重庆市1200例新型冠状病毒肺炎中医证候特点与临证举隅

TCM Syndrome Characteristics and Clinical Examples of 1200 Cases of COVID-19 in Chongqing

目的通过分析2022年重庆市1200例新型冠状病毒感染的肺炎(简称“新冠肺炎”)患者中医临床望、闻、问、切四诊资料,探讨新冠肺炎的中医证候特点及方邦江教授“表里双解”截断扭转法在重庆市新冠肺炎救治中验案举隅。方法选取2022年11月15日—2022年12月2日收治于石子山方舱医院的1200例新冠肺炎确诊患者。记录患者中医临床症状,舌脉诊资料,分析并总结新冠肺炎患者中医证候特点。结果在重庆市1200例新冠肺炎患者中,无症状感染者874例(72.83%),轻型患者326例(27.17%)。轻型患者位于前5位的中医症状依次为咳嗽208例(63.80%)、咽干194例(59.51%)、咽痛168例(51.53%)、纳差114例(34.97%)、发热91例(27.91%)。发热体温以低热为主。轻型患者中舌诊以红舌248例(76.07%)、白腻苔196例(60.12%)为主。无症状患者舌诊以淡红舌769例(87.99%),薄黄苔578例(66.13%)为主。轻型患者脉诊以滑数脉168例(51.53%)为主,无症状患者脉诊以滑脉536例(61.33%)为主。结论重庆市此轮新冠肺炎主要以无症状及轻型患者为主,均符合中医“疫病”之“湿温病”的临床特征,其病机特点为“疫毒挟湿致病”。

Objective To explore the characteristics of TCM syndromes of COVID-19 and the examples of Professor FANG Bangjiang's“exterior interior double solution”truncation torsion method in the treatment of COVID-19 in Chongqing by analyzing four methods of diagnosis data of 1200 cases of COVID-19 in Chongqing in 2022.Methods From November 15,2022 to December 2,2022,1200 patients with COVID-19 who were admitted to Shizishan Fangcang Hospital were selected.Record the patients'clinical symptoms,tongue and pulse diagnosis data,analyze and summarize the characteristics of TCM syndromes of patients with COVID-19.Results Among 1200 cases of COVID-19 in Chongqing,874 cases(72.83%)were asymptomatic and 326 cases(27.17%)were mild.The top five TCM symptoms of mild patients were cough in 208 cases(63.80%),dry throat in 194 cases(59.51%),sore throat in 168 cases(51.53%),anorexia in 114 cases(34.97%),and fever in 91 cases(27.91%).Fever body temperature is mainly low fever.Among mild patients,248 cases(76.07%)had red tongue and 196 cases(60.12%)had white greasy coating.In asymptomatic patients,769 cases(87.99%)had light red tongue and 578 cases(66.13%)had thin yellow fur.168 cases(51.53%)of mild patients had slippery pulse,and 536 cases(61.33%)of asymptomatic patients had slippery pulse.Conclusion This round of COVID-19 in Chongqing is mainly asymptomatic and mild patients,which conforms to the clinical characteristics of“damp and warm disease”of“epidemic disease”in Chinese medicine,and its pathogenesis is characterized by“epidemic toxin carrying dampness”.