基于《广瘟疫论》理论探究新冠肺炎的辨治方法

Research on the treatment based on syndrome differentiation of COVID-19 according to the theory of Guangwenyilun

新冠肺炎因其具有较强的传染性和流行性,对人类的生命安全造成了严重的威胁。新冠肺炎属于中医学“瘟疫”病范畴,本文以《广瘟疫论》为理论基础同时结合新冠肺炎中医诊疗经验,深入探析其发病特点及中医辨证论治,认为瘟疫病因为天地之间“戾气”所感,病机为疫毒遏湿,病位初起于膜原,传变方式分为顺、逆两传,无论顺传、逆传,把握“戾气”传变途径,诊治上结合“五辨思维,表里二纲,兼五夹十,别妇儿治”理论,将有助于提高治疗效果。参照《新型冠状病毒感染的肺炎诊疗方案(第七版)》,从《广温疫论》理论探讨COVID-19防治方法,这种临床诊治思路也将为诊治任何可能发生的新疫病提供参考。

COVID-19 is highly infectious and epidemic,which belongs to the"plague"disease of traditional Chinese medicine and seriously endangers the safety of human life.Based on the theory of Guangwenyilun combined with the treatment experience of COVID-19 in TCM,syndrome differentiation-based treatment and the clinical characteristic of COVID-19 is being deeply analysed.COVID-19 began because of the"epidemic pathogenic factors",and the pathogenesis is that the dampness and heat generated toxin which blocked the qi movement.The early onset of this disease is in the pleurodiaphragmatic interspace,and its transmission can be divided into sequential transmission and reverse transmission.Regardless of the direction of its transmission,grasping the transmission of"epidemic pathogenic factors"on the diagnosis and treatment combined with"five distinguishing thought,exterior and interior,accompanying symptoms"theory will be of great importance to help to improve the effect of treatment.At the same time,this clinical approach will also provide reference for the diagnosis and treatment of any possible new diseases.