敦煌古医方分型辨治新型冠状病毒感染后遗症经验  

Experience in treating sequelae of novel coronavirus infection with Dunhuang ancient medical prescriptions

作　　者：屈宏德 李应存[1] QU Hongde

机构地区：[1]甘肃中医药大学,甘肃兰州730000

出　　处：《中医临床研究》2024年第22期106-110,共5页Clinical Journal Of Chinese Medicine

基　　金：国家中医药管理局十二五重点学科敦煌医学学科(DHYXXK2024)。

摘　　要：敦煌医方约1000余首,内容丰富,组方精良,配伍严谨,具有很高的临床价值。李应存教授为国家中医药管理局“十二五”重点学科敦煌医学学科带头人、甘肃省名中医、我国著名敦煌医学专家、敦煌医派代表人物。新型冠状病毒感染后遗症是指感染新型冠状病毒后出现的未随着核酸检测转阴而消失的症状,如咳嗽、疲乏、脱发、失眠等。李应存教授认为新型冠状病毒感染后遗症患者由于正气不足,虽邪势基本已去,但疫邪日久,耗伤气血,影响肺、心、脾、肾等脏腑功能的正常发挥,多为正虚邪恋。李教授临证将咳嗽、咽痛为主症的患者辨为肺气不宣证,将乏力、脱发为主症的患者辨为脾肾两虚证,将失眠、健忘为主症的患者辨为心神失养证。针对肺气不宣证,李教授运用敦煌紫苏煎合疗风虚瘦弱方加减以宣肺祛邪;针对脾肾两虚证,李教授运用敦煌大补肾汤合疗风虚瘦弱方加减以补益脾肾;针对心神失养证,李教授运用敦煌神妙补心丸加减以养心安神。以上方法均获得了较好疗效。研究结合案例,介绍李教授运用敦煌古方治疗新型冠状病毒感染后遗症经验,以期为临床提供参考。需要注意的是,新型冠状病毒感染亦会导致其他症状,如性功能减弱等,临证有待进一步探讨与研究。There are about one thousand Dunhuang ancient medical prescriptions(敦煌古医方),which are rich in content and involve the treatment of various diseases,and have high clinical practical value.Professor LI Yingcun is the leader of Dunhuang Medical discipline in the“Twelfth Five-Year Plan”key discipline of the State Administration of Traditional Chinese Medicine,a famous TCM in Gansu Province,a famous Dunhuang medical expert in China,and a representative of Dunhuang medical school(敦煌医派).Common sequelae of novel coronavirus infection include cough,fatigue,hair loss,insomnia and other symptoms.Professor LI Yingcun believes that patients with sequelae of novel coronavirus infection suffer from deficiency of healthy Qi(气).Although the pathogens have basically disappeared,they have been ill for a long time and have lost blood,which has affected the normal function of lungs,hearts,spleens,kidneys and other viscera.Professor LI identified cough and sore throat as deficiency of lung Qi,weakness and alopecia as deficiency of spleen and kidney,insomnia and forgetfulness as deficiency of heart blood.For lung Qi deficiency syndrome,the Dunhuang Zisu decoction(敦煌紫苏煎)with the Liao Fengxu Shouruo prescription(疗风虚瘦弱方)was used to promote lung and eliminate the pathogenic factors.For spleen and kidney deficiency syndrome,the Dunhuang Dabushen decoction(敦煌大补肾汤)with the Liao Fengxu Shouruo prescription was used to supplement spleen and kidney.For blood deficiency syndrome,Dunhuang Shenmiao Buxin Wan(敦煌神妙补心丸)was used to nourish heart and calm the mind.The above methods have achieved good curative effects.This paper introduces Professor LI's experience in treating sequelae of novel coronavirus infection with Dunhuang ancient prescription combined with cases,in order to provide reference for clinical practice.It should be reminded that there are some limitations in the treatment of the sequelae of novel coronavirus infection based on syndrome differentiation of traditional

关 键 词：敦煌医方 临床应用 新型冠状病毒感染后遗症 

分 类 号：R256.1[医药卫生—中医内科学]