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新型冠状病毒肺炎国家第三到七版诊疗方案中医诊治对比分析
白逸晨1, 史利卿2, 马建岭2, 王彤3, 董尚娟2, 李扭扭2, 王丽云2, 季坤2, 温绍惠2, 宋欢1
1.北京中医药大学, 北京 100029;2.北京中医药大学东方医院呼吸热病科, 北京 100078;3.北京中医药大学东方医院重症监护病房, 北京 100078
摘要:
新型冠状病毒肺炎(简称新冠肺炎,COVID-19)属中医"疫病""湿毒疫"范畴,在国内外广泛传播。疫情发生以来,国家卫生与健康委员会先后发布了7版《新型冠状病毒感染的肺炎诊疗方案》(简称《诊疗方案》),对该病的认识及诊治具有重要的指导意义。通过对比分析第三到七版《诊疗方案》中医诊治的内容,进一步分析探讨中医学对新冠肺炎的认识、辨证分型及临床治疗的变化特点,归纳总结中医对本病认识过程的规律可见从已知到未知的逐步深入,为完善、优化中医药应对传染性疾病的防治体系提供参考。
关键词:  新型冠状病毒肺炎  传染病  诊疗方案  中医  疫病
DOI:10.11656/j.issn.1672-1519.2020.12.05
分类号:R511
基金项目:东方医院“1166”人才培养项目(040204001001002012);卫计委国家临床肺病重点专科项目(2011-1201)。
Comparison and analysis of traditional Chinese medicine diagnosis and treatment in 3~7 edition of diagnosis and treatment of corona virus disease 2019
BAI Yichen1, SHI Liqing2, MA Jianlin2, WANG Tong3, DONG Shangjuan2, LI Niuniu2, WANG Liyun2, JI Kun2, WEN Shaohui2, SONG Huan1
1.Beijing University of Chinese Medicine, Beijing 100029, China;2.Department of Respiratory Medicine, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China;3.Intensive Care Unit, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China
Abstract:
Corona Virus Disease 2019(COVID-19) belongs to the category of "pestilence" and "noxious dampness pestilence" in traditional Chinese medicine (TCM) and is widely spread at home and abroad. Since the outbreak,the National Health Commission has issued seven editions of Diagnosis and Treatment of Corona Virus Disease 2019,which has important guiding significance for the understanding,diagnosis and treatment of this disease.This article compares and analyzes the contents of TCM diagnosis and treatment in 3~7 edition,and further analyzes and explores the changes in the knowledge,syndrome differentiation and clinical treatment of COVID-19 in TCM.It can be summarized that the rules of TCM's understanding of COVID-19 can be seen from the known to the unknown,and provide a reference for improving and optimizing the prevention and treatment system of TCM for infectious diseases.
Key words:  corona virus disease 2019  infectious disease  treatment plan  traditional Chinese medicine  pestilence
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