运用三甲散加减治疗高龄人群“长新冠”后心肺疾患  

Using Sanjiasan Adjustment to Treatment of Long COVID-19 in Elderly people's Cardiopulmonary Diseases

作　　者：徐忠德 陈智慧[1] 张会永[2] 武跃华[3] XU Zhongde;CHEN Zhihui;ZHANG Huiyong;WU Yuehua(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;The Second Affiliated Hospital of Liaoning University of Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032 [3]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2024年第8期124-126,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科学技术计划项目(2022-NLTS-13-05);第一批辽宁省优秀中医临床人才培养项目(辽卫办发[2021]29号)。

摘　　要：“主客浑受”的理论最先由薛生白在《湿热病篇》中提出,来源于吴又可“主客交”理论。其本义乃湿毒之邪热陷入厥阴之中,难以剔除,最终导致人体气结血滞、虚实错杂、阴阳两衰的一种病理状态。临床可应用薛氏三甲散化瘀活络,搜邪扶正。高龄新冠后遗症患者基础疾病多,大多正气不充,邪蕴肺络,虚实夹杂,变证峰起,邪气易深陷肺络,耗伤心阳,治疗难度大。辽宁省中医药研究院干诊科武跃华主任,在疫情放开后对全科(平均年龄90岁)的患者,应用薛氏三甲散加减治疗长新冠后心肺疾患,无一例白肺,无一例转重,无一例死亡。First in the word "Zhu Ke Hun Shou" between subject and object methods in the Shi Re Bing Pian(damp and hot disease) by Xue Shengbai, by Wu Jutong and the inspiration of "ZHU KE JIAO" theory, its theoretical source for long.Its original meaning is that the evil of dampness-heat sinks into Jue Yin, which is difficult to resolve, and eventually leads to the decline of Qi and blood stagnation, deficiency and deficiency, Yin and Yang decay.Xue's Sanjiasan powder can be used clinically to remove blood stasis and activate collaterals, search for evil and promote normal.Elderly patients with sequelae of the novel coronavirus have many basic diseases, most of which are not full of positive qi, pathogenic collaterals of the lung, mixed with deficiency and accumulation, and the syndrome peaks, evil spirits are easy to sink deep into lung collaterals and consume sad Yang, making treatment difficult.Wu Yuehua, director of the stem clinic of the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, treated the sequelae of Long COVID-19 of cardiopulmonary diseases with Xue's Sanjiasan(average age about 90 years old) after the release of the epidemic, and there was no white lung, no weight shift, and no death.

关 键 词：高龄人群 长新冠 主客浑受 薛氏三甲散 

分 类 号：R259[医药卫生—中西医结合]