中西医结合辨治新型冠状病毒肺炎理论分析与临床实践

Theoretical Analysis and Clinical Practice of Differentiation and Treatment of the Novel Coronavirus Pneumonia by Integration of Traditional and Western Medicine

新型冠状病毒肺炎(COVID-19)属中医“疫病”范畴,病因主要有感受疫疠之气和正气亏虚2个方面。基本病机为感受疫疠,上焦受邪,正气亏虚,三焦传变。病位在肺,与脾、心、肝、肾相关。病理性质涉及湿、毒、热、瘀、虚、闭。治疗可采用三焦辨证为主,结合卫气营血辨证、六经辨证、脏腑辨证进行施治。或参照国家卫生健康委员会第五版《新型冠状病毒肺炎诊疗方案》进行辨证论治,遵循吴又可《瘟疫论》“逐邪为第一要义”的观点,重视祛湿、扶正、专病专方的运用。

The Coronavirus Disease 2019(COVID-19)falls into the category of“epidemic disease”in TCM.The main causes are virus infection and vital Qi deficiency.The basic pathogenesis are pestilenceinfection,affected upper jiao,vital Qi deficiency and Sanjiao transmission.The location of the disease is in the lung,which is closely related to the spleen,heart,liver and kidney.The pathomechanism involves dampness,toxin,heat,blood stasis,deficiency and blockade.Sanjiao syndrome differentiation,along withWei,Qi,Ying,Xue syndrome differentiation,six channel theory differentiation and Zang,Fu syndrome differentiation should be adopted in the treatment.The fifth edition of Diagnosis and Treatment Scheme of Novel Coronavirus Pneumonia could be followed in syndrome differentiation,the viewpoint of WU Youke′s theory in Wenyi Lun of“dispel pathogen as the top priority”should be followed and dampness dispelling,vital Qi strengthening and fixed formula utilizing should be emphasized.