文献类型：期刊文献

中文题名：“甘肃方剂”在新型冠状病毒肺炎防治中的应用策略分析

英文题名：Analysis of "Gansu Prescriptions" in Prevention and Treatment of Coronavirus Disease-2019

作者：王鑫[1];张志明[1];王功臣[1];付兆媛[1];王庆胜[2];刘东玲[2];张利英[2];刘永琦[2]

第一作者：王鑫

机构：[1]甘肃中医药大学附属医院,兰州730000;[2]甘肃中医药大学甘肃省高校重大疾病分子医学与中医药防治研究重点实验室,兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2020

卷号：26

期号：16

起止页码：21

中文期刊名：中国实验方剂学杂志

外文期刊名：Chinese Journal of Experimental Traditional Medical Formulae

收录：CSTPCD;;北大核心:【北大核心2017】；CSCD:【CSCD2019_2020】；

基金：甘肃省新型冠状病毒肺炎(COVID-19)科技重大专项(2020年);甘肃省高校重大疾病分子医学与中医药防治研究重点实验室COVID-19防治科研专项开放基金项目(2020年);兰州市城关区科技计划项目(2020JSCX0025)。

语种：中文

中文关键词：新型冠状病毒肺炎(COVID-19);中医药;策略;甘肃方剂

外文关键词：coronavirus disease-2019(COVID-19);traditional Chinese medicine;strategies;Gansu prescriptions

摘要：新型冠状病毒肺炎(COVID-19)是由新型冠状病毒(2019-nCoV)感染引起的急性传染病,传染性强,传播速度快,目前已造成全球大流行。疫情发生后,甘肃省积极响应国家"中西医结合"防疫方针,组织成立中医药防治专家组,建立中西医结合联动工作机制,坚持中西医结合原则,突出中医药防疫优势,强调早期、及时、全程使用中医药。专家组在实践中不断总结,形成系列"甘肃方剂",探索出"关口前移、截断扭转、防治在早期、治愈在初期"的防治策略。未病之前,将关口前移,辨体选用扶正避瘟方,扶助正气,避其毒气,以防患于未然;发病以后,先证而治,截断扭转,辨证选用宣肺化浊方、清肺通络方,驱邪外出,将COVID-19治愈在初期阶段;病愈之初,选用健脾益肺方,健脾益肺、培土生金、和胃化湿,以防复发。在中西医结合的原则下,辨体辨证选用"甘肃方剂",预防了疫病的发生,阻止了轻型、普通型向重型、危重型的转化,提高了临床疗效,缩短了病程,减少了重型、危重型发生率,从而降低了死亡率。
Coronavirus disease-2019(COVID-19)is an acute infectious disease caused by a 2019 novel coronavirus(2019-nCoV)infection. It is highly contagious,and can spread quickly home and abroad. It has caused a global pandemic. After the outbreak,Gansu province actively responded to the national "integrated Chinese and western medicine(ICWM)" epidemic prevention policy by organizing an expert group on the prevention and treatment of traditional Chinese medicine(TCM)and establishing a joint working mechanism of ICWM. In adherence to the principle of ICWM,it highlighted the advantages of TCM in epidemic prevention,and emphasized early,timely and whole course use of TCM. The expert group continued to summarize in practice and form a series of "Gansu prescriptions",so as to explore the prevention and control strategy of "prevention in advance,timely interruption and reversal,early prevention and cure,and cure in early stage".Before illness, the prevention shall be made in advance by taking Fuzheng Biwen prescription based on constitution differentiation,in order to strengthen the body resistance and removing pathogenic Qi,after the onset,the syndromes were first treated,interrupted and reversed,and Xuanfei Huazhuo prescription and Qingfei Tongluo prescription were administered based on syndrome differentiation,so as to exorcise pathogenic Qi and cure COVID-19 at the early stage,at the beginning stage of recovery,Jianpi Yifei prescription was used to strengthen the spleen and lungs, and harmonize the stomach and resolve dampness, so as to prevent recurrence. In the principle of ICWM, "Gansu prescriptions" were selected based on the constitution differentiation and syndrome differentiation,so as to prevent the occurrence of epidemics,block light and common symptoms from developing to heavy and critical symptoms,improve the clinical efficacy,shorten the course of disease,and reduce the incidence of critical illness,thereby reducing mortality.