基于运气学说探析《脾胃论》升阳除湿法防治早期新型冠状病毒肺炎思路

Analysis on Thoughts of Elevating Yang and Removing Dampness Methods of Treatise on Spleen and Stomach in Preventing and Treating Early Corona Virus Disease 2019(COVID-19)Based on Theory of Circuit and Qi

中医学重视人与自然的整体联系,把人与自然看作密切相关的统一体,早在《黄帝内经》中就确定了“天人相应”的思想。根据运气学说推演,己亥年全年土运不及,岁末(终之气)脾虚最甚,形成了天地清气不升、浊气不降、阴阳不交的大环境。“人与天地相参”,内外相感,这种环境因素造成了人体脾虚湿重的状态。1232年(壬辰年)与2019年(己亥年)的气候环境相似,李东垣采用升阳除湿法治疗发生于1232年(壬辰年)的疫病,取得良好效果。新型冠状病毒肺炎患者发病早期多有脾虚湿重的症状,治疗上可借鉴李东垣《脾胃论》治疗疫病的思路,早期以升阳扶阳为主,健脾除湿为辅,兼以芳香辟秽。

Chinese medicine attaches great importance to the overall relationship between human and nature and regards human and nature as a closely related unity.Thought of“correspondence between nature and human”was established in Huangdi’s Inner Classic.According to theory of circuit and qi,earth circuit is inferior in the whole year of Jihai and the spleen deficiency is severest especially at the end of the year(the end of qi),forming the environment of clearing qi failing to ascend,turbid qi failing to descend,non-interaction between yin and yang.“People are related to the heaven and earth”,internal and external invasion in the environment causing the state of spleen deficiency with severe dampness.The climate in the year of 1232(Renchen year)was similar to that in the year of 2019(Jihai year).LI Dongyuan treated the epidemics occurred in 1232(Renchen year)by using the methods of elevating yang and removing dampness and achieved good results.In the early stage of Corona Virus Disease(COVID-19),most of the patients had symptoms of spleen deficiency with severe dampness.In the treatment of COVID-19,we can learn from LI Dongyuan’s thoughts of treating epidemics in Treatise on Spleen and Stomach.In the early stage,the main treatment was to elevate yang and reinforce yang,complemented by invigorating spleen,removing dampness and dispelling filth with aroma.