浅谈新型冠状病毒肺炎的中医辨证分析

Discussion on the analysis of traditional Chinese medicine syndrome differentiation in COVID-19

关键词:  新型冠状病毒肺炎  中医辨证  邪犯肺卫  湿邪阻肺  邪犯少阳

Key words:  COVID-19  traditional Chinese medicine syndrome differentiation  evil impinges the lung  damp evil blocks the lung  evil impinges the shaoyang

摘要:

[目的] 探究新型冠状病毒肺炎的中医辨证分析，为临床辨证治疗提供参考。[方法] 对武汉红十字医院发热八病区确诊的45例新型冠状病毒肺炎患者进行入院时、入院3 d后及入院7 d后的中医证候、舌象进行调查并统计分析。[结果] 45例患者中入院时中医症状主要表现为发热（64.44%）、咳嗽（75.56%）、乏力（55.56%）、咯痰（48.89%）等。入院3 d后中医症状主要表现为咳嗽（66.67%）、咯痰（55.56%）、气紧（55.56%）、乏力（46.67%）；入院7 d后以口干（55.56%）、口苦（51.11%）、食欲不振（26.67%）、咳嗽（46.67%）、咯痰（42.22%）为主。[结论] 新型冠状病毒肺炎患者的初期中医辨证主要以邪犯肺卫为主。疾病发展早期变化为湿邪阻肺为主，中期转变为邪犯少阳、湿邪中阻为主。

Abstract:

[Objective] To explore the analysis of traditional Chinese medicine (TCM) syndrome differentiation in COVID-19, and provide reference for clinical syndrome differentiation treatment.[Methods] The TCM syndromes and tongue images of 45 COVID-19 patients diagnosed in fever eight wards of Wuhan Red Cross Hospital were investigated and statistically analyzed at admission, 3 days after admission and 7 days after admission.[Results] The main symptoms of 45 patients were fever (64.44%), cough (75.56%), fatigue (55.56%) and expectoration (48.89%). Three days after admission, the main symptoms of TCM were cough (66.67%), expectoration (55.56%), shortness of breath (55.56%) and fatigue (46.67%). Seven days after admission, the main symptoms were dry mouth (55.56%), bitter taste (51.11%), loss of appetite (26.67%), cough (46.67%) and expectoration (42.22%).[Conclusion] In the early stage of TCM syndrome differentiation of COVID-19 patients, the main syndrome differentiation is evil invading lung. In the early-middle stage of disease development, damp evil blocked the lung mainly, and in the middle stage, it changed into evil impinges the shaoyang and damp evil blocks the middle burner mainly.