试从中医"疫毒夹湿"探讨新型冠状病毒肺炎(COVID-19)防治思路

To Explore the Prevention and Treatment of COVID-19 based on "Yidujiashi" theory

目的:探讨新型冠状病毒肺炎(COVID-19)的中医防治方法,为从"疫毒夹湿"角度治疗新型冠状病毒肺炎提供临床理论依据。方法:通过分析武汉地域气候特点,结合武汉红十字医院病例发病规律,查阅"疫病"相关文献,总结归纳中医防治新型冠状病毒肺炎的思路。结果:传统医学认为该病归属于中医"疫病"范畴,病机为疫毒袭肺,肺失宣降,邪热夹湿耗伤气阴。病位主要在肺,或兼在脾胃。治疗上可分期论治,注重宣降肺气,兼顾脾胃,同时养阴益气。通过养正辟邪等措施可以达到预防目的。结论:"疫毒夹湿"理论为中医治疗新型冠状病毒肺炎提供了新的思路,能够有效指导临床治疗的选方用药,但因病例和地域的局限性,需要进一步拓展思路与方法。

Objective: To explore a new type of prevention and treatment of COVID-19 with traditional Chinese medicine based on "Yidujiashi" theory, and provide a clinical theoretical basis. Methods: By analyzing the regional climate characteristics in Wuhan, combined with the pathogenic patterns of cases in Wuhan Red Cross Hospital, referring to the relevant literature of "epidemic disease", we summarized the idea of prevention and treatment of COVID-19 with traditional Chinese medicine. Results: In traditional Chinese medicine, this disease was classified as "epidemic disease" in traditional Chinese medicine, the pathogenesis of the disease is "Yiduxifei", "Feishixuanjiang" and "Xierejiashi, Haoshangqiyin". The disease mainly affected lung, as well as the spleen and stomach. In different clinical stages, different remedies were applied which focused on "Xuanjiangfeiqi" and "Yangyinyiqi", took into account the treatment of spleen and stomach. In preventive stage, "Yangzhengbixie" was often applied. Conclusion: The theory of "Yidujiashi" provides a new idea for the treatment of COVID-19 with Traditional Chinese medicine, it can effectively guide the choice of prescription for clinical treatment. However, further exploration should be done on new methods and ideas because of the limitations of cases and regions.