从“湿疫”论治新型冠状病毒肺炎的思考

Thoughts on COVID-19 treatment based on the theory of“damp epidemic”

本文基于中医经典文献及临床实践思考,立足于"湿疫"理论阐释新型冠状病毒肺炎(简称"新冠肺炎")的病因、病机、传变规律及治疗方药。认为新冠肺炎乃湿毒疫邪所致,其病机特点为内外病邪相引,合而致病;本病除遵循卫、气、营、血传变规律外,同时也表现出三焦传变的过程。同时,通过归纳梳理相关中医经典著作中关于湿疫的证治方药,为新冠肺炎的中医诊治提供临床思路。

Based on the classical literature of traditional Chinese medicine(TCM)and reflections on clinical practice,we intend to explain the etiology,pathogenesis,law of transmission and change,as well as therapeutic prescriptions of coronavirus disease 2019(hereinafter referred to as COVID-19)based on the theory of"damp epidemic".We reckon that COVID-19 is caused by the endogenous damp toxin and exogenous epidemic pathogens,which interact with each other and contribute to the disease together;COVID-19 pandemic not only follows the law of transmission and change of Wei-Qi-Ying-Xue,but also shows the transmission and change process within triple energizers.Besides,we also put forward clinical suggestions for the TCM diagnosis and treatment of COVID-19 through reviewing,organizing and summarizing syndromes,treatment principles and methods,prescriptions and herbal medicines of"damp epidemic"in relevant TCM classics.