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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:

期数:

2021年04期

页码:

005-10

栏目:

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�餫n，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.

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）

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更新日期/Last Update: 2021-07-30