运用“十味清瘟汤”防治新型冠状病毒肺炎临证思路撮要

新型冠状病毒肺炎(COVID-19)属于中医学“瘟疫”范畴,病因为“疫毒”邪气,以燥、热、毒兼湿为病机特点,疑似病例及发病初期的大致病机为燥热伤肺兼湿困于脾。荆门市中医医院专家组根据本病的病因病机特点,在全面考虑本地区天时气候、地域环境等因素的基础上,拟定了具有良好预防及疾病早期治疗作用的“十味清瘟汤。”本方集治未病、解疫毒、防传变、保胃气四法于一体,熔伤寒治法与温病治则于一炉,具有益气固表、清泻肺热、燥湿健脾、扶正祛邪之功效,在荆门地区疫情前期发挥了重要的预防和部分治疗作用,面对目前依然严峻的疫情防控形势,本方仍具有一定的推广价值。

Summary of Clinical Thinking on The Prevention and Treatment of COVID-19 with"Shiwei Qingwen Decoction"

COVID-19 belongs to the category of"plague"in traditional Chinese medicine,and the etiology is"pestilence",with dryness,heat,poison and dampness as its pathological characteristics,and the general pathogenesis of the early clinical and suspected cases is dry heat injury to the lungs and dampness trapped in the spleen.According to the cause and mechanism of the disease,the expert group of Jingmen hospital of traditional Chinese medicine,on the basis of comprehensively considering the local climate,geography and other factors,drew up the"Shiwei Qingwen Decoction"with good preventive effects.This recipe set cure not the disease,cure epidemic poison,prevent transmission change,protect stomach Qi four integral whole,combine the treatment of Shanghan with the treatment of warm fever,have beneficial gas solid table,clear and eliminate lung heat,dry wet invigorate spleen,help dispel evil power.It has played an important role in prevention and partial treatment in the early stage of the epidemic in Jingmen area.In the face of the current severe epidemic prevention and control situation,it has certain promotion value.