“肺与大肠相表里”理论在重型新型冠状病毒肺炎治疗中的应用探讨

Application of the theory of “lung and intestine forming an exterior and interior relationship” to the treatment of severe COVID-19

从"肺与大肠相表里"角度,探讨肺肠同治在重型新型冠状病毒肺炎(COVID-19)临床诊疗中的意义。结合新型冠状病毒肺炎的发病特点及临床症状特点,认为胃肠道症状是除呼吸道症状外的又一主要表现,尤其在重型患者中,肺肠同治收效尤为明显。从中医理论、现代机制研究方面,阐述重型新冠肺炎患者肺肠同治的合理性与可行性。适用于重型新冠肺炎肺肠同治的代表方有承气汤类(包括大承气汤、小承气汤、调胃承气汤、宣白承气汤)、凉膈散、升降散等。

The clinical significance of treating the lung and intestine together in severe coronavirus disease 2019(COVID-19)was explored from the perspective of "lung and large intestine forming an exterior and interior relationship". According to the onset characteristics and clinical symptoms of COVID-19, gastrointestinal symptoms were another major manifestations besides respiratory symptoms. The effect of simultaneous treatment of both the lung and intestine was especially significant in severe cases. Furthermore, the rationality and feasibility of simultaneous treatment of the lung and intestine for severe COVID-19 was expounded from the aspects of traditional Chinese medicine theory and modern medicine mechanism research. Representative TCM prescriptions for treating both the lung and intestines including Chenqi decoctions(Da Chenqi decoction, Xiao Chenqi decoction, Tiaowei Chenqi decoction and Xuanbai Chenqi decoction), Liangge powder and Shengjiang powder, etc., can be used in the treatment of severe COVID-19.