文献类型：期刊文献

中文题名：中西医结合治疗甘肃地区新型冠状病毒肺炎验案4则

英文题名：Analysis of 4 cases of COVID-19 treated by integrated traditional Chinese and western medicine in Gansu

作者：雍文兴[1];冯彩琴[1,2];张利英[2,3];王庆胜[1];刘永琦[1,2,3];张志明[1]

第一作者：雍文兴

机构：[1]甘肃中医药大学附属医院,甘肃省中西医结合防治肿瘤临床中心,甘肃兰州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,甘肃兰州730000;[3]甘肃中医药大学附属医院,敦煌医学与转化省部共建教育部重点实验室,甘肃兰州730000

第一机构：甘肃中医药大学中西医结合学院|甘肃中医药大学第二附属医院

年份：2020

卷号：54

期号：3

起止页码：21

中文期刊名：上海中医药杂志

外文期刊名：Shanghai Journal of Traditional Chinese Medicine

收录：CSTPCD

基金：甘肃省新型冠状病毒(2019-nCoV)肺炎应急科研专项;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NCP防治科研专项开放基金项目。

语种：中文

中文关键词：新型冠状病毒肺炎;甘肃;中西医结合疗法;辨证论治;病案

外文关键词：COVID-19;Gansu;integrated traditional Chinese and western medicine therapy;pattern identification and treatment;medical record

摘要：结合4则验案,分析甘肃地区新型冠状病毒肺炎的中医病机和证治特点。认为其多因感受湿热毒邪所致,病位在肺,涉及三焦,极易传变,且病变常随着气候地域条件而变。初期邪在卫气,治以宣透清化;发病正值经期者,以化湿透邪解表为先,和解少阳,阻止热入血室、卫气同病;湿郁肺卫者,治以宣散寒湿、清热利咽。愈后续服健脾化湿清热汤剂以祛余邪。
Combined with 4 cases,the pathogenesis,pattern identification and treatment characteristics of COVID-19 in Gansu region were analyzed.Based on the analysis,it is believed that COVID-19 is caused by the invasion of damp-heat toxic pathogens.The disease is located in the lungs,affecting triple energizers.It is easy to spread and change,and the pathological changes are in line with the changes of climatic and regional conditions.At the early stage,pathogenic factors are in the phase of defense-qi,which should be dispersed,expelled,cleared and resolved.If the onset of the disease is on the menstrual period,it is essential to resolve dampness,expel pathogenic factors and relieve the exterior first,and harmonize Shaoyang to prevent heat from entering the blood chamber influencing both the defense phase and qi phase.If dampness stagnates in the lung and the defense phase,it is appropriate to dissipate cold and disperse dampness,clear heat and relieve sore throat.Jianpi Huashi Qingre decoction should be taken after initial recovery until residual pathogens are eliminated completely.