从“湿浊化疫,气机痹阻”辨治四川新型冠状病毒肺炎

Treatment for COVID-19 in Sichuan Province Based on TCM Theory “Shizhuohuayi,Qijibizu”

目前,新型冠状病毒肺炎(COVID-19)在全球多个国家和地区广泛流行,尚无特效药物。本文基于温病学说,结合四川省中医药救治新冠肺炎的临床实践,系统论述新冠肺炎的病因病机、传变特点和证治思路。认为新冠肺炎的病因是湿浊疫毒,基本病机为湿浊化疫、蕴毒传变、气机痹阻,临床可分为湿浊郁表、肺失清肃,湿浊中阻、痰热内蕴,疫毒闭肺、毒损肺络,湿毒蒙心、伤阴耗血,余邪滞留、气阴两伤五个阶段,并论述了相关治疗策略,这将有助于COVID-19的中医药防治。

COVID-19 has swept into most countries around the world and is now officially a pandemic,but there is no specific medicine to prevent or treat it.Based on the TCM theory"Wenbing"and clinical evidence for treating COVID-19 with traditional Chinese medicine in Sichuan province,this paper systematically discussed the etiology,pathogenesis,transmission and treatment of COVID-19.It is considered that the cause of COVID-19 is"Shizhuoyidu",the basic pathogenesis is"Shizhuohuayi","Yunduchuanbian"and"Qijibizu".According to this,the COVID-19 may be divided into 5 clinical stages:"Shizhuoyubiao"and"Feishiqingsu","Shizhuozhongzu"and"Tanreneiyun","Yidubifei"and"Dusunfeiluo","Shidumengxin"and"Shangyinhaoxue","Yuxiezhiliu"and"Qiyinliangshang".This paper also discussed the relevant treatment strategies,which will be helpful to the prevention and treatment of COVID-19 with traditional Chinese medicine.