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试从中医角度认识2019新型冠状病毒肺炎
窦晓鑫1, 杨玉莹1, 卜志超1, 孟静岩2
1.天津中医药大学研究生院, 天津 301617;2.天津中医药大学中医学院, 天津 301617
摘要:
2019新型冠状病毒肺炎属于中医疫病范畴,临床表现以发热、乏力、干咳为主,少数患者伴有鼻塞、流涕、腹泻等症状,其病位在肺,总的病机为湿郁于肺,治疗的关键环节是尽早正确及时除湿,通腑泄浊。依据四诊合参、审症求因,初步提出分期辨证论治:初期、中期、重症期、恢复期,在临证时需要个体化的中医治疗方案治疗本次疫病。未感染者要早预防,已感染者要早发现、早隔离、早诊断、早治疗。
关键词:  2019新型冠状病毒肺炎  中医  病名  病因病机  治则治法  辨证论治  预防
DOI:10.11656/j.issn.1672-1519.2020.02.04
分类号:R511
基金项目:
Understanding of 2019 novel coronavirus pneumonia from the perspective of traditional Chinese medicine
DOU Xiaoxin1, YANG Yuying1, BU Zhichao1, MENG Jingyan2
1.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
The 2019 novel coronavirus pneumonia belongs to "yibing" in traditional Chinese medicine. The clinical manifestations of the patients with novel coronavirus pneumonia are fever,fatigue and dry cough,while a few patients have symptoms such as nasal congestion,runny nose,and diarrhea. The disease is located in the lung and the pathogenesis is that the dampness resist in the lung. The key step in treatment is to remove the dampness and discharge the turbidity. Based on the principle of the comprehensive analysis of four examinations,the examination of the cause of the disease and identification according to the etiology,we classify the disease as four stages:early,middle,severe,recovery. The patients should be treated with different and personal prescription by syndrome differentiation. Those who are not infected need to be prevented early,while those who are already infected must be detected,isolated,diagnosed and treated early.
Key words:  2019 novel coronavirus pneumonia  traditional Chinese medicine  disease name  etiology and pathogenesis  rule and treatment  syndrome differentiation and treatment  prevention
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