine

摘　　要：[目的]探究新型冠状病毒肺炎的中医辨证分析,为临床辨证治疗提供参考。[方法]对武汉红十字医院发热八病区确诊的45例新型冠状病毒肺炎患者进行入院时、入院3 d后及入院7 d后的中医证候、舌象进行调查并统计分析。[结果]45例患者中入院时中医症状主要表现为发热(64.44%)、咳嗽(75.56%)、乏力(55.56%)、咯痰(48.89%)等。入院3 d后中医症状主要表现为咳嗽(66.67%)、咯痰(55.56%)、气紧(55.56%)、乏力(46.67%);入院7 d后以口干(55.56%)、口苦(51.11%)、食欲不振(26.67%)、咳嗽(46.67%)、咯痰(42.22%)为主。[结论]新型冠状病毒肺炎患者的初期中医辨证主要以邪犯肺卫为主。疾病发展早期变化为湿邪阻肺为主,中期转变为邪犯少阳、湿邪中阻为主。[Objective]To explore the analysis of traditional Chinese medicine(TCM)syndrome differentiation in COVID-19,and provide reference for clinical syndrome differentiation treatment.[Methods]The TCM syndromes and tongue images of 45 COVID-19 patients diagnosed in fever eight wards of Wuhan Red Cross Hospital were investigated and statistically analyzed at admission,3 days after admission and 7 days after admission.[Results]The main symptoms of 45 patients were fever(64.44%),cough(75.56%),fatigue(55.56%)and expectoration(48.89%).Three days after admission,the main symptoms of TCM were cough(66.67%),expectoration(55.56%),shortness of breath(55.56%)and fatigue(46.67%).Seven days after admission,the main symptoms were dry mouth(55.56%),bitter taste(51.11%),loss of appetite(26.67%),cough(46.67%)and expectoration(42.22%).[Conclusion]In the early stage of TCM syndrome differentiation of COVID-19 patients,the main syndrome differentiation is evil invading lung.In the early-middle stage of disease development,damp evil blocked the lung mainly,and in the middle stage,it changed into evil impinges the shaoyang and damp evil blocks the middle burner mainly.

关 键 词：新型冠状病毒肺炎 中医辨证 邪犯肺卫 湿邪阻肺 邪犯少阳 

分 类 号：R511[医药卫生—内科学]