试用玄府理论探讨新型冠状病毒感染的防治方略

“玄府”一词始见于《黄帝内经》，玄府理论经历代医家补充而逐渐完善。玄府作为人体气机升降的通道存在于机体各处，其功能具有广泛存在性和开阖通利性。现代医学的肺泡毛细血管屏障与玄府功能相关，为玄府理论在新冠感染防治中的应用提供了现代的科学依据。新冠感染的中医病理机制主要为湿毒郁肺、玄府郁闭。因此，开通玄府是新冠感染防治的基本治则。本文结合奥地利和澳大利亚的临床实践，阐述了玄府理论防治新冠感染的5种方略:祛邪开玄、理气开玄、通络开玄、化湿开玄、扶正固玄。经上百例临床实践表明，开通玄府对新冠感染的防治是确切有效的。本文从玄府开阖的角度解析新冠感染的机理，整合中西医学理念拟定其防治方略，对新冠感染和未来“疫病”的防治具有一定的指导意义。

Covid-19 Prevention and Treatment Strategies with Xuanfu Theory

The term "Xuanfu" first appeared in the "Huangdi Neijing", Xuanfu‘s theory was gradually improved through additions by doctors of the past dynasties. Xuanfu is found throughout the body, it serves as a channel for the ascending and descending of the body‘s vital energy, exhibiting a wide-ranging and facilitating as a switch. The pulmonary alveolar capillary barrier of modern medicine is related to the function of Xuanfu, which provides a modern scientific basis for the application of Xuanfu theory in the prevention and treatment of coronavirus disease (COVID-19). The TCM pathologic mechanism of COVID-19 is mainly dampness and toxicity in the lungs and Xuanfu stagnation and blockage. Therefore, opening the Xuanfu is a fundamental principle in the prevention and treatment of COVID-19. This article, drawing from clinical practices in Austria, elucidates five strategies for the prevention and treatment of COVID-19 based on Xuanfu theory: dispelling pathogenic factors and opening Xuanfu, regulating qi and opening Xuanfu, unblocking meridians and opening Xuanfu, resolving dampness and opening Xuanfu, and strengthening the body‘s defense and consolidating Xuanfu. Clinical evidence from over a hundred cases demonstrates the efficacy of opening the Xuanfu in the prevention and treatment of COVID-19. This article offers an analysis of the mechanism of COVID-19 from the perspective of Xuanfu‘s opening and integrates both traditional Chinese and Western medical concepts to formulate preventive and treatment strategies. It holds significance for the management of COVID-19 and future "epidemic diseases."