[1]曹雪,袁军民,陈宁君,等.新型冠状病毒肺炎病因病机?辨证分型探析[J].现代中医药,2020,(02):001-4.[doi:10.13424/j.cnki.mtcm.2020.02.001]
　Cao Xue,Yuan Junmin,Chen Ningjun,et al.Research into the Etiology, Pathogenesis,and Syndrome Differentiation of COVID -19[J].Modern Traditional Chinese Medicine,2020,(02):001-4.[doi:10.13424/j.cnki.mtcm.2020.02.001]
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新型冠状病毒肺炎病因病机?辨证分型探析()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年02期
页码:
001-4
栏目:
出版日期:
2020-04-22

文章信息/Info

Title:
Research into the Etiology, Pathogenesis,and Syndrome Differentiation of COVID -19
文章编号:
1672-0571(2020)02-0001-04
作者:
曹雪; 袁军民; 陈宁君; 蒲秀玲; 刘小莹; 彭红侠; 郭团茂; 庞乐; 贾迎夏; 张晓妮; 徐刚;  马文娟; 李美荣; 孙凤; 赵文轩
陕西省咸阳市中心医院,陕西咸阳712000
Author(s):
Cao Xue;  Yuan Junmin;  Chen Ningjun;  Pu Xiuling;  Liu Xiaoying;  Peng Hongxia;  Guo Tuanmao; Pang Le;  Jia Yingxia;  Zhang Xiaoni;  Xu Gang;  Ma Wenjuan;  Li Meirong;  Sun Feng;  Zhao Wenxuan
Xianyang Central Hospital, Xianyang China, 712000
关键词:
新型冠状病毒肺炎; 病因病机; 辨证分型; 探析
Keywords:
COVID -19;  Etiology and pathogenesis;  Typing of syndrome differentiation;  Pesearch
分类号:
R511
DOI:
10.13424/j.cnki.mtcm.2020.02.001
文献标志码:
A
摘要:
目的探讨新冠肺炎的中医病因病机和辨证分型,为临床治疗提供科学依据?方法依据国家卫生健康委员会有关新冠肺炎诊疗方案的各期中医证型,结合临床诊疗该病的实践经验进行探索?结果该病的病因为疫疠之气所为,其性质为毒寒湿燥,病损部位主在肺脏,可及脾胃,内陷心包,同时与患者的个体体质有关;临床辨证分为湿毒郁肺?疫毒闭肺?气营两燔?内闭外脱?邪去正虚(含肺脾气虚?气阴两虚)五型?结论据证求因是认识本病的基础,辨证是论治本病的前提?
Abstract:
Objective To explore the TCM etiology, pathogenesis, and syndrome differentiation of COVID -19, and provide scientific basis for clinical treatment. Methods TCM syndromes in different stages from diagnosis and treatment scheme of COVID -19 of National Health Commission combined with practical experience in clinical diagnosis and treatment of the disease were used to carry out the research. Results The disease is caused by the qi of epidemic disease, and its nature is toxic cold and dampness - dryness. The lesions are mainly in the lung, and can affect the spleen and stomach, and the pericardium, it is also related to the individual constitution. The clinical syndrome differentiation can be divided into five types: dampness - toxicity stagnating the lung, epidemic toxin blocking the lung, flaring heat in qifen and yingfen, inner blocking causing collapse, pathogen removing causing deficient vital qi ( including qi deficiency of lung and spleen, deficiency of qi and yin) . Conclusion The cause seeking based on syndrome is the basis for understanding the disease, and syndrome differentiation is the prerequisite for treating the disease.

参考文献/References:

[1]国家卫生健康委员会.新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL](2020-02-18)[2020-02-20].http://www.satcm.http://www.nhc.gov.cn/yzygj/s7653p/ 202002/8334a8326dd94d329df351d7da8aefc2.shtml.
[2]国家卫生健康委员会.截至2月20日24时新型冠状病毒感染的肺炎疫情最新情况[EB/OL].(2020-02-20)[2020-02-21].http://www.nhc.gov.cn/yjb/s7860/202002/ac1e98495cb04d36b0d0a4e1e7fab545.shtml.
[3]胡涛,林琳,吴蕾,等.成人病毒性肺炎的中医证治与机制研究进展[J].天津中医药,2015,32(3):189-192.
[4] PHELAN AL, KATZ R, GOSTIN L O. The Novel Coronavirus Originating in Wuhan. , China: Challenges for Global. Health Governance[ J] . JAMA,2020.
[5] KICKBUSCH I, LEUNG G. Response to the emergine novel coronavirus outbreak[ J] . BMJ,2020,368: m406.
[6] TANG, JW , TAMBYAH PA, HUI D S C. Emergence of a novel coronavirus causing respiratory illness from Wuhan ,china[ J] . J lnfect,2020.
[7] BASSETTI, M, VENA , AROBERTO G D. The Novel Chinese Coronavirus( 2019 - nCov) infection: challenges for fighting the storm[ J] . Eur J Clina Invest,2020: e13209.
[8] CHENS NS. ZHOU M, DONG X, et al. Epidemiological and clinical characteristics of 99 cases 2019 novel coronavirus pneumonia in Wuhan, china: a descriptive study [ J/ OL] . Lancet. ( 2020 -01 -30) . [ 2020 -0203] .
[9]牛阳,韩雪梅.温病学[M].北京:科学出版社,2012.
[10]国家卫生健康委员会.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版)[EB/OL](2020-02-05)[2020-02-05].http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b4204a79db5b8912d4440.shtml.

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备注/Memo

备注/Memo:
基金项目:陕西省中医药管理局资助项目(2020-YJ004) 通讯作者:赵文轩,副主任医师?E-mail:243959059@qq.com
更新日期/Last Update: 1900-01-01