张伯礼教授治疗新型冠状病毒肺炎恢复期临证经验  

Professor Zhang Boli′s Experience in Treating COVID-19 Patients in Convalescent Stage

作　　者：刘耀远 黄明[3] 熊可[3] 吕玲[3] 王昭琦 LIU Yaoyuan;HUANG Ming;XIONG Ke;LYU Ling;WANG Zhaoqi(The First Teaching Hospital of Tanjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床研究中心,天津300381 [3]天津中医药大学,天津301617

出　　处：《世界中医药》2023年第22期3250-3253,共4页World Chinese Medicine

基　　金：国家自然科学基金青年基金项目(82004505);国家科技应急攻关项目(2020YFC0841600)。

摘　　要：在疫情防控“动态清零”的大背景下,新冠肺炎恢复期患者的康复治疗越发重要,促使新冠肺炎患者完全康复和回归正常生活成为诊治工作的重点之一。张伯礼教授认为新冠肺炎属于中医学“湿毒疫”范畴,恢复期患者以疫邪未尽、正气虚损为核心病机,以湿邪留滞、气阴两虚为主要临床特征。在治疗中强调全面评估健康状态,明辨邪正关系,分清祛邪扶正之主次;精准辨证,灵活用药,祛邪以治湿为主,扶正以益气养阴、调治肺脾为主;重视疏利气机,恢复脏腑升降出入之常;病证结合,灵活运用现代药理和组分中药研究成果。此外,重视患者心理健康状况,形神同治,瘥后防复,使患者最大程度恢复生活、回归社会。Under the background of the “dynamic COVID-zero strategy” for the prevention and control of COVID-19,the treatment of COVID-19 patients in convalescent stage becomes an important treatment demand,and promoting the complete rehabilitation and return to normal life of COVID-19 patients is one of the priorities in diagnosis and treatment.Professor Zhang Boli proposed that COVID-19 belongs to the category of “dampness-toxin pestilence” in traditional Chinese medicine.In the convalescent stage of COVID-19 patients,the main pathogenesis is incomplete elimination of pathogenic factors and deficiency of healthy qi,while the main clinical characteristics are retention of dampness pathogenic factors as well as qi and yin deficiency.Therefore,it is emphasized to comprehensively evaluate the health status,distinguish the relationship between pathogenic factors and healthy qi,and differentiate the order of eliminating pathogenic factors and strengthening the healthy qi in the treatment.With accurate syndrome differentiation and flexible medication in the treatment,Professor Zhang treats dampness mainly by dispelling the pathogenic factors,and the main way to strengthen healthy qi is to replenish qi,nourish yin,and regulate lung and spleen.He pays attention to smoothing qi movement and restoring the normal operation of viscera,advocates the combination of diseases and syndromes,and flexibly adopts the research results of modern pharmacology and Chines medicine components in clinical practice.In addition,the mental health status of patients should be emphasized,and body and spirit should be treated simultaneously,while preventing the recurrence of the disease.In this way,patients can recover their lives and return to society as much as possible.

关 键 词：新型冠状病毒肺炎 恢复期 康复 后遗症 疫病 湿毒 中医 经验 

分 类 号：R259[医药卫生—中西医结合]