从伏气温病探讨新型冠状病毒肺炎的“有病无症”

从中医伏气温病角度看,“有病无症”的出现与“疫气”毒力不强,或者正盛邪退,或者正气不足有关。根据新型冠状病毒肺炎“有病无症”患者的3个不同表现类型,可分为无症状期、轻型期、重型不典型期。在这三期之下,根据患者发作阶段的不同亦可做进一步细分。在“三因制宜”理论的指导下,结合患者的体质、舌象、脉象、发病节气、发病地点、理化检查指标等,“因人”“因时”“因地”地有针对性辨证论治。围绕新型冠状病毒肺炎湿邪致病的核心,将祛湿之法贯穿疾病治疗始终,方药如桑菊饮、银翘散、桑杏汤、杏苏散、参脉饮、荆防败毒散、白虎汤、麻杏石甘汤、犀角地黄汤等均可酌情选用。

Discussion on the Asymptomatic Cases Diagnosed as COVID-19 with the Theory of Warm Disease Caused by Latent Pathogenic Qi

From the point of view of warm disease caused by latent pathogenic qi,the emergence ofasymptomatic casesis related to the weak virulence ofepidemic qi,or vital qi being strong and pathogenic qi retreating,or the deficiency of vital qi.According to the three different types of manifestations ofasymptomatic casespatients with corona virus disease 2019(COVID-19),they can be divided into asymptomatic,mild and severe atypical stages.Under these three stages,according to the different stages of attack,further subdivision can be made.Under the guidance of the theory ofsuit measures according to three types of disease causes,combined with patients'constitution,tongue image,pulse manifestation,onset solar term,onset place,physical and chemical examination indexes,etc.,the treatment based on syndrome differentiation should be carried out according topersontimeplace.Focusing on the core of COVID-19 caused by dampness,the method of removing dampness will be used throughout the treatment of the disease.Prescription such as Sangju Yin,Yinqiao San,Sangxing Decoction,Xingsu Powder,Shenmai Yin,Jingfang Baidu Powder,Baihu Decoction,Maxing Shegan Decoction,Xijiao Dihuang Decoction can be selected as appropriate.