[1]杨薇杨华升 指导:姜良铎.解表法在新型冠状病毒肺炎中的应用分析[J].陕西中医药大学学报,2020,(0):054-60.
　Yang Wei,Yang Huasheng,Jiang Liangduo ..Application of Relieving Exterior Syndrome in the treatment of Coronavirus Disease 2019[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(0):054-60.
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解表法在新型冠状病毒肺炎中的应用分析
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年0
页码:
054-60
栏目:
出版日期:
2020-01-01

文章信息/Info

Title:
Application of Relieving Exterior Syndrome in the treatment of Coronavirus Disease 2019
作者:
杨薇1杨华升2 指导:姜良铎3
1.首都医科大学,北京100069;2.首都医科大学附属北京佑安医院,北京100069;3.北京中医药大学东直门医院,北京100700
Author(s):
Yang Wei 1 ;  Yang Huasheng 2 ;  Jiang Liangduo 3 .
1. Capital Medical University; 2. Beijing Youan Hospital, Capital Medical University;3. Dongzhimen Hospital , Beijing University of Chinese Medicine.
关键词:
新型冠状病毒肺炎; 解表; 汗法; 桂枝汤; 表里双解
Keywords:
Coronavirus Disease 2019;  relieving exterior syndrome;  diaphoresis;  Guizhi Decoction;  double solutionof exterior and interior
摘要:
结合中医药治疗COVID-19的临床实践,提出本病以卫分证和气分证为主,宣肺透邪解表是主要治法?对解表法进行了分类,包括辛凉解表?辛温解表?扶正解表?表里双解?祛湿解表等?运用解表法治疗COVID-19必须辨证精准,灵活处方,重视煎服法等细节及禁忌症,并提出桂枝汤可以作为辨证不明时的试验性治疗方法?COVID-19的中医治疗以辛凉宣肺透邪为主,早用宣肺透邪并注意扶正,不仅可以提高治愈率,还可以预防正虚邪陷,减少重症的发生?
Abstract:
Based on the clinical practice of traditional Chinese medicine in the treatment of Coronavirus Disease 2019 ( COVID -19) , we think that the main syndromes of this disease are Wei and Qi phase syndrome. The main effective treatment in early stage is dispersing lung qi to penetrate pathogenic factors and relieve the external symptoms. The method of relieving exterior syndrome can be divided into several kinds depending on the composition or specific method of the drug, including pungent and wind, pungent and warm, strengthening the body to resolving the exterior, double solution of exterior and interior, removing dampness to relieving exterior syndrome and so on. Accurate syndrome differentiation and flexible modification is necessary in the treatment of COVID -19. Pay attention to details and contraindications of decoction is also necessary. Guizhi Decoction can be used as an experimental treatment when syndrome differentiation is not clear. The traditional Chinese medicine treatment of COVID -19 is mainly based on dispersing lung qi to penetrate pathogenic factors. This method should be used early to penetrate pathogens and pay attention to strengthening. It can not only improve the cure rate and also prevent the depression of positive deficiency caused by pathogenic factors , so then reduce the occurrence of critical illness.

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备注/Memo

备注/Memo:
基金项目:国家科技重大专项(2017ZX10305501);中医药防治2019-nCoV研究项目(2020YFC841500);国家中医药管理局第四批全国中医优秀人才研修项目(国中医药办人教函[2017]24)作者简介:杨华升,博士,主任医师,硕士生导师,第四批全国中医优秀人才?研究方向:中西医结合治疗肝病及传染病?E-mail:yangdoctor2000@qq.com.
更新日期/Last Update: 2020-03-20