基于历代新安医家抗疫经验指导新型冠状病毒肺炎防治实录

Guidance on the Prevention and Treatment of COVID-2019 based on the Past Experience of Xin’an Physicians

通过梳理总结历代新安医家在疫病方面的防治经验,结合国家及各地的诊疗经验,分析新冠肺炎流行病学特征及病因病机,根据“三因制宜”原则,形成《黄山市新冠肺炎中医药预防治疗工作方案》,应用于安徽省黄山市抗击新冠肺炎疫情实践。截止2020年3月6日,黄山市确诊病例全部为输入性,未发现二代感染者、无症状感染者,且经过治疗均已达到出院指标,予出院居家隔离观察,其中6例已满隔离观察期,解除居家隔离,未发生出院患者核酸检测复阳病例。对抗击新冠肺炎疫情一线工作者、密切接触者进行中药茶饮干预,效果明显,无新增感染。认为,黄山市新冠肺炎中医证型以湿邪郁肺为主,病理因素与湿、热、毒、瘀、虚相关,湿重于热。病程发展过程中易湿邪伤脾及湿郁化火伤阴,后期应注意扶助肺脾及固护阴液。一线工作者饮用预防茶饮后症状大多有改善,其体质整体以平和质为多,目前的预防茶饮较为合适。

By combing and summarizing the history of epidemic prevention and treatment of Xin’an doctors of different ages,combining the experience of diagnosis and treatment in countries and regions,the epidemiological characteristics and etiology and pathogenesis of new coronary pneumonia were analyzed.Based on the“three-cause measures”principle,the“Work Plan for the Prevention and Treatment of New Crown Pneumonia in Traditional Chinese Medicine in Huangshan City”was formed and applied to the practice of combating the new crown pneumonia in Huangshan City,Anhui Province.As of March 6,2020,all confirmed cases in Huangshan City were imported,no second-generation infections,asymptomatic infections were found,and all patients had reached the discharge index after treatment.They were discharged for home observation.6 patients of them had completed the isolation observation period,and their home isolation was lifted.No positive case was detected in patients discharged from the hospital.The intervention of Chinese herbal tea against front line workers and close contacts against the new crown pneumonia epidemic had obvious effects and no new infections.The pattern of TCM syndromes in Huangshan City’s new crown pneumonia mainly consists of dampness and depression,and pathological factors are related to dampness,heat,poison,stasis and deficiency,and dampness is more than heat.In the course of the development of the disease course,the spleen is easily wet and the spleen is dampened and the yin is dampened,and the yin is injured.In the later period,care should be taken to help the lungs and spleen and solidify the yin.Most front-line workers have improved their symptoms after drinking preventive tea,and their constitution is generally more peaceful.The current preventive tea is more suitable.