姜良铎从“气不摄津”认识新型冠状病毒肺炎

JIANG Liangduo’s Understanding on Novel Coronavirus Disease from “Qi Failing to Control Fluid”

介绍姜良铎教授对新型冠状病毒肺炎中医病因病机及治法的认识。提出"气不摄津"是其关键病机,气不摄津则肺中阴液化为痰湿,呈痰湿内阻、气阴外脱之危局。病位在肺,治疗关键即顾护胸中大气,强调早予补气之品;湿邪化燥毒邪上受,不可按中焦湿热病施治;慎用下法,血分药不可用之过早;顾护心肺之阳,慎用辛温重剂;若不出现内闭外脱之危候,湿热可分消走泄以缓图。

This paper introduces Professor JIANG Liangduo’s understanding on etiology,pathogenesis and treatment methods of coronavirus disease(COVID-19) in traditional Chinese medicine. It is proposed that "qi failing to control fluid"is the key pathogenesis. Qi failing to control fluid causes yin fluid in lung transforming into phlegmdampness,which presents the danger of internal blockade of phlegm-dampness and qi and yin deserting outwards. The disease is located in lung. The key to treatment is to protect major-qi in the chest and emphasize early application of medicines that invigorate qi. Dampness pathogen transforms into dryness with upper attack of toxin,and it can not be treated as disease of dampness-heat in middle jiao. Purgative method should be used with caution,and xuefen medicines should not be applied too early. Take care of heart and lung yang,and use pungent and warm heavy formula with caution. If there is no danger of internal blockade and external collapse,dampness-heat can be eliminated through purgation and diuresis to work slowly.