从玄府气液学说辨析新冠肺炎的病机及治疗

Pathogenesis and Treatment of New Crown Pneumonia from Xuanfu Qi-liquid Theory

目前我国新型冠状病毒肺炎的防治措施已经取得较好的成效,这与中医药的参与是密不可分的。近代以来对玄府气液学说的探讨不在少数,通常认为玄府郁闭为病,开通玄府为用,笔者通过辨析认为新冠肺炎以肺玄府郁闭为主要病机,引起气郁、湿阻、津亏;甚则精伤,表现为咳喘、痰浊乃至肺痿,治疗上应辛以开玄,又须时时顾护津液以防发散太过,期望能为新冠肺炎的防治措施拓展新的思路。

At present, the prevention and treatment measures of COVID-19 in China have achieved good results, which is inseparable from the participation of Traditional Chinese medicine.Since modern times, the exploration of Xuanfu Qi-liquid theory is not a few.Doctors usually think that closure of Xuanfu as disease, and opening of Xuanfu as normal.The author thinks closure of Xuanfu as the main pathogenesis of COVID-19.It can cause Qi depression, moisture resistance, fluid deficiency and body fluid even being damaged.Clinical manifestations include cough and asthma, phlegm turbidness, and even lung withered.Treatment should be to open Xuanfu, and need to protect fluid in case of divergence of it.We look forward to developing new ideas for prevention and treatment of COVID-19.