试从《温热论》浅谈新型冠状病毒肺炎的诊治
作者单位:

1.江西中医药大学研究生院;2.江西中医药大学


A Analysis of the Diagnosis and Treatment of COVID-19 from the Treatise on Febrile Diseases
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    摘要:

    从温病学理论角度来看,新型冠状病毒肺炎当属伏气温病,其致病邪气因地域虽有寒热之分,但均以湿毒为主,因此宜命名为湿毒疫。《温热论》作为温病学家叶天士对于温病学理论的奠基之作,在论述温病的诊疗时有三方面特色:①卫气营血辨证的形成;②以透邪为要的治疗思路;③辨别体质灵活施治。叶氏在温病学理论中的发挥,也启迪着中医对此次新冠肺炎的诊治。

    Abstract:

    Corona virus disease-2019(COVID-19) belongs to the category of plague of traditional Chinese medicine. Based on the epidemic situation of COVID-19, we have summarized the classical Chinese medicine theories in guiding the understanding, prevention or treatment of COVID-19 by searching the understanding and application of doctors. The theories include: the theory of “preventive treatment of disease” focused on “improving the prognosis of the disease”, the theory of “the three categories of etiological factors” based on “dynamic and holistic view”, the theory of “febrile diseases due to latent Qi” valued asymptomatic cases, the theory of “Treatise on Warm Pestilence” supposed to put dispelling pathogenic factors in the first place, the theory of “Treatise on differentiation and treatment of epidemic febrile disease” treating damp-warm disease by three-Jiao syndrome differentiation, the theory of “Treatise on Cold Damage Diseases” emphasized to grasp the pathogenesis of diseases and treat it with the evidences and the theory of “Clarifying Doubts about Damage from Internal and External Causes” proposed the disease is caused by the insufficiency of Zhong qi.

    参考文献
    [1] 李晓凤,杜武勋.基于五运六气理论对新型冠状病毒感染肺炎的几点思考[J].中华中医药学刊,2020,38(3):13-16.
    [2] 柴瑞霭,柴 崑,李鹏涛,等.从中医“寒湿疫”角度探讨新型冠状病毒肺炎的诊治思路[J]. 中国中医急症,2020,29(4):565-567,574.
    [3] 冯芮琪,路 童,战丽彬.“三因制宜”理论辨治新型冠状病毒肺炎探析[J].中华中医药学刊,2020,38(4):15-19.
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引用本文

●李怀玉,邱丽瑛,叶菁.试从《温热论》浅谈新型冠状病毒肺炎的诊治[J].,2020,19(4):4-7

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历史
  • 收稿日期:2020-06-14
  • 最后修改日期:2020-07-25
  • 录用日期:2020-08-03
  • 在线发布日期: 2021-07-09