严兴茂运用柴胡加龙骨牡蛎汤辨治新冠感染后心悸经验  

Experience of YAN Xingmao Using Modified Chaihu and Longgu Muli Decoction in Syndrome Differentiation and Treatment of Palpitation After Novel Coronavirus Infection

作　　者：蔡婧 严兴茂(指导)[2] 文金荣 CAI Jing;YAN Xingmao;WEN Jinrong(Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou 550025,China;Zunyi Hospital of Traditional Chinese Medicine,Zunyi Guizhou 563000,China)

机构地区：[1]贵州中医药大学,贵州贵阳550025 [2]遵义市中医院,贵州遵义563000

出　　处：《新中医》2025年第4期9-12,共4页New Chinese Medicine

摘　　要：心悸是新型冠状病毒感染后的常见症状。严兴茂主任医师认为,新型冠状病毒感染后心悸的核心病机为三阳合病,即太阳表证、少阳半表半里证及阳明里证同时存在。临证时根据三阳合病理论辨治,施以三阳同治,以开太阳之表、和解少阳枢机及清阳明之里为治疗大法,遣柴胡加龙骨牡蛎汤随证化裁或随症加减,临证疗效显著。Palpitation is a common symptom after novel coronavirus infection(COVID-19).Chief physician YAN Xingmao believes that the core pathogenesis of palpitation after COVID-19 is the triple-yang combination of diseases,that is,the coexistence of the taiyang exterior syndrome,the shaoyang half-exterior half-interior syndrome,and the yangming interior syndrome.In clinical practice,syndrome differentiation should start with the theory of triple-yang combination of diseases,and the treatment should focus on the triple-yang simultaneously.The main treatment methods should aim to relieve the taiyang exterior,harmonize shaoyang pivot,and clear the yangming interior.Chaihu and Longgu Muli Decoction should be modified according to the changes in syndrome or symptoms,thus,significant clinical effects can be achieved.

关 键 词：新型冠状病毒感染 心悸 长新冠综合征 三阳合病 柴胡加龙骨牡蛎汤 

分 类 号：R256.21[医药卫生—中医内科学] R249[医药卫生—中医学]