从调节“肾精”状态浅谈老年人新型冠状病毒肺炎的防治

Discussion on the prevention and treatment of the novel coronavirus pneumonia in the elderly by regulating the state of “kidney essence”

关键词:  老年人新型冠状病毒肺炎  肾精  补肾填精法  扶正祛邪  预防  康复

Key words:  novel coronavirus pneumonia in the elderly  kidney essence  kidney tonifying and essence filling method  strengthening the body resistance to eliminate pathogenic factors  prevention  rehabilitation

摘要:

中国老年人数量多，老年人免疫功能弱，是本次新型冠状病毒肺炎（NCP）的易感人群和高危易发人群。老年人感染后病情较重，死亡患者多为老年人。因此，预防和治疗老年人NCP，减少新增病例和死亡病例，对战胜此次疫情具有十分关键的作用。中西医结合治疗NCP的疗效已经显现，但是中医药的预防作用与康复作用还有待进一步加强。针对老年人特殊的生理和病理特点，作者研究团队在国家"973"计划项目的资助下，证明老年人"肾精"明显不足，导致"肾精亏虚"，机体出现免疫系统功能低下、干细胞增殖和分化功能下降，而"补肾填精法"可以通过调节这种状态发挥防病治病的作用。所以，在中西医结合防治老年人NCP的过程中，恰当运用"补肾填精法"调节"肾精"状态，可以发挥"未病先防""既病防变""瘥后防复"的重要作用。对于尚未感染病毒老年人或处于隔离期尚未发病的老年人，可以补肾扶正以预防发病；对于普通型老年患者，应以祛邪为主，如果症状不能控制，"疫邪"易"伏少阴"，应补肾扶正祛邪共用，中西医结合防止传变以"截断扭转"病势；对于恢复期老年患者，"疫邪"已去，应以补肾扶正康复为主；但是，对于重症和危重症老年患者，则需要在辨证论治以及根据患者的实际情况下慎重运用。

Abstract:

There are a large number of elderly people in China with weak immune function,who are susceptible to and high-risk for the novel coronavirus pneumonia (NCP). The elderly are more seriously ill after infection,and most of the patients who died are the elderly. Therefore,the prevention and treatment of NCP in the elderly and the reduction of new cases and deaths are crucial to the fight against this epidemic. The curative effect of integrated traditional Chinese and Western Medicine in the treatment of novel coronavirus pneumonia has already appeared,but the preventive and rehabilitative effects of traditional Chinese medicine need to be further strengthened. In view of the special physiological and pathological characteristics of the elderly,the author's research team,under the support of the national "973" project,has proved that the elderly's "kidney essence" is obviously insufficient,resulting in "kidney essence deficiency",the body's immune system function is low,stem cell proliferation and differentiation function is decreased,and "kidney tonifying and essence filling method" can play a role in disease prevention and treatment by regulating this state. Therefore,in the process of combining traditional Chinese and Western medicine in the prevention and treatment of NCP in the elderly,the appropriate use of "kidney tonifying and essence filling method" to regulate the state of "kidney essence" can play an important role in "prevention before disease onset","preventing disease from exacerbating" and "prevention of the recrudescence of diease". For the elderly who have not been infected with the virus or the elderly who have not developed disease in the isolation period,we can strengthen the kidney and strengthen the body to prevent the disease or the ordinary elderly patients,we should mainly eliminate pathogenic factors,if the symptoms can not be controlled,"epidemic pathogenic factors" are easy to "fushaoyin",we should tonifying the kidneys,strengthen the body and relieving the evil,and the combination of traditional Chinese and Western medicine to prevent the transmission of "truncate and reverse" disease. For the elderly patients in the recovery period,the "epidemic evil" has gone,and the main purpose is to tonify the kidneys and rehabilitate. However,for the elderly patients with severe and critical diseases,it is necessary to use it carefully according to the actual situation of the patients.