基于吴澄外损致虚说及理脾阴说探讨新型冠状病毒肺炎瘥后调治

Recuperative medical care after recovery of COVID-19 based on WU Cheng’s external damage incurring deficiency and regulating spleen-yin theories

通过对清代吴澄外损致虚说、理脾阴说及新型冠状病毒肺炎(简称“新冠肺炎”)瘥后期的研究,认为新冠肺炎瘥后期的基本病机、临床表现与吴澄的外损致虚理论具有一致性,对新冠肺炎瘥后期的治疗可以借鉴吴澄理脾阴大法进行辨证论治、随症加减;瘥后期的病后调理可以参考吴澄的药食同补和病后进食建议进行。对于外感瘥后期,吴澄的外损致虚说和理脾阴说强调调补脾阴,以培土生金为治疗大法,对新冠肺炎瘥后期的调治具有借鉴意义。

Through the study of WU Cheng’s theories of external damage incurring deficiency and regulating spleen-yin in Qing Dynasty and the late stage after recovery of corona virus disease 2019( COVID-19 for short),it holds that the basic pathogenesis and clinical manifestations of late stage after recovery of COVID-19 are consistent with WU Cheng’s theory of external damage incurring deficiency,and the treatment of late stage after recovery of COVID-19 can use his method of regulating spleen-yin for reference to perform syndrome differentiation and treatment and modify prescriptions according to syndromes. Recuperative medical care in the late stage after recovery of COVID-19 can refer to WU Cheng’s suggestions on simultaneous nourishment with medicinals and food and eating after illness. WU Cheng’s theories of external damage incurring deficiency and regulating spleen-yin are of reference significance to recuperative medical care in the late stage after recovery of COVID-19,both of which emphasizes regulating and nourishing spleen-yin as for the late stage after recovery of external contraction,taking banking up earth to generate metal as the main therapeutic method.