新型冠状病毒肺炎中医辨治探究

Differentiation and treatment of COVID-19 with traditional Chinese medicine

新型冠状病毒肺炎(COVID-19)传染性强,病死率较高,目前尚无特效药物,中医在辨治本病方面,取得一定疗效。COVID-19可归属于中医温病中的"温疫"范畴。COVID-19源于感受疫疠之气和四时不正之气,经口、鼻、眼三窍侵入机体。病位主要在肺,可累及膜原,遍及三焦。病机特点可概括为"温-热-湿-毒"。依据临床表现及疾病传变规律,可将COVID-19分为四期进行辨治,即初期(风热袭肺,湿毒郁肺),进展期(热邪壅肺,气血两燔),危重期(内闭外脱),恢复期(邪去正虚)。在临证辨治中,应遵循辨证-辨病-辨体质的原则。同时还应注意药物煎煮、服药方法和服药时长等细节问题。

Corona Virus Disease 2019(COVID-19) is highly infectious and has high mortality. There is no specific drug for it at present. Chinese medicine has achieved certain results in the treatment of this disease. COVID-19 can be classified as ′plague′ in traditional Chinese medicine. It originates from the pestilential plagues and abnormal climates in the four seasons, and invade the body through mouth, nose and eyes. The disease position is mainly in the lung, may involve the membrane and spread throughout San Jiao(the Three Warmer). The pathogenesis can be characterized by ′warm-heat-humidity-toxin′. According to the clinical manifestations and the regular pattern of disease transmission, NCP can be divided into four stages, namely, the initial stage, the progressive stage, the critical stage and the recovery stage. The principles of syndrome differentiation, disease differentiation and constitution differentiation should be followed in the treatment. At the same time, we should also pay attention to the details of drug decocting, medication methods and medication duration.