温病学理论指导下的新型冠状病毒肺炎诊治刍议

Discussion on the application of febrile disease theory to the diagnosis and treatment of COVID-19

基于温病学理论,探讨新型冠状病毒肺炎的中医病因病机与诊治思路。温病学说源于明清之前的历代中医理论积累,经过长期的温热病防治实践而形成,其对于外感热病(包括烈性传染病)的病因病机、证治方药有着较为系统的论述,近年来在我国的新发传染病防治中发挥出积极的作用。温瘟相通,瘟疫病因多为热毒疫邪,表现为热证阳证,可按温病学中的卫气营血或三焦辨证分期论治,或治以吴又可、庞安时等的经方验方,这些因、机、证、治理论可试用于新型冠状病毒肺炎的中医诊疗。且肺与大肠相表里,胃肠道也是新型冠状病毒侵袭或繁殖的部位,采用中医清热通下之法,使邪从肠道而出,可能是减轻体内病毒感染与肺脏炎症的一种途径。

To discuss the etiology, pathogenesis, diagnosis and treatment of COVID-19 based on the theory of febrile diseases. The theory of febrile diseases, derived from the accumulation of TCM classical theories and developed through the practice of plague prevention and treatment, has a systematic discussion on the etiology, pathogenesis, pattern identification and treatment of exogenous febrile diseases including virulent ones. It also has played an active role in the prevention and treatment of novel infectious diseases in China in recent years. "Warm-febrile diseases" and "plague" are interlinked. Plagues are mainly caused by heat toxin and epidemic pathogens, manifested as heat pattern and yang pattern, and can be treated according to the disease stages differentiated by "Wei-Qi-Ying-Xue or "Sanjiao" pattern identification methods, or treated with the prescriptions from famous ancient doctors such as Wu Youke and Pang Anshi, etc. These theories related to causes, mechanism, patterns and treatment may be helpful for the TCM diagnosis and treatment of COVID-19. In addition, the lungs and large intestine form an exterior and interior relationship, and the gastrointestinal tract is also the place where SARS-CoV-2 invades or proliferates, it may be a way to reduce virus infection and lung inflammation in the body by adopting the TCM method of clearing heat and dredging the lower part to give pathogenic factors a way out from the bowels.