基于经方辨治新型冠状病毒感染后遗梅核气验案4则  

Four cases of post-COVID-19 globus hysteriocus based on classic prescriptions

作　　者：石聪 吴珂 陈雪明 王颖雪 张琳琳 林燕 SHI Cong;WU Ke;CHEN Xueming;WANG Yingxue;ZHANG Linlin;LIN Yan(Pediatrics Department,First Affiliated Hospital of Hebei University of Chinese Medicine,Shijiazhuang 050011;Pediatrics Department,Shijiazhuang Hospital of Traditional Chinese Medicine)

机构地区：[1]河北中医药大学第一附属医院儿科,石家庄050011 [2]河北省石家庄市中医院儿科

出　　处：《现代中医临床》2024年第4期56-59,共4页Modern Chinese Clinical Medicine

基　　金：全国中医临床优秀人才研修项目(No.国中医药人教函[2022]1号)。

摘　　要：梅核气是新型冠状病毒(简称新冠)感染后一种常见的后遗症。新冠感染后因疾病传变,失治误治,致邪陷少阳,痰热互结,予小柴胡汤与半夏厚朴汤合方加减;或少阳郁热,水饮上泛,予小柴胡汤合五苓散加减;或阳明虚火,痰凝气聚,予麦门冬汤加减;少阴误治,寒痰凝聚,予半夏汤合麻黄附子细辛汤加减。本文结合4则临床验案对经方辨治新冠感染后遗梅核气进行阐述。Globus hystericus(termed meiheqi,or plum-stone qi,in TCM)is a common sequela following COVID-19 infection.Post-COVID-19,due to disease progression,mismanagement,or mistreatment,pathological factors can sink into shaoyang,resulting in a combination of phlegm and heat.Treatment strategies include modifications of Xiaochaihu Decoction(Minor Bupleurum Decoction)and Banxia Houpo Decoction(Pinellia and Officinal Magnolia Bark Decoction)for shaoyang syndrome with phlegmheat;Xiaochaihu Decoction combined with Wuling San(Five Substances Powder with Poria)for heat stagnation in shaoyang and upward surging of water;Maimendong Decoction for yangming deficiency with phlegm coagulation and qi accumulation;and modifications of Banxia Decoction(Pinellia Decoction)plus Mahuang Fuzi Xixin Decoction(Ephedra,Aconite and Asarum Decoction)for shaoyin syndrome with cold phlegm.This paper elaborates on the treatment of globus hystericus as a sequela of COVID-19 infection through four clinical cases,illustrating the application of classic prescriptions.

关 键 词：新型冠状病毒感染后遗症 梅核气 经方 验案 

分 类 号：R254.2[医药卫生—中医内科学] R255.9[医药卫生—中医学]