基于温病学理论探讨新型冠状病毒肺炎迁延不愈及病情复燃的中医辨治

Discussion on Traditional Chinese Medicine Differentiation and Treatment of Unhealing and Recurrent COVID-19 Based on Febrile Disease Theory

本文从中医经典《温病学》出发,运用温病学中温热病、湿热病的辨证治疗方法,结合临床治疗新型冠状病毒肺炎(新冠肺炎)的经验体会,对住院患者的中医病因、病机运用卫气营血辨证以及三焦辨证进行总结归纳。对出院患者病毒核酸检测复阳而导致病情复发的现象,运用中医学理论进行分析探讨,使中医药在参与疾病的诊治之时发挥其独特优势,与西医形成互补,以提高治疗效果,改善患者愈后。

Starting from the Febrile Disease Theory of traditional Chinese medicine(TCM),the use of dialectical treatment methods for warm heat type and damp heat type in the disease,combined with the experience of clinical treatment of coronavirus disease 2019(COVID-19),the TCM etiology and pathogenesis of inpatients were summarized with the syndrome differentiation of Weifen,Qifen,Yingfen and Xuefen as well as Sanjiao Dialectics.The phenomenon of viral nucleic acid testing from discharged patients turned negative again and the disease relapsed,it can be analyzed using TCM theory,so that TCM can exert its unique advantages when participating in the diagnosis and treatment of diseases,complementing western medicine to improve the treatment effect and improve the healing of patients.