王檀教授从气化顿滞论治新型冠状病毒肺炎

王檀教授为吉林省防治新型冠状病毒肺炎中医专家组组长,吉林省第二批援鄂国家中医医疗队、国家第四批中医医疗队首席中医防疫专家,于2020年2月17日率领团队入驻雷神山医院。王檀教授结合临床实际,根据己亥(公元2019年)年下半年运气特点,结合武汉这一区域时空环境气化失序的具体表现及本次新型冠状病毒肺炎(COVID-19)临床症状特点,认为新型冠状病毒肺炎应归于中医学"疫毒"范畴,主要病位在肺,其次在腠理、脾胃,后期累及于肾;病因主要是正气不足,疫毒侵袭;发病基础在于易感人群体内环境处于气化顿滞,即肺脾气虚、寒湿偏盛的状态,这也是正气不足的集中表现;病机关键是疫毒与寒湿搏结于肺,机体气化顿滞,肺体用受损,肺络痹阻。病机特点为寒、湿、热、毒、瘀、痹,病程缠绵,寒湿因疫毒迅速湿化、热化,甚至化火成毒,因此需要始终围绕寒湿疫毒进行论治。以救治肺气为基本治疗原则,并在此基础上进行辨证施治,以改善人体内环境,即气化顿滞--肺脾气虚,寒湿内盛的状态,促进疾病快速好转。

Professor WANG Tan Discusses COVID-19 from Gasification Stagnation

Professor WANG Tan is the leader of the expert group for the treatment of the COVID-19 in Jilin Province,the second batch of the national medical team of Hubei Province and the fourth batch of the chief anti-epidemic experts of the national medical team of traditional Chinese medicine.On February 17,2020,he led the team to Raytheon Hospital.Professor WANG Tan combined with clinical practice,according to the specific manifestations of the spatio-temporal environmental gasification disorder of the five yun and six qi in Wuhan in the year of Jihai (2019 AD),especially in the second half of the year,and the clinical manifestations of this COVID-19 symptoms and characteristics,thinks that the COVID-19 should belong to the category of "pestilent toxin" in Chinese medicine,mainly in the lungs,followed by the Couli,spleen and stomach,and later in the kidney;the cause is mainly lack of vital qi and the invasion of epidemic poisoning;the basis of the disease is that the internal environment of susceptible people is in a state of stagnation,which results in the deficiency of lungs and spleen,and the coldness and humidity are concentrated.The main pathogenesis is pestilent toxin and cold and dampness in the lungs,damage to the lungs,and obstruction of the lungs.The pathogenesis is characterized by cold,damp,heat,poison,stasis,bi,lingering disease course,cold and damp due to pestilent toxin,rapid humidification,heat,and even fire into toxin,so we must always treat the cold and damp epidemic.The basic treatment principle is to treat lung qi,and based on this,we carry out treatment based on syndrome differentiation to improve the internal environment of the human body.That is qi movement stagnation (lung and spleen qi deficiency,cold and damp inside),to promote rapid disease improvement.