仝小林寒湿疫辨治思想及其诊疗要点  

TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points

作　　者：薛崇祥 杨映映 罗金丽 赵林华[2] 李修洋[2] 仝小林(指导)[2] XUE Chongxiang;YANG Yingying;LUO Jinli;ZHAO Linhua;LI Xiuyang(Beijing University of Chinese Medicine,Beijing,100029;Guang'anmen Hospital,China Academy of Chinese Medical Sciences;China-Japan Friendship Hospital/National Center for Integrative Medicine;Guangdong Yifang Pharmaceutical Co.,Ltd.)

机构地区：[1]北京中医药大学,北京市100029 [2]中国中医科学院广安门医院 [3]中日友好医院/国家中西医结合中心 [4]广东一方制药有限公司

出　　处：《中医杂志》2023年第22期2354-2358,共5页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2021YFE0201100,2022YFC0868300);新疆维吾尔自治区重大科技专项(2020A03004)。

摘　　要：在厘清寒湿疫诊治规律的基础上,结合仝小林院士关于寒湿疫辨治的认识阐述,提炼辨证要点。主要包括察色按脉,先别阴阳,治在寒湿;全程论治,态靶结合,随证治之;危急重症,辨汗脉息神,防戾深入;通腑开闭,逐邪外出,勿拘结粪;方药量效,审因据症,以效择量;除邪务尽,谨防疫复,恢复有方。梳理寒湿疫辨治思想脉络及其临床要点,有助于指导疫病临床的精准施治,为指导中医药参与疫病防治提供理论解读。Building on a clear understanding of the diagnosis and treatment patterns for cold-damp epidemics,and incorporating the insights of Academician TONG Xiaolin regarding the differentiation and treatment of such epi?demics,this article have distilled the key diagnostic principles.These principles primarily entail observing color and pulse,initially distinguishing between yin and yang,with treatment focusing on dispelling cold and dampness.A comprehensive approach is adopted throughout treatment,with a combination of overall strategies and tailored treat?ments that evolve in line with the patient's condition.In critical and severe cases,particular attention is given to aspects such as sweating,pulse analysis,and consciousness,preventing the pathogen from penetrating deeply.Efforts are made to open and close organ networks,expelling external pathogens without fixating on resolving constipa?tion.The dosage and efficacy of herbal remedies are adjusted based on individual circumstances and clinical symp?toms.The objective is to eliminate pathogens comprehensively,while being vigilant against relapses,ultimately achieving a full recovery.This overview of the thought processes and clinical principles for diagnosing and treating cold-damp epidemics will guide precise clinical practices and provide a theoretical foundation for the involvement of traditional Chinese medicine in epidemic prevention and treatment.

关 键 词：新型冠状病毒感染 寒湿疫 中医疫病 仝小林 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]