中医药防治重症新型冠状病毒肺炎的分析和思考

Analysis and thinking on traditional Chinese medicine in preventing and treating severe cases of novel coronavirus pneumonia

新型冠状病毒肺炎(简称"新冠肺炎")是新发疫病,对其重症患者的治疗尚无特效手段,且预后较差。在国家发布的《新型冠状病毒感染的肺炎诊疗方案(试行第六版)》中已倾向于以重症、危重症患者的救治为重点,并特别提出要发挥中医药的独特优势。各省、市、自治区也先后出台了相关诊疗方案和建议,且大多涉及到中医药对重症新冠肺炎的防治。为凝聚共识,在分析各地《新型冠状病毒感染的肺炎诊疗方案》中有关中医药防治重症新冠肺炎的辨证论治、用药规律等基础上,提出重症新冠肺炎的治疗需在中医理论指导下进行,并坚持中西医结合、重视中医"既病防变"理念、充分发挥中医药的综合治疗作用,且需尽快建立规范的中医证候、诊断及疗效判定标准,以期更好地发挥中医药的防治作用。

Novel coronavirus pneumonia(NCP)is a new outbreak infectious disease.There is no effective intervention for the severe patients,and their prognosis is poor.In the sixth edition of Novel Coronavirus Pneumonia Diagnosis and Treatment Program issued by the State,the treatment on severe and critical cases is emphasized and the application of traditional Chinese medicine(TCM)therapy is specially mentioned.Relevant diagnosis and treatment programs and suggestions are also issued in many provinces,cities and autonomous regions,mostly referring to TCM prevention and treatment on severe cases.Through the analysis on the syndrome differentiation and treatment and medication rules of TCM in preventing and treating severe cases of NCP,which published in different versions of Novel Coronavirus Pneumonia Diagnosis and Treatment Program,it is proposed that the treatment for severe and critical NCP cases should be performed under the guidance of Chinese medical theory,which focuses on the integration of TCM and modern western medicine,emphasizes the Chinese medical concept of"prevention of disease progress",and takes advantage of TCM comprehensive treatment.It is necessary to establish the standard of Chinese medical syndrome,diagnosis and efficacy evaluation as soon as possible,so as to better play the role of TCM in prevention and treatment.