“扶正祛邪”辨治新型冠状病毒肺炎思路

Thinking of Strengthening the Body and Dispelling Pathogenic Factors in Treating COVID-19 Pneumonia

探讨扶正祛邪辨治新型冠状病毒肺炎基本思路。新冠肺炎内有伏燥,外为寒湿所困,阻滞肺脾气机,易侵袭老年人、有基础病症及痰湿体质之人,病位在肺、脾及肠、心、脑、肾等。正气虚衰在此次疫病发病中具重要影响,以扶正祛邪为基本原则开展分期治疗,祛邪不忘扶正,宜温散、透邪、祛湿、芳香避秽等法同用,并参考李东垣顾脾扶正、甘温除热、升阳除湿治疗思路,全程注意顾护脾胃,防止药邪损害,不可过用苦寒清热药物,慎用抗生素类药物,减少输液,坚持中医“治未病”理念,增强人体正气,调畅情志。应充分重视历代中医疫病学术,让中医为防治疫病、维护民众健康发挥更大作用,在一定程度上弥补西医在特效药物和疫苗研发上的滞后性。

To explore the basic thinking of strengthening the body and dispelling pathogenic factors treating COVID-19 pneumonia.The main factor of the disease was deficiency of vital energy,which was located in lung,spleen,intestine,heart,brain and kidney.It is suggested that the treatment of COVID-19 pneumonia should be based on the principle of strengthening the body and dispelling pathogenic factors,with the idea of“treating pre-disease”in TCM.We should inherit and develop the study of epidemic diseases in TCM,and let TCM play a greater role in the prevention and treatment of epidemic diseases and the maintenance of public health.