刘清泉辨治新型冠状病毒感染疫病思路与常用方药探析  

Discussion on Professor Liu Qingquan’s thoughts of treating COVID-19 and t he frequently-used formulas

作　　者：刘玉超[1] 王玉光[1] 郭建 刘清泉(指导)[1] LIU Yuchao;WANG Yuguang;GUO Jian;LIU Qingquan(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《现代中医临床》2023年第4期6-11,共6页Modern Chinese Clinical Medicine

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函〔2022〕1号)。

摘　　要：新型冠状病毒(简称新冠病毒)感染是一种传染性很强的烈性传染病,具有发病快、传变迅速、易感性强、流行性等特点。刘清泉教授强调新冠病毒感染属温疫中的湿毒疫,病因为湿毒疫疠之气,可夹四时之气,或因地域不同、体质差异,有热化、寒化、燥化之不同。强调湿是特征、毒是根本,其核心病机是湿、毒、热、痰、瘀、虚。临床辨证论治包括分期论治、审因论治、截断扭转。针对核心病机变化分别采用祛湿、解毒、清热、通腑、增液、凉血、活血、补虚等法,并强调中西并重、优势互补,善用古方,创制新方,同时综合运用针灸与导引。Coronavirus disease(COVID-19)is a highly transmissible disease characterized by sudden onset,rapid transmission,and high susceptibility.Prof.Liu Qingquan believes that,in TCM terms,COVID-19 falls in the category of dampness toxin epidemic in epidemic febrile disorders,caused by pestilent qi of dampness toxin,which can be mixed with seasonal pathogens and possibly complicated by heat,cold and dryness due to geographical and physical differences.He stresses that dampness is the branch while toxin is the root.The core pathogenesis includes dampness,toxin,heat,phlegm,stasis,and deficiency.The diagnosis and treatment for the disease should prioritize staged treatment,identifying the root,and stopping and reversing progression.In response to the constituents of the disease mechanism and their progressive nature,we apply the method of dispelling dampness,resolving toxins,clearing heat,unblocking the bowels,increasing body fluids,cooling blood,invigorating blood,and supplementing deficiency.The focus has been placed on the integration of both TCM and modern pharmaceuticals so that they complement each other for the sake of optimal efficacy,the combined use of classic formulas and novel ones,and acupuncture,moxibustion and daoyin as supplements.

关 键 词：新型冠状病毒感染 分期论治 审证求因 截断扭转 除湿解毒 

分 类 号：R254.2[医药卫生—中医内科学]