[1]毛娅 崔翔 王晓玲 刘运磊 吴倩张洁.安康地区26例普通型新冠病毒肺炎患者恢复期中医辨治体会[J].陕西中医药大学学报,2021,44(04):005-10.[doi:10.13424/j.cnki.jsctcm.2021.04.002]
　MAO Ya CUI XiangWANG Xiaoling LIU YunleiWU Qian ZHANG Jie.Experience in Treating 26 cases of CommonCOVID-19 Patients in Convalescence in Ankang area[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,44(04):005-10.[doi:10.13424/j.cnki.jsctcm.2021.04.002]
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安康地区26例普通型新冠病毒肺炎患者 恢复期中医辨治体会
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
44
期数:
2021年04期
页码:
005-10
栏目:
疫病防治
出版日期:
2021-07-30

文章信息/Info

Title:
Experience in Treating 26 cases of Common COVID-19 Patients in Convalescence in Ankang area
文章编号:
2096-1340(2021)04-0005-06
作者:
毛娅1 崔翔1 王晓玲1 刘运磊2 吴倩3张洁3
1.安康市中医医院，陕西 安康 725000；
2.延安大学附属医院，陕西 延安 716000；
3.陕西中医药大学，陕西 咸阳 712046
Author(s):
MAO Ya1 CUI Xiang1WANG Xiaoling1 LIU Yunlei2WU Qian2 ZHANG Jie3
1.Ankang Hospital of Traditional Chinese Medicine，Shaanxi Ankang 725000，China; 2.Affiliated Hospital of Yan'an University，716000，Shaanxi Yanan，China; 3.Shaanxi University of Traditional Chinese Medicine，Shaanxi Xianyang 712046,China)
关键词:
新冠肺炎; 恢复期; 证候分布; 辨证论治; 肺脾气虚证; 气阴两虚证
Keywords:
COVID-19;  Convalescence;  Syndrome distribution;  Syndrome differentiation and treatment;  Deficiency of lung spleen Qi syndrome;  Qi Yin deficiency syndrome
分类号:
R259
DOI:
10.13424/j.cnki.jsctcm.2021.04.002
文献标志码:
A
摘要:
目的 归纳普通型新冠肺炎恢复期患者中医辨证分型，指导恢复期中医治疗。方法 收集安康地区26例普通型新型冠状病毒肺炎确诊病例恢复期症状、舌象、脉象等资料进行描述性分析。结果 26例新冠肺炎恢复期病例的症状频数分布依次为：疲倦乏力73.08%、气短53.85%、口干50.00%、痞满46.15%、纳差46-15%、胸闷34.62%、腹胀34.62%、便溏29.92%、口粘23.08%。舌质分布频次依次为：淡红舌53.85%，淡暗舌38.46%，红舌7.695%；舌苔分布频次依次为：白腻苔46.15%、薄白苔15-38%、剥脱苔15-38%、薄白腻15-38%。脉象分布依次为：细脉38.46%、弦细脉23.08%、细数脉11.54%、滑脉7.69%。恢复期证候分布频次：肺脾气虚型73.08%、气阴两虚型26.92%。结论 安康地区26例新冠肺炎恢复期患者证型为肺脾气虚证和气阴两虚证两型，其中肺脾气虚证居多。肺脾气虚证以益气健脾为治法，采用六君子汤加减；气阴两虚证以益气养阴为治法，选用竹叶石膏汤加减，收到较好的临床效果。
Abstract:
Objective COVID-19 patients in the recovery stage were summarized and classified according to TCM syndrome types，and the TCM treatment in convalescence was also guided.Methods Data of symptoms，tongue and pulse condition of 26 cases of COVID-19 confirmed in convalescence were collected and analyzed.Results The frequency of COVID-19 in 26 cases was fatigue 73.08%，shortness of breath 53.85%，dry mouth 50.00%，fullness 46.15%，anorexia 46.15%，chest tightness 34.62%，abdominal distension 34.62%，loose stool 29.92%，mouth sticky 23.08%.The distribution frequency of tongue texture was 53.85% in light red tongue，38.46% in light dark tongue and 7.695% in red tongue; The distribution frequency of tongue coating was as follows: white greasy coating 46.15%，thin white coating 15-38%，peeling coating 15.38%，thin white greasy coating 15.38%.The distribution of pulse images was thready pulse 38.46%，string and thready pulse 23.08%,thready and rapid pulse 11.54%，slippery pulse 7.69%.The frequency of syndrome distribution in recovery period was 73.08% of the deficiency of lung and spleen Qi and 26.92% of the deficiency of Qi and Yin.Conclusion 26 COVID-19 cases in Ankang district have two types of syndrome，namely，lung spleen Qi deficiency syndrome and Qi Yin deficiency syndrome，and lung spleen Qi deficiency syndrome is the majority.The Qi deficiency syndrome of lung and spleen is treated by invigorating Qi and invigorating spleen，and the Liujunzi decoction is used for addition and reduction; Qi Yin deficiency syndrome is treated by nourishing Qi and nourishing Yin.Zhuye Shigao decoction is used to add and decrease，and it has received better clinical effect.

参考文献/References:

［1］景赟杭,文铁,贾燕龙,等.陕西省新型冠状病毒肺炎流行趋势与特点分析［J］.陕西医学杂志,2020,49(6):648-652.
［2］中华人民共和国国家卫生健康委员会.关于印发国家卫健委新型冠状病毒肺炎诊疗方案（试行第四版）的通知［EB/OL］.(2020-01-27)［2020-03-30］.http://www.nhc.gov.cn/yzygj/s7653p/202001/4294563ed35b43209 b31739bd0785e67.shtml.
［3］中华人民共和国国家卫生健康委员会.关于印发国家卫健委新型冠状病毒肺炎诊疗方案（试行第六版）的通知［EB/OL］.(2020-01-18)［2020-03-30］.http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329 df351d7da8aefc2.2020-02-19.shtml.
［4］高树明,马英,杨丰文,等.张伯礼：中医药在防治新型冠状病毒肺炎全过程发挥作用［J］.天津中医药,2020,37(2):121-124.
［5］陕西省卫生健康委.关于印发新型冠状病毒肺炎中医药防治方案的通知［EB/OL］.(2020-01-23)［2020-03-30］.http://atcm.shaanxi.gov.cn/html/xw/tzgg/202003/1931.html.
［6］李时珍.濒湖脉学:中医歌括注释丛书［M］.王泽玉,注.上海:上海中医药大学出版社,2006:74.
［7］庞稳泰,金鑫瑶,庞博,等.中医药防治新型冠状病毒肺炎方证规律分析［J］.中国中药杂志,2020,45(6):1242-1247.
［8］毛娅,崔翔,江自成,等.陕西安康地区新型冠状病毒肺炎24例中医证候及临床特点分析［J］.陕西中医,2020,41(4):427-428,517.
［9］吴茂兰.曹慧.焦婷，等.红景天对间歇低氧致大鼠肺损伤的干预作用［J］.中国医药导报，2019,16（36）：8-13.
［10］中华人民共和国国家卫生健康委员会.关于印发国家卫健委新型冠状病毒肺炎诊疗方案（试行第七版）的通知［EB/OL］.(2020-03-03)［2020-03-30］.http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe 4cef80dc7f5912eb1989.shtml.
［11］高树明,马英,杨丰文,等.张伯礼：中医药在防治新型冠状病毒肺炎全过程发挥作用［J］.天津中医药,2020,37(2):121-124.
［12］夏文广,安长青,郑婵娟,等.中西医结合治疗新型冠状病毒肺炎34例临床研究［J］.中医杂志,2020,61(5):375-382.
［13］龚雪,牟方政,魏大荣,等.225例新型冠状病毒肺炎的临床特征及中医药应用分析［J］.世界中医药,2020,15(6):819-826.
［14］“清肺排毒汤”应急项目组相关成果在《柳叶刀》预印本发表［J］.世界中医药，2020，15（10）:1442.
［15］陈丽婵,陈惜遂,吴孝红,等.新型冠状病毒肺炎中医证型分布规律的系统评价［J］.中药药理与临床,2020,36(2):46-50.
［16］赵四林,柳玉佳,范伏元,等.新型冠状病毒肺炎重症、危重症恢复期患者的中医药治疗策略［J］.湖南中医药大学学报,2020,40(4):387-391.
［17］刘茜,王荣帅,屈国强,等.新型冠状病毒肺炎死亡尸体系统解剖大体观察报告［J］.法医学杂志,2020,36(1):21-23.
［18］陈思锋.2019新型冠状病毒导致的致命肺渗漏的病理生理学机制和防治策略:兼论血透的应用与依据［J］.中国病理生理杂志,2020,36(3):562-567.
［19］贾振华.络病理论指导新型冠状病毒肺炎证治探讨［J］.中国实验方剂学杂志,2020,26(12):18-22.
［20］游泓,宋远瑛.新型冠状病毒肺炎恢复期的中医药诊疗［J］.亚太传统医药，2020,15(5):4-5.

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备注/Memo

备注/Memo:
基金项目：陕西省中医药管理局课题（2020-YJ005）；安康市科技局课题（AK2020XG06）
更新日期/Last Update: 2021-07-30