基于卫气营血辨证和脏腑辨证相结合治疗新型冠状病毒肺炎验案1则

A case of the treatment of novel coronavirus pneumonia based on the combination of syndrome differentiation of wei qi ying blood and syndrome differentiation of viscera

关键词:  卫气营血辨证  脏腑辨证  新型冠状病毒肺炎  验案

Key words:  syndrome differentiation of wei qi ying blood  syndrome differentiation of viscera  novel coronavirus pneumonia  proved case

摘要:

广东省人民医院中医科通过参与治疗广州地区确诊病例，逐步形成了基于卫气营血辨证和脏腑辨证相结合治疗广州地区新型冠状病毒肺炎患者的院内中医诊疗方案。文章介绍了该院收治的1例新型冠状病毒肺炎的患者。该患者的中医病机和证候演变呈现典型的层次性，基本按照经典温病的卫气营血辨证和脏腑辨证的传变规律发展，经中西医结合治疗后，患者第4天体温恢复正常，第7天广州疾病预防控制中心新型冠状病毒核酸检测结果阴性，取得了良好的治疗效果。

Abstract:

Through participating in the treatment of confirmed cases in Guangzhou,the Department of Traditional Chinese Medicine of Guangdong Provincial People's Hospital has gradually formed an in-hospital traditional Chinese medicine(TCM) diagnosis and treatment program based on the combination of syndrome differentiation of wei qi ying blood and syndrome differentiation of viscera in the treatment of patients with novel coronavirus pneumonia in Guangzhou. This article introduces a case of novel coronavirus pneumonia in this hospital. The patient's TCM pathogenesis and syndromes evolution showed a typical hierarchy,which basically developed according to rule of disease progress of syndrome differentiation of wei qi ying blood and syndrome differentiation of viscera in the classic warm disease. After the treatment with integrated traditional Chinese and Western medicine,the patient's body temperature returned to normal on the fourth day,and the test result of the novel coronavirus nucleic acid of Guangzhou Center for Disease Control and Prevention was negative on the seventh day. It achieved good therapeutic effect.