| 基于《金匮要略》痰饮病探讨新型冠状病毒肺炎病因病机及辨治 |
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| 引用本文： | 刁雅静. 基于《金匮要略》痰饮病探讨新型冠状病毒肺炎病因病机及辨治[J]. 河南中医, 2020, 40(6): 827-830. DOI: 10.16367/j.issn.1003-5028.2020.06.0209 |
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| 作者姓名： | 刁雅静 |
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| 作者单位： | 山东第一医科大学第一附属医院,山东济南250014 |
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| 摘 要： | 新型冠状病毒肺炎(corona virus disease 2019,COVID-19,简称新冠肺炎)病因为感受寒湿疫毒邪气,病机为阳虚阴盛,肺脾肾三脏气化失调,符合中医痰饮病特点。痰饮病属本虚标实之证,治疗当补虚与泻实兼顾,在温阳以治其本的同时,祛邪外出。饮邪在表者,以辛温药开腠理,发其汗;饮邪在里者,根据邪实盛衰,采用温阳行气或攻逐之法消痰利水。新冠肺炎初期,病机为寒饮袭肺伤脾,此期可参照溢饮、痰饮治法,散寒解表,温肺化饮,健脾利湿,采用小青龙汤、苓桂术甘汤加减;中期病机为水饮停肺,饮郁不解,化热壅肺,此期可参照支饮、悬饮治法,宣肺逐饮,通腑泻热,采用小青龙汤、苓甘五味姜辛汤、大青龙汤、葶苈大枣泻肺汤、厚朴大黄汤加减;危重期病机为饮邪闭肺,邪陷心包,应开窍醒神,益气生津,回阳救逆,采用木防己汤合肾气丸加减;恢复期病机为余饮留于肺脾,宜健脾补肺,行气化饮,采用外台茯苓饮加减。
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| 关 键 词： | 新型冠状病毒肺炎 痰饮病 寒湿疫毒 《金匮要略》 张仲景 |
Discussion About Etiology and Pathogenesis and Differentiation Treatment of COVID-19 Based on Phlegm-Fluid Retention in Synopsis ofthe Golden Chamber |
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| DIAO Ya-jing. Discussion About Etiology and Pathogenesis and Differentiation Treatment of COVID-19 Based on Phlegm-Fluid Retention in Synopsis ofthe Golden Chamber[J]. Henan Traditional Chinese Medicine, 2020, 40(6): 827-830. DOI: 10.16367/j.issn.1003-5028.2020.06.0209 |
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| Authors: | DIAO Ya-jing |
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| Affiliation: | (The First Affiliated Hospital of Shandong First Medical University,Jinan,Shandong,China,250014) |
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| Abstract: | |
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| Keywords: | corona virus disease 2019(COVID-19) phlegm-fluid retention cold dampness epidemic pathogenic factor Synopsis of the Golden Chamber Zhang Zhong-jing |
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