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试从薛雪《湿热病篇》浅析新型冠状病毒感染临证要点
刘耀远1, 吕玲2, 李霄3,4, 熊可3, 金鑫瑶3, 黄明3,4
1.天津中医药大学第一附属医院, 国家中医针灸临床研究中心, 天津 300381;2.首都医科大学附属北京中医医院顺义医院, 北京 101399;3.天津中医药大学, 天津 301617;4.组分中药国家重点实验室, 天津 301617
摘要:
湿毒疫学说认为:湿毒郁肺是新型冠状病毒感染(以下简称"新冠感染")的核心病机,传变迅速、传染性强、易于流行是其致病特征,兼夹风、热、寒、燥等邪毒是其病机要点。该学说较为全面地反映了新冠感染各期的临床特征,为新冠感染的中医防治提供了理论依据。《湿热病篇》是中医疫病学的重要著作,其内容对新冠感染的中医治疗具有指导意义。文章从新冠感染的临床表现和湿毒疫学说入手,结合《湿热病篇》学术思想,浅析新冠感染的临床特点和证治要点,为新冠感染的中医诊疗提供参考。
关键词:  新型冠状病毒感染  湿毒疫  湿热病篇  薛雪
DOI:10.11656/j.issn.1673-9043.2023.04.20
分类号:R254.3
基金项目:天津市教委科研计划项目(2022KJ146)
Analyzing the key points of diagnosis and treatment of COVID-19 based on XUE Xue's Chapter on Damp-Heat
LIU Yaoyuan1, LYU Ling2, LI Xiao3,4, XIONG Ke3, JIN Xinyao3, HUANG Ming3,4
1.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Affiliated Hospital of Tanjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.Shunyi Hospital, Beijing Hospital of Traditional Chinese Medicine, Beijing 101399, China;3.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;4.State Key Laboratory of Component-based Chinese Medicine, Tianjin 301608, China
Abstract:
According to the theory of "dampness-toxicity plagues",damp toxin depressing the lung is the core pathogenesis of COVID-19. The pathogenic characteristics of COVID-19 are that the disease is rapidly changing,highly infectious and easy to cause epidemics. The clinical characteristics of COVID-19 include wind,heat,cold and dryness. The theory comprehensively reflects the clinical characteristics of COVID-19 and provides a theoretical basis for the prevention and treatment of COVID-19 in traditional Chinese medicine(TCM). Chapter on Damp-Heat is an important part of the theory of epidemic disease prevention and treatment in TCM,which has guiding significance for the treatment of COVID-19 in TCM. Starting with the clinical manifestation of COVID-19 and the theory of "dampness-toxicity plagues",combined with the academic thought of Chapter on Damp-Heat,this paper analyzes the clinical characteristics and key points of syndrome and treatment of COVID-19,so as to provide reference for the TCM diagnosis and treatment of COVID-19.
Key words:  COVID-19  dampness-toxicity plagues  Chapter on Damp-Heat  XUE Xue
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