基于中医证候调查的新型冠状病毒肺炎六经分证研究

Study on Syndrome Differentiation of Six Meridians at COVID-19 Cases Based on TCM Syndrome Investigation

目的分析新型冠状病毒肺炎的临床特征及中医证候特点,分析该病六经辨证分布特点并指导临床辨证用药。方法对120例确诊的新型冠状病毒肺炎患者(患者来源于武汉市第一医院及雷神山医院)采用微信问卷调查形式采集六经辨证相关中医证候问卷信息。结果 120例患者中六经辨证结果单经病变20例约占16.7%,两经病变29例约占24.2%,三经病变45例约占37.5%,四经病变26例约占21.7%。涉及少阳病变患者总共达92例,占比达到76.7%,少阴病变患者总共达82例,占比达到68.3%。结论本研究中新型冠状病毒肺炎患者少阳、少阴病变最为多见,而涉及两经及两经以上病变占比为83.3%,据此推测新型冠状病毒肺炎是一种传变迅速、累及多经临床证候复杂的传染病。

Objective COVID-19 was analyzed and its clinical characteristics and TCM syndrome characteristics were analyzed. Methods 120 patients with COVID-19 diagnosed by clinical or confirmed by nucleic acid(patients from Wuhan No.1 Hospital and Raytheon Hill Hospital) were collected by WeChat questionnaire to collect TCM syndromes questionnaire information of six meridians. Results Among 120 cases, 20 cases of single channel lesions accounted for 16.7%, 29 cases of double channel lesions accounted for 24.2%, 45 cases of triple channel lesions accounted for 37.5%, 26 cases of four channel lesions accounted for 21.7%. 92 cases were involved in shaoyang disease, accounting for 76.7%, and 82 cases were involved in Shaoyin disease, accounting for 68.3%. Conclusion Our study found COVID-19 with Shaoyang and Shaoyin disease were the most common, involving 83.3% of the two meridians and two above. We hypothesized that the COVID-19 is a rapid infectious disease with multiple clinical syndromes.