薛氏扶阳逐湿汤化裁治疗36例核酸转阴困难新型冠状病毒肺炎患者的临床观察

Clinic Observation of 36 COVID-19 Patients Whose Nucleic Acid Testing Was Turned Negative After Treatment with“Xue s Fu Yang Zhu Shi Decoction Cutting”

为分析36例新型冠状病毒肺炎(Corona virus Disease 2019,COVID-19)核酸检测转阴困难病例的情况,本试验对比和分析其年龄、症状、部分检查检验数据,探讨这类病例的中医病因、病机,同时分析薛氏扶阳逐湿汤化裁治疗的有效性.结果表明,对36例新型冠状病毒肺炎患者遵照国家卫生健康委印发的《新型冠状病毒肺炎诊疗方案》中西医结合治疗方案进行治疗后,临床表现、检查指标有所改善,但核酸检测转阴困难;加用薛氏扶阳逐湿汤化裁治疗后,新型冠状病毒核酸检测成功转阴,达到出院标准.由此可见,薛氏扶阳逐湿汤化裁治疗新型冠状病毒肺炎后期“正虚邪恋”“湿中少阴之阳”转阴困难病例,有确切疗效,这为更多中医医者治疗烈性呼吸系统传染病提供“扶阳袪邪”的理论参考.

In this study,the age,symptoms and part of the examination data of 36 COVID-19(corona virus disease 2019)cases with difficulty in nucleic acid testing(NAT)were compared and analyzed,and the traditional Chinese medicine(TCM)etiology and pathogenesis of the disease were discussed.The effectiveness of“Xue s fu yang zhu shi decoction cutting s treatment”was evaluated.The result showed that after treatment of the patients in accordance with the therapy project of combining traditional Chinese and western medicine stipulated in Diagnosis and Treatment Protocol for COVID-19(Trial Version 7)published by National Health Commission of PRC,their clinic performance and testing indicators were improved,and after treatment with“Xue s fu yang zhu shi decoction cutting”,the corona virus nucleic acid test successfully turned negative,satisfying the criteria of discharge from the hospital.Thus it can be seen that treatment of COVID-19 patients who suffer from“TCM syndrome of vital energy deficiency with evil-lingering”and have difficulty in nucleic acid testing in the later stage of treatment does have some curative effect,thus providing theoretical reference for TCM physicians to strengthen vital energy and eliminate pathogenic factors in combating deadly respiratory infectious diseases.