论湿疫的源流及对新型冠状病毒肺炎治疗的启示

Theoretical Origin of Dampness Pestilence and the Enlightenment on the Treatment of Coronavirus Disease 2019

湿疫为感受湿性疫邪而引起的一类传染性疾病,由于湿性黏滞易缠绵反复的特点,故其病情发展缓慢,病机变化相对复杂,治疗周期亦相对较长。根据现有资料,此次新型冠状病毒肺炎以发热为首发症状,同时伴乏力、干咳、呼吸困难、胃肠道不适、苔腻等基本症状,证候上可归属于湿疫范畴。湿性疫邪易袭太阴,主要病位在肺、脾。通过文献梳理厘清中医学对湿疫的认识,以期从湿疫的角度来指导新型冠状病毒肺炎的临床治疗。

Dampness pestilence is a type of infectious diseases caused by the infection of dampness pathogens. Due to the characteristics of dampness stickiness and easy lingering and repetition, the disease development is slow, and the pathogenesis changes are relatively complicated, with the treatment periodicity relatively long. According to existing data, the coronavirus disease 2019(COVID-19) has fever as the first symptom, accompanied by basic symptoms such as fatigue, dry cough, dyspnea, gastrointestinal discomfort, and greasy coated tongue. The syndrome belongs to the category of dampness pestilence. The pathogen of the dampness pestilence pathogen is easy to invade Taiyin, and the main disease location is mainly at the lung and spleen. To clarify the understanding of traditional Chinese medicine on the dampness disease through literature review, we hope that it can guide the clinical treatment of COVID-19 from the perspective of dampness pestilence.