下法在新型冠状病毒肺炎治疗中的运用  

Application of Purgation Method in the Treatment of COVID-19

作　　者：贺晋芳 张迪 郑佳昆 张沂 金译涵 晏军[1] HE Jingfang;ZHANG Di;ZHENG Jiakun;ZHANG Yi;JIN Yihan;YAN Jun(The First Affiliated Hospital of Beijing University of Chinese Medicine,Beijing China 10070O)

机构地区：[1]北京中医药大学第一临床医学院,北京100700

出　　处：《中医学报》2021年第7期1361-1366,共6页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81373589)。

摘　　要：新型冠状病毒肺炎病犯太阴,累肺及脾,易入阳明,故临证应灵活运用下法,及时截断病势,以护气阴,以救危急。湿邪初犯,太阴肺脾两感,宜轻清化湿;湿温为患,邪伏膜原,宜辛开苦泄;湿与热合,邪恋中焦,当通腑泻浊;湿温日久,弥漫三焦,当通上下关窍。新型冠状病毒肺炎临床表现复杂多变,应用下法使疫毒从下窍而出,应注意掌握应下之征,除“逐邪勿拘结粪”外,需参合考虑其他症状作为泻下祛邪的指征,同时应重视体质,勿犯“虚虚实实”之戒。Corona virus disease 2019(COVID-19)invades Taiyin,involves lungs and spleen,and is easy to enter Yangming.Therefore,the clinic should use the method flexibly to cut off the disease in time to protect the qi and yin and save the emergency.The first offense of damp evil in both spleen and lung of Taiyin,dampness should be eliminated;damp and warm evil cause disease,the evil lies in Moyuan,and it is advisable to use the method of acrid opening and bitter discharge.When dampness and heat are combined,and the evil will lie in the middle Jiao,it is advisable to dredgie Fu organs and purge turbidity.Damp and warm evil last for a long time,and diffuse in Sanjiao,it is advisable to dredge up and down the orifice.The clinical manifestations of the COVID-19 are complex and changeable,and the purgation method should be used to make the epidemic virus emerge from the bottom of the orifice.Attention should be paid to the symptoms of response.In addition to"do not confine feces to expel the evil",other symptoms should be taken into consideration as indications of purgation method.At the same time,attention should be paid to physical fitness and not to violate the precept of"the excess mingled with the deficiency".

关 键 词：新型冠状病毒肺炎 下法 辛开苦泄 通腑泻浊 

分 类 号：R256.1[医药卫生—中医内科学]