重型和危重型新型冠状病毒肺炎病机特点探析  

Pathogenesis Characteristics of Severe and Critical Types of COVID-19

作　　者：王亮[1] 王鹏[1] 侯晓圆 张俊修[1] 李绍旦[1] 杨明会[1] WANG Liang;WANG Peng;HOU Xiaoyuan;ZHANG Junxiu;LI Shaodan;YANG Minghui(Department of Traditional Chinese Medicine,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院中医医学部,北京100853

出　　处：《山东中医药大学学报》2022年第5期587-592,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：中组部“万人计划”科技创新领军人才基金项目(批文号:〔2014〕12);中医药传承与创新“百千万”人才工程岐黄学者基金项目(批文号:〔2018〕12)。

摘　　要：新型冠状病毒肺炎(COVID-19)重型和危重型患者多表现为正虚邪恋,以气虚为核心,或肺脾肾气虚,或气阴两虚,或气虚兼痰浊、血瘀,且“虚”的病机特点和“瘀”的病理状态始终贯穿于其中,相互交织出现。从肾虚与血瘀角度分析COVID-19重型和危重型患者的中医基本病机特点,为进一步丰富和完善COVID-19重型和危重型的中医诊断、用药治疗、预后特点等方面提供参考。Severe and critically patients with Corona Virus Disease 2019(COVID-19)mostly manifest as deficient healthy qi with lingering pathogens,with qi deficiency as the core,such as qi deficiency of lung,spleen and kidney,or deficiency of both qi and yin,or qi deficiency combined with phlegm and blood stasis.The pathogenesis characteristics of“deficiency”and the pathological state of“stasis”always run through COVID-19 and interlace each other.From the perspective of kidney deficiency and blood stasis,the basic traditional Chinese medicine(TCM)pathogenesis characteristics of severe and critical COVID-19 patients were analyzed to provide reference for further enriching and improving the TCM diagnosis,medication,and prognosis of severe and critical types of COVID-19.

关 键 词：新型冠状病毒肺炎 重型 危重型 疫病 肾虚 血瘀 

分 类 号：R259[医药卫生—中西医结合]