王彦刚基于“络脉瘀塞”论治新型冠状病毒感染后味觉障碍经验探赜  

Wang Yangang's experience in treating post-COVID-19gustatory disorders based on“vascular blockage”

作　　者：赵慧敏 杨洁琼 崔镇 陈昊昱 王彦刚 ZHAO Huimin;YANG Jieqiong;CUI Zhen(Graduate School of Hebei University of Traditional Chinese Medicine,Shijiazhuang Hebei 050091,China)

机构地区：[1]河北中医药大学研究生学院,河北石家庄050091 [2]北京中医药大学第三附属医院,北京100029

出　　处：《四川中医》2024年第1期6-10,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：北京市自然科学基金资助项目(编号:7232281);河北省自然科学基金资助项目(编号:H2020423207);河北中医药大学研究生创新资助项目(编号:XCXZZSS2023021)。

摘　　要：总结王彦刚教授基于络脉理论治疗新冠病毒感染后遗症味觉障碍的临证经验。王教授认为此病核心病机为络脉瘀塞,余邪内伏、正气内虚,导致内生湿热、痰浊、瘀血等有形实邪塞络,气血津液难以上达唇舌则发病。根据“络以通为用”的特点,以“通络开塞”为核心治法,针对各阶段主要病机,具体选以清热利湿、豁痰解热、活血祛瘀、调中补虚通络开塞之法,同时重视饮食调理脾胃,以滋正气剔邪外出。临床施治善用药组,随症加减,疗效确切,文末附验案1则加以佐证。To summarize Professor Wang Yangang's clinical experience in treating the sequelae of novel coronavirus infection with taste disorders based on the theory of the choroidal vein.Professor Wang believes that the core pathogenesis of this disease is the blockage of the complex-vein stasis,internal evil latent,healthy qi deficiency,resulting in endogenous damp-heat,phlegm turbidness,blood stasis and other visible pathogenic blockage of the collaterality,Qi-blood-body fluid is difficult to reach the lips and tongue.According to the characteristics of“Tong as the use of collars”,with“Tongluo opening and blocking”as the core treatment,for the main pathogenesis of each stage,the specific selection of clearing heat and dampness,clearing phlegm,removing blood stasis,tonifying deficiency and opening and blocking in the middle,while paying attention to diet and regulating the spleen and stomach,in order to nourish Qi and eliminate evil.The clinical treatment of good drug group,with the increase and decrease of the disease,the effect is accurate,and the attached test case at the end of the article is confirmed.

关 键 词：味觉障碍 口淡 络脉瘀塞 新冠病毒感染后遗症 王彦刚 

分 类 号：R249[医药卫生—中医临床基础]