由新型冠状病毒感染管窥肺系疫病之分期分型论治  

Discussion on staging and syndrome⁃based treatment of pulmonary epidemic diseases through lens of SARS⁃CoV⁃2 infection

作　　者：齐卓操 李小茜[1,2] 杨爱东 QI Zhuocao;LI Xiaoqian;YANG Aidong(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Institute of Infectious Disease and Biosecurity,Shanghai 200032,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海市重大传染病和生物安全研究院,上海200032

出　　处：《上海中医药杂志》2024年第10期41-47,共7页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1704100,2018YFC1704102);上海市科委市级科技重大专项“重大突发传染病防控关键核心技术研究”项目(ZD2021CY001,ZXS004R4-1)。

摘　　要：通过阐释肺系疫病“逆顺传变观”,提出了肺系疫病的潜伏期(未病)、发作期(顺传、逆传)、瘥后期(迁延、新病、恢复)三期演变规律;并结合新型冠状病毒感染病机演化,聚焦肺系疫病分期分型防治,提出了新型冠状病毒感染未病先防发、既病防逆传、瘥后防新病的防治策略。为未来可能发生的肺系疫病提供理论支撑,并进一步指导临床实践。By expounding the reverse and forward transmission pattern of pulmonary epidemic diseases,we propose a three-stage progression pattern:the latent period(pre-disease),the onset period(forward transmission,and reverse transmission),and the convalescence period(prolongation,neopathy,and recovery).Considering the pathogenesis progression of SARS-CoV-2 infection,our focus lies on staging and syndrome-based prevention and treatment of pulmonary epidemic diseases.Strategies for prevention and treatment of SARS-CoV-2 infection are suggested,including prevention prior to infection,prevention of reverse transmission during infection,and prevention of neopathies after recovery.The aim is to provide theoretical support for potential future pulmonary epidemic diseases and further guide clinical practice.

关 键 词：肺系疫病 新型冠状病毒感染 逆顺传变观 防治策略 中医药疗法 

分 类 号：R259[医药卫生—中西医结合]