摘要
新型冠状病毒肺炎疫情期间,本院在国家指南基础上,积极应用中西医结合方法防治,在疾病的病因、病机及辨证论治过程中认识到新型冠状病毒肺炎属于中医“寒湿疫”,具体病机为寒湿疫邪困脾壅肺。随着病情发展,可能产生寒湿从热而化。疾病的病位为肺、脾。在救治过程中,将以肺系证候为主者归为肺型,脾系证候者为主者归为脾型,因地制宜,按型施治,采用辛温宣肺、芳香醒脾的治则,取得了较好的防治效果。本研究既传承了中医治疗重大疫情的辨证论治思想,也在一定程度上创新尝试,尤其是简化分期、分型,不但提高了中医药参与疫情抢救的程度,更方便了基层医院实际应用。
During the outbreak period of novel coronavirus pneumonia,our hospital actively applied the method of integrated traditional Chinese medicine(TCM)and western medicine for prevention and treatment based on national guidelines.During the course of syndrome differentiation and treatment on etiology and pathogenesis of the disease,we realized that novel coronavirus pneumonia was classified as"cold-damp epidemic"in view of traditional Chinese medicine,and the specific pathogenesis was cold-damp epidemic pathogen obstructed in spleen and lung.With the development of the disease,cold and dampness may change into heat.The disease was located at lung and spleen.In the treatment,the patients with dominant lung syndrome were classified as lung type,and the patients with dominant spleen syndrome were classified as spleen type.The treatment principles of suiting measures to local conditions,dispersing the lung by drugs with pungent flavor and warm texture as well as refreshing the spleen by drugs with fragrant flavor were adopted according to the different types,and we do achieved good results in prevention and treatment.This study not only inherits the thought of syndrome differentiation of TCMin treating severe epidemic disease,but also explores new attempts and innovation,especially in simplified staging and types,which improves participation of TCMin treating epidemic disease,and is more convenient to apply in grass-roots hospitals in practice.
作者
陈珏
周稳兰
陈惠平
朱蔚岗
林怀德
李党生
陆春芬
沈宇清
CHEN Jue;ZHOU Wenlan;CHEN Huiping;ZHU Weigang;LIN Huaide;LI Dangsheng;LU Chunfen;SHEN Yuqing(Department of Oncology,Taizhou Second People′s Hospital Affiliated to Yangzhou University,Taizhou,Jiangsu,225500;Department of Infection Diseases,Taizhou Second People′s Hospital Affiliated to Yangzhou University,Taizhou,Jiangsu,225500;Medical Service Section,Taizhou Second People′s Hospital Affiliated to Yangzhou University,Taizhou,Jiangsu,225500;Department of Traditional Chinese Medicine,Taizhou Second People′s Hospital Affiliated to Yangzhou University,Taizhou,Jiangsu,225500)
出处
《实用临床医药杂志》
CAS
2020年第4期5-9,12,共6页
Journal of Clinical Medicine in Practice
关键词
新型冠状病毒肺炎
中西医结合治疗
病因
病机
真实世界诊疗
寒湿疫
novel coronavirus pneumonia
treatment of integrated traditional Chinese and western medicine
etiology
pathogenesis
real-world diagnosis and treatment
cold-damp epidemic
