| 引用本文:吕文亮.基于《湖北省新型冠状病毒肺炎中医药防治指引(试行)》的解读[J].世界中医药,2020,(02):. |
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| 基于《湖北省新型冠状病毒肺炎中医药防治指引(试行)》的解读 |
| Interpretation Based on the Guidelines on Prevention and Treatment of Novel Coronavirus Pneumonia by Chinese Medicine in Hubei Province |
| 投稿时间：2020-02-14 |
| DOI：10.3969/j.issn.1673-7202.2020.02.001 |
| 中文关键词: 新型冠状病毒肺炎 新型冠状病毒疾病 新型冠状病毒 湿热疫 麻杏石甘汤 藿朴夏苓汤 葶苈大枣泻肺汤 柴胡陷胸汤 达原饮 指南解读 |
| English Keywords:Novel coronavirus pneumonia COVID-19 2019-nCoV Damp-heat plague Maxing Shigan Tang Huo po xia ling tang Tingli dazao xie fei tang Chaihu xian xiong tang Da yuan yin Guide interpretation |
| 基金项目:中国工程院湖北省中成药融合提升为特色的中医药产业发展战略研究研究(5428/1011010301) |
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| 中文摘要: |
| 基于湖北省新型冠状病毒感染的肺炎防控指挥部发布《湖北省新型冠状病毒肺炎中医药防治指引(试行)》(以下简称指南)进行解读。认为新型冠状病毒感染性肺炎(NCP)是急性传染病,大部分患者初期以身热不扬、咳嗽、乏力、纳差、舌苔厚腻为主要症状,该病属于疫病范畴,主要病性为湿毒,属于中医的疫毒,可称之为湿热疫毒。病位在肺脾,基本病机特点为“湿、毒、瘀、闭”。本病是时疫流行的疾病,需要与当令的“四时温病”病证相鉴别。立足点要针对“湿热疫毒”的病理表现及特点,离开了“湿热疫毒”就离开了主要病因。因此,早期虽然有寒湿阻滞,但寒湿化热是常态,发病过程中由湿热疫毒而热、喘、瘀、脱、虚,从病机而论有湿毒、热毒、瘀毒等不同的病性,故治之当不离湿热疫毒,“逐邪为第一要义”。以分消湿热疫毒、宣畅气机为主,把住早期、进展期治疗是减少危重症、降低病死率的关键。该指南从广泛开展中医药预防保健、规范开展中西医结合治疗、充分利用中医药促进患者康复几个方面在第一版基础上得到加强。 |
| English Summary: |
| Interpretation based on the guidelines on prevention and treatment of novel coronavirus pneumonia by Chinese Medicine(CM) in Hubei province. Coronavirus disease 2019(COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 is an acute infectious disease.The main symptoms of most patients in the early stage were hiding fever, dry cough, weakness, poor appetite and thick-greasy tongue coating. The disease belongs to the epidemic category, which is due to damp-heat epidemic poison in Chinese medicine. The main lesion is in the lung and spleen, and the basic pathogenesis is “dampness, poison, stasis and closure”. This disease is the epidemic disease, which needs to be distinguished from the “warm disease in the four season ”. The foothold should be aimed at the pathological manifestations and characteristics of damp-heat epidemic poison, because damp-heat epidemic poison is the main cause of this disease. Therefore, in the early stage, although there was cold dampness block, the cold dampness transforming to heat was the normal state. During the course of the disease, heat, asthma, stasis, detoxification and weakness are caused. From the pathogenesis of the disease, there are wet poison, heat poison, stasis poison. So the treatment should be around damp-heat epidemic poison and chasing evil is the first important point. Dividing away the damp heat and pestilence, and releasing the Qi are the main measures.Controlling the early and advanced treatment is the key to reduce critical illness and mortality.The guidelines have been strengthened since the first edition in terms of extensive CM prevention and health care, standardized integrated CM and western medicine treatment, and full use of CM to promote the rehabilitation of patients. |
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