基于湿热病邪的热带地区COVID-19中医治疗思路分析

Analysis of treatment strategies of traditional Chinese medicine for COVID-19 in tropical regions based on the pathogens of dampness and heat

目的:总结热带地区新冠肺炎(Corona Virus Disease 2019,COVID-19)湿热病邪的治疗思路;方法:针对热邪,基于病位分析热在卫表,热邪壅肺,热炽阳明的不同,基于病程进展分析热盛成毒及壮火食气的疾病阶段。针对湿邪,基于病位分析表湿、里湿的区别,分析湿邪的特殊病位—湿伏膜原及湿性黏滞所致干咳少痰的特殊症状。结果:分别总结出了针对热邪和湿邪的治疗思路。结论:热带地区湿热病邪较盛,临床治疗需要做到辨证论治。

Objective: To summarize the treatment strategies of Traditional Chinese Medicine(TCM)for COVID-19 in tropical regions based on the pathogens of dampness and heat;Methods: For heat pathogen,the study analyzed heat in the superficies,lung and Yang Ming based on the different locations.Based on the progress of the disease,analysing the stage of toxin and Qi deficency induced by heat.For dampness pathogen,analysing endogenous and external dampness based on the different locations.Analysing dampness pathogen's special disease location-Moyuan and special symptom of dry cough with less sputum caused by sticky and stagnant characteristic of dampness.Results: The treatment strategies for heat and dampness pathogen were summarized.Conclusion: In the tropics,the pathogens of dampness and heat occur frequently and clinical treatments need to be dialectical.