新型冠状病毒肺炎(COVID-19)中医药防治的思考

Thoughts on prevention and treatment of coronavirus disease 2019(COVID-19) by traditional Chinese medicine

对2019年底于中国武汉发现并蔓延到全球的新型冠状病毒肺炎(coronavirusdisease2019,COVID-19)的疾病范畴、病邪性质和疾病发展进行阐述,鉴于中医药在历年来"瘟疫"中的应用,分析了中医药在此次COVID-19疾病中的治疗优势,即"扶正祛邪,以不变应变"和"辨证施治,以变应变",减少因激素等药物带来的后遗症,降低患者病死率等。并提出应用清热解毒类中药发挥其对COVID-19未感染者的预防优势;早期介入,通过抑制"细胞因子风暴"控制疾病向重症发展;根据"卫气营血辨证"理论指导临床辨证分型,发挥中医药防治COVID-19的个体化优势;关注COVID-19中药防治中的合理用药问题;收集临床真实世界数据,中医药为主,中西医结合,获得中西医结合防治COVID-19数据库等思路。

The etiology and pathogenesis of coronavirus disease 2019(COVID-19),which was discovered in Wuhan in late 2019 and has spread to the world,were expounded.In view of the application of traditional Chinese medicine(TCM)in the plague over these years,the therapeutic advantages of TCM in different stages of COVID-19 were expounded as"strengthening body resistance and eliminating evil,meeting changes with constancy","Syndrome differentiation and treatment,meeting change with variance",with aim to reduce the sequelae caused by hormone and other drugs and the mortality.It is suggested that Chinese medicine of clearing heat and removing toxin should be used to prevent the uninfected people from COVID-19,and intervene in the early stage of the disease and control the development of it to be severe by inhibiting the"cytokine storm".In order to refine the dialectical classification according to the theory of"defensing-qi-nutrient-blood syndrome differentiation",to give full play to the individual advantages of TCM in the prevention and treatment of COVID-19.We should pay attention to the rational use of TCM in the prevention and treatment of COVID-19,collect the real world clinical data,and integrate TCM and Western medicine with TCM as the main part.The COVID-19 database of integrated TCM and Western medicine can be used to prepare for the prevention and treatment of COVID-19.