从脾胃探讨新型冠状病毒肺炎的诊治

Diagnosis and Treatment of COVID-19 from Spleen and Stomach

新型冠状病毒肺炎(corona virus disease 2019,COVID-19)为湿温,并非寒疫,以清热祛湿、宣畅气机为治疗大法,宜遵循宣上、畅中、渗下的治疗原则。结合临床实践,提出经验1号方和2号方。1号方[炙麻黄6 g,金银花30 g,连翘15 g,草果10 g,厚朴20 g,槟榔20 g,藿香15 g,佩兰10 g,白豆蔻10 g,杏仁10 g,薏苡仁30 g,滑石(包煎)30 g,生甘草6 g]用于治疗COVID-19湿重热轻证。2号方[生麻黄6 g,连翘20 g,金银花30 g,草果10 g,槟榔20 g,厚朴20 g,藿香15 g,佩兰10 g,知母10 g,黄芩10 g,黄连6 g,桑白皮15 g,葶苈子30 g,牛蒡子10 g,白芍20 g,滑石(包煎)30 g,生甘草10 g]用于治疗COVID-19湿热并重证。

Corona virus disease 2019(COVID-19)is damp warm,not cold epidemic.The main treatment method is to clear heat and dampness,and to ventilate qi movement,and it is advisable to follow the principles of treatment of ventilating Shangjiao,Unblocking Zhongjiao,and diffusing Xiajiao.Combining with clinical practice,experience No.1 Prescription and No.2 Prescription 2 are proposed.No.1 Prescription [Zhimahuang(processed Ephedra sinensis)6 g,Jinyinhua(Honeysuckle)30 g,Lianqiao(Forsythia) 15 g,Caoguo(Amomum tsao-ko) 10 g,Houpo(Mangnolia officinalis) 20 g,Binglang(Areca catechu) 20 g,Huoxiang(Agastache rugosus) 15 g,Peilan(eupatorium) 10 g,Baidoukou(Amomum cardamomum) 10 g,Xingren(Semen Armeniacae Amarum) 10 g,Yiyiren(Semen Coicis) 30 g,Huashi(Talcum)(wrap-boiling) 30 g,Shenggancao(raw liquorice) 6 g] is used for the treatment of COVID-19 with the syndrome of dampness heavy and heat light.No.2 Prescription [Shengmahuang 6 g(raw Herba Ephedrae),Lianqiao(Forsythia) 20 g,Jinyinhua(Honeysuckle)30 g,Caoguo(Amomum tsao-ko) 10 g,Binglang(Areca catechu) 20 g,Houpo(Mangnolia officinalis) 20 g,Huoxiang(Agastache rugosus) 15 g,Peilan(eupatorium) 10 g,Zhimu(Rhizoma Anemarrhenae) 10 g,Huangqin(Scutellaria baicalensis) 10 g,Huanglian(Rhizoma Coptidis) 6 g,Sangbaipi(Cortex Mori) 15 g,Tinglizi(Semen Descurainiae) 30 g,Niubangzi(Fructus Arctii) 10 g,Baishao(Radix Paeoniae Alba) 20 g,Huashi(Talcum)(wrap-boiling) 30 g,Shenggancao(raw liquorice) 6 g]is used for the treatment of COVID-19 with the syndrome of equal severity of dampness and heat.