结合《温热暑疫全书》解读《新型冠状病毒肺炎诊疗方案(试行第七版)》

Interpretation of The Diagnosis and Treatment Plan for Corona Virus Disease 2019(The Seventh Trial Edition)Combined with Wenre Shuyi Quanshu

《温热暑疫全书》为清初名医周载禹所著,该书将"疫有九传"说与临床症状相结合,其实用价值尤胜前人专著。其中的"但见证"可与《新型冠状病毒肺炎诊疗方案(试行第七版)》医学观察期两证及普通型湿毒郁肺证互参;"再见证"可阐释新型冠状病毒肺炎(简称:新冠肺炎,英文名称:COVID-19)患者复阳现象;"兼见证"可佐证清肺排毒汤的合理性;"先后证"可阐发新冠肺炎患者临床症状的多变性。此外,周载禹通下法可逆转新冠肺炎患者氧合困境,有助于医者深刻领会《新型冠状病毒肺炎诊疗方案(试行第七版)》中大黄的应用。以《温热暑疫全书》解读《新型冠状病毒肺炎诊疗方案(试行第七版)》,有助于以中西医结合的视角认知当前疫情。

Wenre Shuyi Quanshu was written by ZHOU Zaiyu,a famous doctor in the early Qing Dynasty.It combines the theory that damp-heat pestilence has nine transformation approaches with clinical symptoms,which makes this book more practical than the previous ones.The record of"single exterior syndrome or single interior syndrome"in the book can be cross referenced to the two syndromes of the medical observation and the common syndrome of dampness-toxin stagnation of lung.The record of"re-exterior syndrome or re-exterior and re-interior syndrome"can explain the re-positivenucleic acid phenomenon in COVID-19 patients.The record of"exterior and interior syndrome at the same time"can prove the rationality of Qingfei Paidu Decoction.The record of"exterior syndrome followed by interior syndrome or interior syndrome followed by exterior syndrome"can elucidate the variability of clinical symptoms in COVID-19 patients.In addition,dredging and purging method of ZHOU Zaiyu can reverse the oxygenation dilemma of COVID-19 patients,which is helpful for doctors to understand the application of Dahuang(rhubarb)of The Diagnosis and Treatment Plan for Corona Virus Disease 2019(The Seventh Trial Edition).Interpretation of The Diagnosis and Treatment Plan for Corona Virus Disease 2019(The Seventh Trial Edition)combined with Wenre Shuyi Quanshu is helpful to understand the current epidemic situation from the perspective of integrated traditional Chinese and western medicine.