新型冠状病毒肺炎中医药分期诊治方案进展

Progress in the diagnosis and treatment of novel coronaviruspneumonia by traditional Chinese medicine

2019年12月出现的新型冠状病毒肺炎疫情蔓延迅猛,但尚无特效抗病毒疫苗或药物。目前国内多地出台了中医防治方案,本文对新型冠状病毒肺炎的病因病机、各地区针对不同人群的预防方案以及分期辨治方案进行系统的回顾和总结。分析新型冠状病毒肺炎各地区中医防治方案以及一线患者临床特点,核实该病属中医“湿毒疫”范畴,病位在肺脾,病因为疫戾之气,核心病机为“湿、热、毒、瘀、虚”;相关方案认为,中药预防应按照人群体质不同采用不同的处方,并根据不同气候、地区以及人群辨证用药,重视综合预防;而治疗则应辟秽化浊、祛湿为治疗的关键点,根据疾病的发展情况制定相对应的治疗方案,按照证候发展规律分5期(观察期、初期、中期、重症期、恢复期)进行分期辨治。本文通过对疫情期间各地区中医药相关应用进展进行系统分析,希望能为疫情防控及中医药临床治疗的合理应用和进一步研究提供有益的帮助与指导。

In December 2019,a new type of coronavirus pneumonia emerged and spread rapidly,but there is no specific antiviral vaccine or drug.At present,traditional Chinese Medicine(TCM)prevention and treatment programs have been introduced in many places in China.This paper systematically reviews and summarizes the etiology and pathogenesis of novel coronavirus pneumonia 2019(COVID-19),the prevention programs for different populations in different regions and the treatment programs by stages.We analyzed the TCM prevention and treatment programs of COVID-19 in various regions and the clinical characteristics of the first-line patients.It is verified that the disease belongs to the category of wet poison epidemic according to TCM,and the disease is located in the lung and the spleen.The core pathogenesis of the disease is dampness,heat,poison,blood stasis and deficiency because of the rage of the disease.According to the relevant plan,TCM prevention should adopt different prescriptions according to the constitution of different populations and pay attention to comprehensive prevention according to different climates,regions and populations.Treatment should focus on eliminating filth and resolving turbidity,with clearing dampness as the key point.The corresponding treatment plan should be made according to the development of the disease,and the treatment should be divided into five stages(observation stage,initial stage,middle stage,severe stage and convalescence stage)according to the rules of syndrome development.Through the systematic analysis of the progress of TCM applied in various regions during the epidemic period,this paper hopes to provide useful help and guidance for the prevention and control of the epidemic and rational application and further research on the clinical treatment with TCM.