穴位贴敷辅助治疗新型冠状病毒肺炎初探

Exploration into Acupoint Application as Adjuvant Therapy in Treating COVID-19

新型冠状病毒肺炎(简称新冠肺炎)核心病机为"湿、毒、瘀、闭",病位在肺、脾,具有传染性强、传染无差别性、症状相似性的特点。目前,大多医家认为,新冠肺炎的病机与湿邪密切相关,湿毒是其病理核心。笔者认为,其湿邪分为内外夹湿,外湿来源于气候和地理,内湿来源于饮食和机体。新冠肺炎的病机虽与湿、毒、瘀相关,但有寒热之分。因此,对于新冠肺炎的穴位贴敷治疗,临床应根据证型的不同而选取不同的穴位与中药。湿热型常用穴位:肺俞、定喘、曲池、合谷、外关、天突、丰隆穴,常用药物:黄柏、黄芩、干鱼腥草、白芥子,以上药物用蜂蜜调成膏状。寒湿型常用穴位:肺俞、定喘、足三里、膈俞、脾俞、大椎,常用药物:白芥子、细辛、甘遂、吴茱萸,以上药物用生姜汁调和。

The core pathogenesis of novel coronavirus pneumonia(COVID-19)is"dampness,toxicity,blood stasis and blockage".The location of the disease is in the lung and spleen,and is characterized by strong infection,no difference in infection and similar symptoms.At present,most doctors believe that the pathogenesis of COVID-19 is closely related to dampness pathogens.The author of this article thinks that dampness pathogens can be divided into internal and external dampness.External dampness comes from climate and geography,while internal dampness comes from diet and body itself.Though the pathogenesis of COVID-19 is related to dampness,toxicity,blood stasis,it has the distinction between cold and heat.Therefore,for its acupoint application,we should choose different acupoints and Chinese medicineals according to different syndrome types.For damp heat syndrome,the commonly used acupoints include Feishu(BL 13),Dingchuan(EX-B1),Quchi(LI 11),Hegu(LI 4),Waiguan(SJ 5),Tiantu(RN 22)and Fenglong(ST 40).The commonly used Chinese medicineals include Huangbai(Cortex Phellodendri Chinensis),Huangqin(Radix Scutellariae),dry Yuxingcao(Herba Houttuyniae),and Baijiezi(Semen Sinapis).The above medicinals should be made into paste with honey.For cold damp syndrome,the commonly used acupoints include Feishu(BL 13),Dingchuan(EX-B1),Zusanli(ST 36),Geshu(BL 17),Pishu(BL 20),and Dazhui(DU 14).The commonly used Chinese medicineals include Baijiezi(Semen Sinapis),Xinxi(Radix et Rhizoma Asari),Gansui(Radix Kansui),and Wuzhuyu(Fructus Evodiae).The above medicinals should be mixed with ginger juice.