从《温疫论》探析新型冠状病毒肺炎治疗

Enlightenment of Treatise on Warm-Heat Pestilence on Treatment of Corona Virus Disease 2019

基于《温疫论》一书对疫病的论述,认为疫气是新型冠状病毒肺炎的病因,疫气与“寒”密切相关,有明显的地域差异;病位为膜原,强调疏利透达治疗的重要性;早期治疗应重视下法,做到“逐邪勿拘结粪”;根据运气学说和本病特点,用药应避免大量使用寒凉、破气药物;愈后有劳复、食复、自复三种情况,强调患者病后饮食应循序渐进。《温疫论》作为疫病专著,对此次新型冠状病毒肺炎及其他疫病的诊治,有重要指导意义。

Based on the discussion of epidemic diseases in Treatise on Warm-Heat Pestilence,infected qi is the cause of Corona Virus Disease 2019(COVID-19).Infected qi is closely related to“cold”,and there are obvious regional differences.The latent pathogen is located in Moyuan,so dredging and expelling is important.The method of purgation should be emphasized in the early treatment,so as to“purging the pathogen regardless of constipation”.According to the theory of circuit and qi and the characteristics of this disease,overdose of cold and cool medicine and breaking stagnated qi medicine should be avoided.The prognosis includes three conditions:relapse from overstrain,relapse from food accumulation,and spontaneous relapse.It is emphasized that the diet should be gradually recovered after illness.As a monograph on epidemic diseases,Treatise on Warm-Heat Pestilence is of great significance to the diagnosis and treatment of COVID 2019 and other epidemic diseases.