仝小林院士辨治新型冠状病毒肺炎——“寒湿疫”辨治体系的形成、创新与发展

Syndrome Differentiation and Treatment of COVID-19 by Academician Tong Xiaolin:Origin,Innovation,and Development of“Cold-Dampness Plague”Theory

2019年末至2020年初,武汉地区暴发新型冠状病毒肺炎,仝小林院士在一线抗疫60余日。在此期间,他提出和制定了诸多学术观点和实践方案:1)创“三维定性”之法,并依此而将武汉新冠疫情定性为“寒湿疫”。2)针对“寒湿疫”早期,制宣肺化湿之法,并依此开具寒湿疫方,对疫情进行早期截断。3)创“武昌模式”高效有序推行寒湿疫方,将防控重心下沉前移至社区。4)针对“寒湿疫”重症期,发现“瘀热入营”是转重之关键病机,并制定了系列治法。5)针对“寒湿疫”恢复期,提出从“虚、毒、瘀”去辨治的临床策略,并依此制定了恢复期通治方。6)从“分期—分证”的角度,结合“治未病”理论,将“寒湿疫”分为“四期十六证”,建立了相对完善的“寒湿疫”辨治体系。

From the end of 2019 to the beginning of 2020,Wuhan experienced the epidemic of COVID-19,and Academician Tong Xiaolin fought against the epidemic for more than 60 days.During this period,he put forward many academic viewpoints and practical plans,which are listed below.1)He identified COVID-19 as“cold-dampness plague”based on the“three-dimensional qualitative”method.2)For the early-stage patients,he formulated the formulas targeting the“cold-dampness plague”(Hanshiyi Formulas for short)by ventilating lung and resolving dampness to cut off the epidemic at an early stage.3)He created the“Wuchang Pattern”to efficiently carry out Hanshiyi Formulas,and shifted the focus of prevention and control to the communities.4)For the patients at the critical stage,he discovered that“stagnant heat entering nutrient-blood”was the key pathogenesis of the exacerbation,and formulated a series of treatment methods.5)For the patients at the convalescent stage,he proposed a clinical strategy of syndrome differentiation and treatment from“deficiency,toxin,and blood stasis”,and formulated a general formula for the recovery period accordingly.6)From the perspective of“staging-syndrome differentiation”,he divided the“cold-dampness plague”into four stages and 16 syndromes based on the theory of“treating disease before its onset”,and established a complete system of differentiation and treatment of“cold-dampness plague”.