新型冠状病毒肺炎的中医温病观

View of COVID-19 Based on Warm Disease of Traditional Chinese Medicine

基于中医温病理论,结合临床反馈信息,系统探讨了新型冠状病毒肺炎的病名、病因、病机、治法及预防。本病宜命名为“温疫”或“伏暑”;病因是杂气,具体为外有风热疫毒侵袭,内有湿热疫毒蕴中,属多因素戾气;病机为初起卫气同病,继则气分湿热,有湿重于热、湿热并重、热重于湿之分。湿邪化燥者,可有营血分传变,后期可伤阴,也可伤阳。病位在肺脾;治以温病理论立法处方,提出宣畅肺气、寒温并施、宜用芳香的治法;归纳“三早”“四护”的预防方法。

Based on the warm disease theory of traditional Chinese medicine(TCM)and combined with the clinical information about COVID-19,the TCM name,cause,pathogenesis,treatment and prevention of COVID-19 were systematically discussed in this paper.In TCM,the COVID-19 can be named“Wenyi(pestilence,瘟疫)”or“Fushu(latent summerheat,伏暑)”.The cause of the disease is mixed pathogenic qi.More specifically,it is an epidemic pathogen with multiple factors,including the external attack by wind-heat epidemic pathogen and internal accumulation of dampness-heat epidemic pathogen in the spleen.For the pathogenesis,at the beginning,the disease is in both defense and qi aspects,then it transforms into dampness-heat in qi aspect which manifests as more dampness with less heat,or dampness equal to heat,or more heat with less dampness.If the dampness transforms into dryness,the disease can transforms into nutrient and blood aspects.In the late stage,the disease can damage both yin and yang.The location of COVID-19 is in the lung and the spleen.Based on the warm disease theory,the treatment and prescription for the disease can be summarized as diffusing lung qi,using both cold and warm medicines and dispelling filth with aroma.For prevention,the“Three Early”and“Four Protecting”is proposed.