从湿毒疫论治新型冠状病毒肺炎医案探析

Discussion on the Medical Records of COVID-19 from the Perspective of Dampness-Toxin Epidemic Disease

新型冠状病毒肺炎属于中医疫病范畴。通过对两则临床医案的辨析,认为其主要病机为湿毒为患,有寒湿和湿热之分,早期以寒湿为主,日久向湿热发展;亦有平素湿热体质者,疾病初期即表现为湿热证。病位主要在肺与脾,以化湿解毒为主要治疗大法,除了散寒除湿、清热化湿之外,还需要注意条畅气机、活血化瘀、健脾益气等法,忌过用辛温、柔腻、寒凉之品。初期恶寒者还需与伤寒表证相鉴别。

COVID-19 is thought to be one kind of epidemic diseases in traditional Chinese medicine.Through the discrimination of two clinical cases,the authors thought COVID-19 was characterized by dampness-toxin as the etiology accompanied with cold or heat.Most patients suffered from cold-dampness symptoms at the beginning and then heat-dampness.However,when it came to the patients inborn with dampness-heat constitution,dampness-heat symptoms were the main clinical manifestation at the initial period.It usually attacked human's lung and spleen.Dispelling dampness and resoling toxin was the main therapeutic method.In addition to dissipating cold to eliminate dampness and clearing heat to dispel dampness,there were other applicable methods,such as promoting qi movement,activating blood to dissolve stasis,tonifying spleen to boost qi.What's more,something pungent,warm,soft,moist,cold and cool should all be avoided.Over and above,it was significant to differentiate patients'aversion to cold early in COVID-19 to exterior patterns in cold.