基于新型冠状病毒肺炎探讨温病气分危重症

Discussion on severe warm diseases at qi level in analysis of COVID-19 cases

基于传统卫气营血辨证理论,多数中医医家认为温病演变过程中的危重症发生在邪入血分时,并未意识到气分证阶段也可以发生危重症。基于新型冠状病毒肺炎防治,提出“温病气分危重症”的新观点,结合“状态辨治”理论,详细阐述气分危重症的理论依据、病机演变规律以及防治方法,指出气分危重症的发生与肺气的生理功能严重失调密切相关。总结新型冠状病毒肺炎气分危重症的病机演变为:湿毒疫邪袭肺,宣肃失调,肺气虚损,气不行津,气不摄津,肺气将绝;治疗原则为宣肺开痹、补气摄津。

Under the guidance of the traditional pattern differentiation system of wei,qi,ying and blood,most TCM doctors believe that a critical condition appears when the pathogenic factor enters the blood level in the development of warm diseases,while ignore that it could also occur in a qi level pattern.Based on Professor Jiang Liangduo’s new view that"severe warm diseases could occur at qi level"developed based on his experience in the prevention and treatment of Corona Virus Disease 2019(COVID-19),combined with the theory of"differentiation and treatment based on one’s body condition",this paper elaborates on the theoretical basis,pathogenesis evolution,prevention and treatment method of severe warm diseases at qi level,and points out that the occurrence of severe warm diseases at qi level is closely related to the physiological dysfunction of lung qi.Thus,this paper summarizes the pathogenesis of severe COVID-19 cases at qi level as follows:dampness toxic epidemic pathogenic factors attack the lung,damaging the lung and making it unable to disperse and descend qi and body fluids as normal.The debilitated lung qi can neither promote body fluid circulation nor constrain fluids,which in turn leads to the expiry of lung qi.Correspondingly,the main principle of treatment is to diffuse the lung,replenish lung qi and constrain body fluids.