新型冠状病毒肺炎中医辨证施治的概述与探讨

Overview on Traditional Chinese Medicine syndrome differentiation and treatment of Coronavirus Disease 2019(COVID-19)

整理并分析新型冠状病毒肺炎(COVID-19)中医诊疗方案及各家学说,认为本病病机涉及湿、毒、热、寒、瘀、虚,其中湿、毒为核心病理因素;治疗上因地制宜,根据疾病不同阶段辨证施治,围绕湿、毒为患,以祛邪固本为宗旨。中药内服方如清肺排毒汤、清肺透邪扶正方、连花清瘟胶囊(颗粒)等显示出较好疗效;中医非药物疗法如针刺、艾灸、穴位贴敷、耳针、传统功法等,多针对轻型、普通型和恢复期患者,可改善症状。但仍需高质量中医药研究。

This paper reviews the Traditional Chinese Medicine(TCM)diagnosis and treatments for Coronavirus Disease 2019(COVID-19)and the theories of different experts in TCM.The pathogenesis of COVID-19 involves dampness,toxin,heat,cold,blood stasis and deficiency.Dampness and poison were the core pathological factors.The treatment is based on the situation of patients in different regions and different stages of the disease,and focuses on dampness and toxin,with the purpose of eliminating evil and consolidating the foundation.Oral TCM prescriptions such as Qingfei-Paidu Decoction,Qingfei-Touxie-Fuzheng Decoction,Lianhua-Qingwen capsule(granule)show good curative effect.TCM non drug therapies,such as acupuncture,moxibustion,acupoint application,ear acupuncture,traditional exercises,etc.,are mostly aimed at light,ordinary and convalescent patients,which can improve symptoms.However,high-quality TCM research is still needed.