从湿邪角度探讨新型冠状病毒肺炎伤神后遗症病因病机及治疗

Discussion on Etiology Pathogenesis and Treatment of Sequelae of Sensory and Regulatory Impairment of Coronavirus Disease 2019 from Perspective of Pathogenic Dampness

新型冠状病毒肺炎后遗症中神经系统异常、感知认知障碍的症状属中医伤神范畴。笔者从湿邪的角度出发,阐释新型冠状病毒肺炎伤神后遗症病因及病机,提出湿邪作为新型冠状病毒肺炎发病的始动病因,亦可伤神;同时湿邪可兼他邪进而伤神,如湿挟寒而伤阳、湿挟热而伤津血、湿邪化燥伤阴入营,最终引发人体感知和控制功能障碍。强调在治疗过程中要做到谨守病机、随证治之,并提出相应的治疗策略。

The sequelae of Coronavirus Disease 2019(COVID-19) includes the symptoms of nervous system abnormalities and cognitive impairment,which belongs to the category of sensory and regulatory impairment in traditional Chinese medicine. From the perspective of dampness evil,this paper explains the etiology and pathogenesis of sensory and regulatory impairment symptoms in sequelae of COVID-19. It is suggested that pathogenic dampness is the primary cause of COVID-19,which can also cause sensory and regulatory impairment. At the same time,dampness can be combined with other evil to harm the spirit,such as dampness combined with cold injures yang,dampness combined with heat injures blood,dampness transformed into dryness,damaged yin and entered nutrient aspect,which finally leads to sensory and control dysfunction. In the course of treatment,we should observe the pathogenesis and follow the evolution of the syndrome,and put forward the corresponding treatment strategy.