基于中医扶正祛邪法治疗新冠病毒感染恢复期失眠  

Treatment of Insomnia In Convalescent Period of COVID-19 Based on Method of Invigorating Body and Expelling Pathogenic Factors in Traditional Chinese Medicine

作　　者：梁双琴 徐少君 张金艳[3] 李贻奎[2] LIANG Shuangqin;XU Shaojun;ZHANG Jinyan;LI Yikui(Shanxi University of Chinese Medicine,Taiyuan 030024,Shanxi,China;Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijng 100091,China;Institute of Basic Medical Research,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing Key Laboratory of Traditional Chinese Medicine Pharmacology,Beijng 100091,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]中国中医科学院西苑医院预防保健科,北京100091 [3]中国中医科学院西苑医院基础医学研究所,北京市中药药理重点实验室,北京100091

出　　处：《辽宁中医杂志》2024年第10期1-3,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81973515);中国中医科学院科技创新工程重大攻关项目(CI2021A00608)。

摘　　要：新型冠状病毒属于中医“疫”病范畴,其病邪为湿邪,湿性黏滞,故新型冠状病毒感染后缠绵难愈。新型冠状病毒感染恢复期余邪未清,正气不足,余邪则为湿、热、痰、瘀、燥、寒等邪气,正虚表现为气虚及阴虚。在身体虚弱以及情绪的影响下,新型冠状病毒感染恢复期患者易出现失眠。与普通失眠相比,新型冠状病毒感染恢复期失眠患者有感邪病史,且身体虚弱,因此在治疗时首先应注意扶助正气,祛除邪气,故使用补气及滋阴药物以扶正,祛/化/利湿、清热、化痰、散瘀药物以祛邪;最后同普通失眠治法相同,使患者身体阴平阳秘,气血调和,脏腑功能恢复正常,阴交于阳,改善睡眠。Corona virus disease 2019(COVID-19)belongs to the category of“epidemic”disease in traditional Chinese medicine.Its pathogenic factor is dampness which is sticky and stagnant in nature and so COVID-19 is lingering and difficult to heal.During the recovery period,the residual evil is not cleared and the healthy Qi is not enough.The residual evils include dampness,heat,phlegm,blood stasis,dryness and cold,and the healthy Qi is deficient in Qi and Yin.Under the influence of physical weakness as well as emotion,the patients in the recovery period are prone to develop insomnia.Compared with ordinary insomnia,the patients with insomnia in the recovery stage of COVID-19 have a history of attacking by evils and are weak.Therefore,in treatment,the first thing is to pay attention to supporting the healthy Qi and eliminate evils.Qi-tonifying and Yin-nourishing drugs should be used to strengthen the body,and dampness-dispelling,heat-clearing,phlegm-resolving and stasis-dispersing drugs should be used to eliminate evils.Finally,the treatment should follow the same method as the regular insomnia,making the balance of Yin and Yang as well as the harmony of Qi and blood of the patients.The functions of Zang-Fu organs can be normal and the sleep can be improved.

关 键 词：失眠 新冠病毒感染 恢复期 扶正祛邪 

分 类 号：R249[医药卫生—中医临床基础]