试从中医角度认识2019新型冠状病毒肺炎

Understanding of 2019 novel coronavirus pneumonia from the perspective of traditional Chinese medicine

2019新型冠状病毒肺炎属于中医疫病范畴,临床表现以发热、乏力、干咳为主,少数患者伴有鼻塞、流涕、腹泻等症状,其病位在肺,总的病机为湿郁于肺,治疗的关键环节是尽早正确及时除湿,通腑泄浊。依据四诊合参、审症求因,初步提出分期辨证论治:初期、中期、重症期、恢复期,在临证时需要个体化的中医治疗方案治疗本次疫病。未感染者要早预防,已感染者要早发现、早隔离、早诊断、早治疗。

The 2019 novel coronavirus pneumonia belongs to "yibing" in traditional Chinese medicine. The clinical manifestations of the patients with novel coronavirus pneumonia are fever,fatigue and dry cough,while a few patients have symptoms such as nasal congestion,runny nose,and diarrhea. The disease is located in the lung and the pathogenesis is that the dampness resist in the lung. The key step in treatment is to remove the dampness and discharge the turbidity. Based on the principle of the comprehensive analysis of four examinations,the examination of the cause of the disease and identification according to the etiology,we classify the disease as four stages:early,middle,severe,recovery. The patients should be treated with different and personal prescription by syndrome differentiation. Those who are not infected need to be prevented early,while those who are already infected must be detected,isolated,diagnosed and treated early.