重型新冠肺炎的中医病机与治法探讨  

Discussion on Pathogenesis and Treatment of Severe COVID-19 in Traditional Chinese Medicine

作　　者：李群堂[1] 邱敏[1] 万鹏[2] 陶杨[2] 李延萍[1] 王成虎[1] 朱丹平[1] 陈中沛[1] 冉君[1] 张安[3] 袁婧[4] Li Quntang;Qiu Min;Wan Peng;Tao Yang;Li Yanping;Wang Chenghu;Zhu Danping;Chen Zhongpei;Ran Jun;Zhang An;Yuan Jing(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]重庆市中医院,重庆400021 [2]重庆市北碚区中医院,重庆400700 [3]重庆医科大学附属第二医院,重庆400010 [4]重庆市公共卫生医疗救治中心,重庆400036

出　　处：《中国中医急症》2021年第11期1959-1961,1973,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局“新型冠状病毒感染肺炎中医药应急专项”(2020ZYLCYJ02-2);重庆市科技局“重庆市新型冠状病毒感染肺炎疫情应急科技攻关专项”(cstc2020jscxfyzx0103)。

摘　　要：新冠肺炎由感受疫疠之气引起,本无寒热燥湿之性,其核心病机在于疫毒盘踞肺脏,引致大量卫气内陷,正邪激烈交争,而使水饮痰浊壅塞于肺,肺失主治节、司呼吸、通调水道之职能,同时,卫气大耗,宗气不转,而有喘促憋闷之主证。因此,其主要治法是泻肺水、涤留饮、畅三焦、利水道、化痰浊、通(肺之)血络、补肺损、壮卫气、复治节、护阴液,运用陷胸升降散、柴胡泽漆汤、芪苇扶正饮等方,可有效促进肺主气司呼吸等功能的恢复。COVID-19 is caused by feeling the qi of the epidemic.It does not have the nature of cold,heat and dampness.Its core pathogenesis is that the epidemic virus entangles in the lungs,causing a large number of Weiqi invagination,fierce fighting between the good and the evil,thus causing congestion of water,phlegm and turbidity in the lung,and the lung loses its functions of regulating knots,breathing,and regulating waterways.At the same time,it consumes a lot of qi and does not change the qi,and has the main symptoms of shortness of breath and suffocation.Therefore,its main treatment methods are to purify lung water,clear the retained fluid,smooth the triple energizer,divert water channels,resolve phlegm and turbidity,clear blood collaterals(in the lungs),replenish lung damage,strengthen qi,re-treatment joints,and protect yin.Prescriptions such as Xianxiong Shengjiang Powder,Chaihu Zeqi Decoction,Qiwei Fuzheng Decoction,etc.,can effectively restore the function of lungs to control the breath of Qi.

关 键 词：新冠肺炎 瘟疫 重症 病机 治法 

分 类 号：R563.1[医药卫生—呼吸系统]