基于“三消除湿戾”角度探析国医大师刘志明论治新型冠状病毒肺炎的方药策略

Exploration on Prescription Strategy of LIU Zhiming Treating COVID-19 Based on “Three Eliminating Methods of Treating Dampness and Epidemic”

自新型冠状病毒感染肺炎疫情发生以来,在中医药早介入、早干预、早治疗的前提下,疫情目前已经得到了良好的控制。国医大师刘志明认为此次新冠肺炎疫病总体属于"湿温时疫"大规模流行,并且在诊疗中认为新冠肺炎主要为"乖戾之气"兼夹"湿邪"侵袭人体所致,提倡应用出自《瘟疫论·瘟疫初起》的"三消饮"加减进行治疗以除湿邪、祛戾气、化痰饮。刘老还认为对于新冠肺炎的辨治还应当遵循"辨湿与热孰轻孰重不可盲目用药、辨病位及病邪之浅深层次不可盲目诊断、辨证候之虚实变化不可盲目处方"的三大要点。并且在疾病后期还应当注重调节脏腑之气机以恢复人体正常机能。该文将国医大师刘志明从"三消除湿戾"角度论治新冠肺炎思路和方药策略进行了深入的阐释,以期对新冠肺炎的中医临床治疗提供一定的思路。

Since the outbreak of COVID-19,the epidemic has been well controlled under the premise of early intervention and early treatment.The national medical master LIU Zhiming believes that COVID-19 is a large epidemic of“damp-heat epidemic”.In the diagnosis and treatment,COVID-19 is mainly“epidemic pathogenic factors”and the“damp evil”attacking the human body.We advocate the application of modified Sanxiaoyin(三消饮)from the“plague theory and the early onset of plague”to treat dampness,dispel the epidemic pathogenic factors and dissipate phlegm.LIU also believes that COVID-19 treatment should follow three key points:“distinguishing dampness and heat and not blindly using drugs;identifying the location of disease and levels of pathogenic factors and do not blindly diagnose;the changes of syndrome and deficiency can not be blindly prescribed”.In the later stage of the disease,we should also pay attention to regulating Qi of Zang-Fu organs to restore the normal function of the human body.LIU Zhiming′s COVID-19 prescription and medicine strategy was deeply explained from the perspective of“three elimination methods of dampness and epidemic pathogenic factors”in order to provide certain ideas for the clinical treatment of COVID-19.