广东省107例新型冠状病毒Delta变异株肺炎患者的中医证候特征及救治策略  

The Traditional Chinese Medicine Syndrome Characteristics and Treatment Strategy of 107 Cases of Delta Variant Coronavirus Disease 2019(COVID-19)in Guangdong Province

作　　者：张忠德[1] 邹旭[1] 林琳[1] 郭建文[1] 颜芳[1] 孙良生[1] 何泽慧[1] 张俭[1] 蔡彦[1] 尹鑫[1] 周袁申[1] 陶兰亭[1] 张戈 ZHANG Zhongde;ZOU Xu;LIN Lin;GUO Jianwen;YAN Fang;SUN Liangsheng;HE Zehui;ZHANG Jian;CAI Yan;YIN Xin;ZHOU Yuanshen;TAO Lanting;ZHANG Ge(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,510120)

机构地区：[1]广东省中医院,广东广州510120

出　　处：《中医杂志》2021年第23期2073-2076,共4页Journal of Traditional Chinese Medicine

基　　金：广东省中医药局应急专项(YJXM202101);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(2021ZYL-CYJ04-1)。

摘　　要：目的总结新型冠状病毒Delta变异株肺炎的中医证候特征,探讨中医救治策略。方法对广州确诊的107例新型冠状病毒Delta变异株肺炎患者进行中医证候调查,通过中医临床应急数据采集平台录入数据,主要包括基本信息、发病时间、入院时临床症状以及舌象、疾病诊断及分型等并进行统计分析。结果107例患者入院时主要症状表现为发热78例(72.9%),咳嗽59例(55.1%),咯痰53例(49.5%),疲倦乏力24例(22.4%),咽干22例(20.6%),恶寒21例(19.6%),头身痛20例(18.7%)等。舌质多为淡红(35/89,39.3%)、红(27/89,30.3%)、淡白(13/89,14.6%),舌形多见质嫩(24/81,29.6%)、瘦薄(11/81,13.6%)、齿痕(9/81,11.1%),苔色多为薄白(46/91,50.5%)、黄(41/91,45.1%),62.1%(54/87)的患者可见腻苔。结论新型冠状病毒Delta变异株肺炎仍属于中医疫病范畴,核心病机是暑湿化热、疫毒侵肺、元气大虚,以"湿""热""毒""虚"为主,治疗上结合本地区气候、人群特点,根据患者不同分型,采用"一人一方、一人一策、早期扶正、全程扶正"的中医救治策略,以清暑化湿、宣肺解毒、通腑泄热、调肠治肺为治则治法,并据此制定的中医药分类治疗、中西医结合策略已取得较好疗效,疫情基本得到控制。Objective To summarize the traditional Chinese medicine(TCM)syndrome characteristics of the coronavirus disease 2019(COVID-19)patients infected by Delta variant,and to discuss the treatment strategies.Methods The TCM syndromes of the 107 COVID-19 patients infected by Delta variant in Guangzhou were investigated,and the data were analyzed by entering into the TCM Clinical Emergency Data Collection Platform,including basic information,onset time,clinical symptoms at admission,tongue manifestation,disease diagnosis and classification.Results The main symptoms of the 107 patients at admission were fever(78 cases,72.9%),cough(59 cases,55.1%),expectoration(53 cases,49.5%),fatigue(24 cases,22.4%),dry throat(22 cases,20.6%),aversion to co1d(21 cases,19.6%),head and body pain(20 cases,18.7%).The tongue body was mostly light red(35/89,39.3%),red(27/89,30.3%)and pale(13/89,14.6%);the tongue shape was mostly tender(24/81,29.6%),thin(11/81,13.6%),and teeth-marked(9/81,11.1%);the color of the tongue coating was commonly pale white(46/91,50.5%)and yellow(41/91,45.1%);the greasy coating was seen in 62.1%(54/87)patients.Conclusion The Delta variant COVID-19 still belongs to the category of"Epidemic Diseases"in TCM,and the core pathogenesis is summer-damp transforming into heat,the epidemic toxins invading the lungs,and the depletion of the vital qi.Damp,heat,toxins and deficiency are the main characteristics.The TCM strategy of"individualized formula and strategy,as well as early and whole-stage healthy qi-reinforcement"is suggested,which is implemented based on the regional climate and humanistic characteristics,and the clinical types of patients.The therapeutic principles and methods are clearing summerheat-heat and removing dampness,diffusing the lungs and resolving toxins,unblocking the bowels and discharging heat,regulating intestines and treating the lungs.The TCM treatment tailored to different classifications,and the integration of TCM and western medicine have shown good effects,under which the epidemic has been controll

关 键 词：新型冠状病毒肺炎 Delta变异株 中医证候特征 

分 类 号：R259[医药卫生—中西医结合]