世界中医药

作者	单位
杜宏波1，张耀圣1，王彤2，梁腾霄1，孟捷2，吴华阳1，杨先照1，吴峥嵘2，叶永安1	1 北京中医药大学东直门医院，北京，100700； 2 北京中医药大学东方医院，北京，100078

摘要点击次数: 578

全文下载次数: 0

中文摘要:

新型冠状病毒肺炎疫情期间，本团队赴武汉疫区开展中医药临床救治，并取得一定效果。随着临床实践的深入，我们发现本病病变虽核心在肺，但肝脾在辨治中的作用对于改善预后亦有重要作用。肝郁伤神是新型冠状病毒肺炎(Coronavirus Disease 2019,COVID-19)的常见病机，患者常伴有情志异常表现，存在肝郁为本，神乱为标，肺病及肝，金木克伐的旁路病机，并显著加重病情。因此，用药当兼顾调肝安神，改善睡眠，调护情绪，有利于病情恢复。脾失健运是COVID-19的重要病机，健运脾胃应为基本治法之一。总之，肝郁脾虚应当作为COVID-19中医辨治上需要纳入考虑的重要病机，注重肝脾的调理，或是提高疗效及防止复发的另一个切入点。

English Summary:

During the outbreak of novel coronavious pneumonica(NCP),we headed to the front line of Wuhan epidemic area to carry out TCM therapies which demonstrated certain effect.Along with the advancement of clinical practice,we found that although the major pathology of the disease lies in the lung,the liver-spleen differentiation and treatment are vital for improving prognosis as well.Liver Qi stagnation and mental disorder is the common pathogenesis of NCP and patients are often observed with emotional abnormalities.The root cause is liver Qi stagnation and mental disorder is the manifestation,the disorder of the lung affects the liver,metal restricts wood,which significantly aggravate the disease.Thus,the prescription should give consideration to soothing liver and tranqulization,improving sleep,relieving uneasiness of mind and reducing mental stress.Dysfunction of spleen is an important pathogenesis of NCP,hence the principle of reinforcing spleen and regulating stomach should be adopted as one of ground rules.In summary,liver Qi stagnation and spleen deficiency are the key mechanism throughout the disease progression.It could be a reasonable approach to focus on the regulation of liver and spleen to improve efficacy.

查看全文查看/发表评论下载PDF阅读器