摘要
新型冠状病毒肺炎(简称“新冠肺炎”)疫情发生以来,中医药全程参与防治工作,尤其在危急重症的诊治过程中彰显出独特优势。总结新冠肺炎临床辨治经验,提出新冠肺炎重症的核心病机为“疫毒留滞,正气不足”,临床以热盛不退、大便秘结、痰黏难咯、神昏不清、水肿难消等为主要症状特征,临床辨治当结合地域、季节、证候特征三因制宜,重视“清、通、托”三法,“一人一策、一人一方”,抓住主要症结,先症而治,截断传变,扭转病势,从而有效控制病情,降低病死率。
Since the outbreak of the coronavirus disease 2019(COVID-19),traditional Chinese medicine(TCM)has participated in the whole process from prevention to treatment,and has shown unique advantages especially in the diagnosis and treatment of severe cases.By summarizing the clinical experience,it is proposed that the core pathogenesis of severe COVID-19 cases is“retention of epidemic toxin and lack of healthy qi”.And the main symptoms are persistent excessive heat,constipation,difficult expectoration of sticking phlegm,confusion and edema.For syndrome differentiation and clinical treatment,there are three considerations of place,season and syndrome,and it is suggested to pay attention to the three methods of“clearing,unblocking and strengthening”,and take the principle of“one person,one strategy;one person,one formula”.The treatment should focus on the main symptoms,be taken before symptoms arising,cut off the transmission and reverse the trend of the disease,so as to control the disease effectively and reduce the mortality.
作者
杨丰文
王凯
吕玲
昝树杰
张炜
胡鸿毅
刘清泉
严世芸
张伯礼
YANG Fengwen;WANG Kai;LYU Ling;ZAN Shujie;ZHANG Wei;HU Hongyi;LIU Qingquan;YAN Shiyun;ZHANG Boli(Tianjin University of Traditional Chinese Medicine,Tianjin,301617;The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine;Shunyi Hospital,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine;Shanghai University of Traditional Chinese Medicine;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University)
出处
《中医杂志》
CSCD
北大核心
2022年第18期1721-1725,共5页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(82004505)。
关键词
新型冠状病毒肺炎
重症
疫毒
清法
通法
托法
coronavirus disease 2019
severe disease
epidemic toxin
clearing method
unblocking method
strengthening method