基于五运六气理论浅析西北新型冠状病毒肺炎防治与用药规律

An analysis of the prevention and treatment of COVID-19 in Northwest China from the five movements and six Qi theory

文章运用《黄帝内经》“五运六气”理论探讨西北地区局部新型冠状病毒肺炎疫情发生机制、辨证基础及临床诊治思路、用药规律,发现此次西北地区疫情发生于辛丑年终之气,太阴湿土在天,太阳寒水在泉,气候整体寒湿为主,感染者多兼夹湿邪,治宜扶阳祛寒湿、健脾益肺。并且重点分析区域肺炎诊治与用药规律,遣方用药遵天时、顺时令,从天、人、邪辨证,依五运、六气特点制定,按四时非时之气或时气自病而遣方,依四时之气化裁疫病通治方取得较为满意的临床疗效,为疫情防控中医临床治疗提供参考。

This paper uses the five movements and six Qi(五运六气)theory in Huangdi Neijing(《黄帝内经》)to discuss the occurrence mechanism,differentiation,clinical diagnosis and treatment ideas,and medication rules of COVID-19 in Northwest China,and finds that the epidemic in Northwest China occurred in the Xinchou(辛丑)year-end Qi(气),the Yin(阴)and wet soil is in the sky,the sun is cold and cold in the spring,the climate as a whole is mainly cold and damp,and the infected people are mostly wet and evil.In addition,it focuses on the analysis of regional pneumonia diagnosis and treatment and medication rules,dispatches drugs in accordance with the heavenly and seasonal orders,distinguishes from heaven,people and evil,formulates according to the characteristics of the five movements and six Qi.According to the general treatment of gasification and epidemic disease at four times,it has achieved relatively satisfactory clinical efficacy,which provides a reference for the clinical treatment of TCM medicine for epidemic prevention and control.