戴天章《广瘟疫论》对新型冠状病毒肺炎辨治的几点启示  

Inspiration of Treating Corona Virus Disease 2019 in Guangwenyilun

作　　者：赵妍[1] 谷松[1] ZHAO Yan;GU Song(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医杂志》2022年第12期69-71,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(“973”计划)项目(2013CB532004);辽宁省教育厅重点攻关项目(L202062)。

摘　　要：《广瘟疫论》是由清代著名医家戴天章所著,书中论述了瘟疫的病因、传变、治疗等,以五辨为临证诊断方法,以辨表里为纲,立汗、下、清、和、补五种治法,对瘟疫的诊断和治疗均有独到见解。根据新型冠状病毒肺炎的临床表现和特点,文章认为此疾病属于外感病中“疫病”“瘟疫”的范围,病因为外界的“杂气”,病邪性质属“湿热”,为湿热疫毒从口鼻而入,病位主要在肺,并连及脾胃,病程中易“夹血”“夹肾虚”。对于该病的治疗,以达原饮为基本方,并结合治疫五法,治愈后也要防“余邪未尽”而复阳。Guangwenyilun was written by DAI Tianzhang, a famous doctor in Qing Dynasty. It discusses the cause, transmission and treatment of the plague. It takes five methods of syndrome differentiation as the clinical diagnosis method, takes the differentiation of exterior and interior as the key link and five therapeutic methods, namely, sweating, descending, clearing, harmonizing and tonifying. The book has unique insights into the diagnosis and treatment of plague. According to the clinical manifestations and characteristics of corona virus disease 2019,this article thinks that the disease belongs to the epidemic disease in TCM. It is due to the external “miscellaneous Qi”. The nature of the disease is “damp-heat” which enters the mouth and nose. The disease is mainly located in the lung, and involves the spleen and stomach. The basic prescription for treating this disease is Dayuan Yin, combining with the five methods of treating epidemic diseases. We should also prevent the “remaining evil” when the patients are cured.

关 键 词：新型冠状病毒肺炎 《广瘟疫论》 辨证论治 湿热疫 

分 类 号：R563.1[医药卫生—呼吸系统]