中医药诊治新冠肺炎的思考

Summary of Chinese Medicine Diagnosis and Treatment of COVID-19

新冠肺炎属于疫病,疠气从口鼻而入,与六淫邪气相合(以湿邪为主),可化寒、化热、化毒、化燥,主要伤及肺脾功能。病机认识上不同学者有寒湿与湿热的差异,与受邪轻重、气候差异、患者体质等有关。分期辨证可有效整合不同辨证方法,初期可从辨口气、辨鼻气、辨鼻涕、辨面色、辨小便来区分寒热。中期热盛于湿易从阳化燥、化毒,或湿胜于热从阴化寒而出现多种病变,临床根据寒、湿、热(毒)病邪的多少而随证治疗。中医诊治新冠肺炎既要突出中医理论特色,也要积极彰显中西医结合的优势。

COVID-19 is an epidemic disease.The hostile enters from the nose and mouth,and combines with the six evils(mainly dampness),which can reduce cold,heat,toxin,and dryness,and mainly damage the lung and spleen function.In terms of pathogenesis,different scholars have differences between cold and dampness and dampness and heat,which are related to the severity of exposure,the difference in climate between the north and the south,and the physical strength of the patients.The staging method of syndrome differentiation can effectively integrate different syndrome differentiation methods.At the initial stage,it can distinguish cold and heat from the differentiation of breath,nose,nasal discharge,complexion,and urine.In the middle stage,heat is more than damp and it is easy to change dryness and toxin from yang,or dampness is better than heat to change cold from yin,and a variety of pathological changes occur.The clinical treatment is based on the number of cold,damp,and heat(toxic) pathogens.Traditional Chinese Medicine(TCM) diagnosis and treatment of COVID-19 must not only highlight the theoretical characteristics of TCM,but also actively demonstrate the advantages of integration of TCM and western medicine.