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1.中国中医科学院 西苑医院,北京 100091
2.湖北省中西医结合医院,武汉 430015
3.武汉市金银潭医院,武汉 430023
王冰,硕士,主治医师,从事中医药防治呼吸系统疾病研究,E-mail:angeline1019@126.com
苗青,博士,主任医师,教授,博士生导师,从事中医药防治呼吸系统疾病研究,Tel:010-62835376,E-mail:miaoqing55@sina.com
收稿日期:2020-03-22,
网络出版日期:2020-07-23,
纸质出版日期:2020-10-05
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王冰,徐波,范艺龄等.结合验案从“分消走泄法”论治新型冠状病毒肺炎[J].中国实验方剂学杂志,2020,26(19):53-59.
WANG Bing,XU Bo,FAN Yi-ling,et al.Experience in Treatment of COVID-19 by Elimination of Pathogens Through Purgation and Diuresis[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(19):53-59.
王冰,徐波,范艺龄等.结合验案从“分消走泄法”论治新型冠状病毒肺炎[J].中国实验方剂学杂志,2020,26(19):53-59. DOI: 10.13422/j.cnki.syfjx.20201925.
WANG Bing,XU Bo,FAN Yi-ling,et al.Experience in Treatment of COVID-19 by Elimination of Pathogens Through Purgation and Diuresis[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(19):53-59. DOI: 10.13422/j.cnki.syfjx.20201925.
2020年初新型冠状病毒肺炎(COVID-19)疫情在全球范围内迅速蔓延,该病属于中医“湿疫”“湿毒疫”范畴,病变以肺、脾为核心,而湿、毒性质尤其突出,通过大量的临床观察,在其发展演变过程中从热化者居多,其治法当三焦并治,以分消走泄为大法,湿热蕴毒,弥漫三焦者,可以甘露消毒丹为主方治疗,宣上、畅中、渗下,给邪气以出路,宣畅气机;针对两少阳经湿热者,可应用蒿芩清胆汤清利湿热,和解少阳枢机,分消湿热疫毒;病在膜原,湿遏热伏者,达原饮化裁开达膜原、宣畅气机,同时列举在此次武汉抗疫一线收治的3个典型病例,进行深入分析,以飨读者。在临床上,使用分消走泄法治疗COVID-19主要用于该病的早期、中期,病位尚在气分者,临床分型属于轻型、普通型及重型的患者如准确辨证均适用,可有效改善症状、减轻邪毒、截断及逆转病程,使得邪气外透,避免出现逆证。
Coronavirus disease-2019 (COVID-19) outbreaks were spreading rapidly around the world in early 2020. This disease is within the category of "damp epidemic" and "damp toxin epidemic" in traditional Chinese medicine
with lung and spleen as the lesion focuses
while dampness and toxin as especially prominent properties. Through clinical observation
we found that dampness would often transform into damp heat during the development and evolution of the disease
and the "triple energizer" treatment was an important therapeutic method
eliminating pathogens through purgation and diuresis: for those with damp-heat accumulation toxin diffused to the triple energizer
we could use Ganlu Xiaodudan as primary prescription
which can spread the upper part
smooth the middle part and infiltrate the lower part
so as to provide a way out for the pathogenic factors and regulate Qi movement. For those with damp-heat in Shaoyang channel
we could use Haoqin Qingdantang to clear heat and promote diuresis
harmonize Shaoyang
eliminate damp-heat and epidemic pathogenic factor. For those with pathogen hidden in membrane source dampness trapping and hidden heat
we could use Dayuanyin to eliminate pathogens between interior and exterior parts
and regulate Qi movement. At the same time we shared three typical cases treated in Wuhan
and conducted an in-depth analysis in this study. Clinically
the method of elimination of pathogens through purgation and diuresis is mainly used in the early and middle stage of this disease. When the disease is still located in Qi system
it also can be applied to mild
ordinary patients and severe patients that have accurate syndrome differentiation. In such cases
it can effectively improve symptoms
reduce pathogenic toxin
truncate and reverse the course of disease
give way to pathogen
and avoid disease aggravating.
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