从新型冠状病毒肺炎中医防控策略探讨“三因”思想在新发传染病防控工作中的应用

Thinking of Treatment Individualized to Patient, Season and Locality Applied in the Prevention and Control of Emerging Infectious Disease from TCM Prevention and Control Strategies for COVID-19

通过对新型冠状病毒肺炎(Corona Virus Disease 2019,COVID-19)(简称新冠肺炎)防控策略中的中医药要素进行分析,发现“五运六气-体质学说-地域特点”所体现的“三因”思想涵盖了新型冠状病毒肺炎的预警、防控、治疗以及预后的全过程,并在疫情的防治过程中发挥了主导性作用,并进一步深入探讨“三因”思想在后续新发传染病防控工作中的应用,认为若将“三因”思想在疫情防控方面体现出的前瞻性、全面性、合理性与现代精准的传染病防控体系及大数据相结合,可以更好地发挥“五运六气”对各种传染病的预警性;若将体质学说与易感人群对接,将地域特点与传播途径对接,建立具备中国特色的新发传染病的预警及防控模型,必将对今后新发传染病的预测、防控以及后续研究工作产生持续且深远的影响。并由此提出我国传统医学与现代医学并重“、以防为主,防控并重”的中西医新发传染病防控体系新理念。

By analyzing TCM factors in the prevention and control strategies for COVID-19, the thinking of treatment individualized to patient, season and locality, reflected in "five movements and six climates-constitution theory-geographical characteristics", covers the whole process including the early warning, prevention and control,treatment and the prognosis of COVID-19, which has play the dominant role in the pandemic prevention and control, meanwhile, the application of treatment individualized to patient, season and locality is discussed in the prevention and control of the subsequent emerging infectious disease. It is believed that the thinking possesses the perspectiveness, comprehensiveness and rationality in the pandemic prevention and control, it could give better play to the warming of "five movements and six climates" to various infectious disease if it could be combined with modern and precise infectious disease prevention and control system, and big data;it would have a lasting and far-reaching impact on the prediction, prevention and control of emerging infectious disease and follow-up research in the future if we could establish the model for the warning, the prevention and control of emerging infectious disease with Chinese characteristics after combining constitution theory with vulnerable population,combining geographical characteristics and route of transmission, finally, the new concept of prevention and control system of emerging infectious diseases in Chinese traditional and Western medicine, which lays equal emphasis on traditional medicine and modern medicine, has the characteristics of traditional Chinese medicine,and attaches equal importance to prevention and control.