结合3~5版《新型冠状病毒感染的肺炎诊疗方案》和古代文献初探新型冠状病毒肺炎的中医药辨治

新型冠状病毒肺炎(COVID-19)确诊的患者在我国和境外国家不断增多,疫情发生以来,国家卫生管理部门不断发布更新各版本的《新型冠状病毒感染的肺炎诊疗方案》。根据各版本关于中医治疗阐述的主要变化,结合目前临床一线病例的主要特征,参照中医温病学数千年的文献记载,考虑COVID-19属于中医"疫病"范畴,是由于武汉市特定的地域气候特点导致人群感受疫疠毒邪所致,临床上应根据患者病程的不同时期运用卫气营血辨证,治疗该病以祛邪为要,并强调祛邪应尽早,结合疫毒所在不同脏腑部位,出现不同性质而确定治法方药,还需结合当地实际,采用"三因制宜"的中西医结合治疗COVID-19患者,才能促进疫情早日得到控制。

Primary understanding of syndrome differentiation treatment of COVID-19 with traditional Chinese medicine based on 3-5 edition of Diagnosis and Treatment of Novel Coronavirus Pneumonia and ancient literatures

There are an increasing number of patients suffering from coronavirus disease 2019 (COVID-19) in our country and overseas. After the outbreak, the state health administrative sections have updated steadily several editions of Diagnosis and Treatment of Novel Coronavirus Pneumonia. According to the change of exposition of traditional Chinese medicine (TCM) treatment in these editions and the characteristics of cases in clinic, COVID-19 corresponds to pestilence category of TCM, which also based on the ancient literatures from the seasonal-febrile-disease subject of TCM. The disease contributes to pestilential pathogen caused by specifically regional climate characteristics of Wuhan city. It is important for COVID-19 patients to eliminate pathogens as soon as possible, which should apply defense-qi-nutrient-blood diagnosis to different courses of disease. The TCM therapy should be established according to the different organs where the virus lives and characters. In order to control the epidemic at an early date, it is necessary to consider the local conditions and use the combination of traditional Chinese and western medicine to treat COVID-19 patients.