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| 基于专家经验研究的新型冠状病毒肺炎中医药证治研究 |
| 洪靖1,2,赵河通1,2,余宋1,2,耿欢3,翟笑枫1,2* |
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(1. 海军军医大学(第二军医大学)中医系, 上海 200433;
2. 海军军医大学(第二军医大学)长海医院中医肿瘤科, 上海 200433;
3. 上海中医药大学附属第七人民医院重症医学科, 上海 200137
*通信作者) |
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| 摘要: |
| 新型冠状病毒肺炎（COVID-19）暴发以来，中医药在疫情防控一线发挥了重要作用。目前国内中医界对COVID-19的研究理论呈现百家争鸣的态势，本文梳理了其中具有代表性的中医药专家对COVID-19病名、病性、病机、治则治法、方药等的主要观点，并进行了总结分析。大多数中医药专家认为COVID-19属于“湿毒疫”，“湿毒”是COVID-19的病理核心，在病机中有着重要地位，但也有中医药专家提出从“火热”“气不摄津”“温热”等角度探讨COVID-19病机。除此之外，对COVID-19的病位、病性，中医药专家们亦都有自己独到的观点，直接影响到COVID-19的治则治法和选方用药。我们对目前研究尚存在的问题提出几点思考：（1）要从疾病的发生、发展全过程把握病机；（2）从“三因制宜”角度辨别其病机同中有异；（3）不可忽视瘀血在疾病转归中的重要作用；（4）中医药辨治还要实现主观性与客观化、个性化与标准化的统一。 |
| 关键词: 新型冠状病毒肺炎 疫病 专家经验 中医药证治 |
| DOI：10.16781/j.0258-879x.2020.09.0941 |
| 投稿时间：2020-04-14修订日期：2020-05-11 |
| 基金项目:上海市卫生和计划生育委员会中医药重大临床研究项目[ZY（2018-2020）-CCCX-4003]，上海市卫生和计划生育委员会中医优势病种培育项目（ZYBZ-2017028）． |
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| Research on traditional Chinese medicine syndrome of coronavirus disease 2019 based on expert experience research |
| HONG Jing1,2,ZHAO He-tong1,2,YU Song1,2,GENG Huan3,ZHAI Xiao-feng1,2* |
(1. School of Traditional Chinese Medicine, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Traditional Chinese Medicine Oncology, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
3. Department of Critical Care Medicine, Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China
*Corresponding author) |
| Abstract: |
| Since the outbreak of coronavirus disease 2019 (COVID-19), traditional Chinese medicine (TCM) has played an important role in the frontline of epidemic prevention and control. At present, the theory of COVID-19 in the domestic TCM community is in a state of booming. This article summarizes and analyzes the main viewpoints of the representative TCM experts on COVID-19, such as disease name, disease nature, pathogenesis, treatment principles and methods, and prescriptions. Most experts believe that COVID-19 belongs to the “wet poison epidemic”. “Wet poison” is the pathological core of COVID-19, which plays an important role in the pathogenesis. However, some experts have proposed to explore the pathogenesis of COVID-19 from the perspectives of “excessive internal heat”, “Qi failing to control body fluid”, “warm heat” and so on. In addition, experts also have their own unique opinions on the disease location and the nature of COVID-19, which directly affect the treatment principles and methods and the choice of prescriptions. Based on the current research, we propose that it is necessary to understand the pathogenesis from the occurrence and development of the disease, to distinguish the different pathogenesis from the perspective of “three-cause measures”, attach importance to blood stasis in prognosis of the disease, and achieve the unity of subjectivity and objectivity, personalization and standardization in TCM differentiation and treatment. |
| Key words: coronavirus disease 2019 epidemic disease expert experience TCM syndrome |
