[1]蔡慧玲 张璇 丁英霞 逄丽 李倩楠 姚笑.论新型冠状病毒感染型肺炎防治的“内和”与“外谐”[J].现代中医药,2021,(02):066-70.[doi:10.13424/j.cnki.mtct.2021.02.014]
点击复制

论新型冠状病毒感染型肺炎防治的“内和”与“外谐”()
分享到：

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年02期
页码:
066-70
栏目:
出版日期:
2023-11-20

文章信息/Info

文章编号:
1672-0571(2021)02-0066-05
作者:
蔡慧玲 1张璇 1丁英霞 1逄丽 1李倩楠 1 姚笑 2
1.山东中医药大学,山东济南250355;2.山东中医药大学附属医院,山东济南250014
关键词:
新型冠状病毒感染型肺炎; 五运六气; 三年化疫; 内和外谐; 防治
分类号:
R256.1
DOI:
10.13424/j.cnki.mtct.2021.02.014
文献标志码:
A
摘要:
新型冠状病毒感染的肺炎属于中医疫病范畴,疫病的产生源于人体内外环境的改变?基于这一观点,根据五运六气中“三年化疫”理论及六淫致病规律,对新型冠状病毒感染的内外因素进行分析,提出了“内和外谐”的整体防治策略,分型以中草药内服调整脏腑气血阴阳倾移而成“内和”,寒湿郁肺型可选用麻黄加术汤合九味羌活汤加减;痰热壅肺型可选用麻杏石甘汤?宣白承气汤合凉膈散加减;湿阻中焦型可选用藿香正气散合麻杏薏甘汤加减;肺脾气虚型可选用沙参麦冬汤和香砂养胃丸加减;气阴两虚型可选用竹叶石膏汤和养阴清肺丸加减?同时使用芳香辟秽类中草药做烧薰?薰洗?香佩等治疗方式,改变人体体表湿温环境,致邪毒无适宜生存环境无法入侵人体相关脏器而造“外谐”,最终达到“内和外谐”的整体平衡状态以击败新型冠状病毒?

参考文献/References:

[1]国家卫生健康委.新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-18)[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdfNATIONALHEALTHCOMMISSION.Thenewcoronaviruspneumoniadiagnosisandtreatmentplan(Trialversion6).[EB/OL].(2020-02-18[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf
[2] HASKELBERG H, MALLON P W, HOY J, et al. Bonemineral density over 96 weeks in adults failing first - linetherapy randomized to raltegravir/ lopinavir/ ritonavir compared with standard second - line therapy[ J] . J AcquirImmune Defic Syndr, 2014,67( 2) :161 -168.
[3] PAO V Y, LEE G A, TAYLOR S, et al. The protease inhibitor combination lopinavir/ ritonavir does not decrease insulin secretion in healthy, HIV - seronegative volunteers [ J] . AIDS, 2010, 24( 2) :265 -270.
[4] WEGZYN C M, FREDRICK L M, STUBBS R O, et al.Diarrhea Associated with lopinavir/ ritonavir - based therapy: results of a Meta - Analysis of 1469 HIV -1 - Infected Participants[ J] . J Int Assoc Phys AIDS Care, 2012,11( 4) :252 -259.
[5] DAI L, LIU A, ZHANG H, et al. Impact of lopinavir/ritonavir and efavirenz - based antiretroviral therapy on the lipid profile of Chinese HIV/ AIDS treatment - naive patients in Beijing: a retrospective study[ J] . Int J Antimicrob Agents, 2019, 17( 5) : 324 -334.
[6]陈岷,童荣生,边原,等.皮下注射α-干扰素治疗2019年新型冠状病毒的循证快速评估[J/OL].医药导报:1-19[2020-02-29].http://kns.cnki.net/kcms/detail/42.1293.R.20200210.1759.002.html.
[7]刘松松,谢益鸣.101例藿香正气水药品不良反应文献分析[J].中国药物警戒,2017,14(5):317-320.
[8]黄玲,王艳,吴曙粤.中药麻黄药理作用研究进展[J].中外医疗,2018,37(7):195-198.
[9] Clinical characteristics of 2019 novel coronavirus infection in China, MedRxiv. https: / / www. medrxiv. org/ content/10. 1101/2020. 02. 06. 20020974v1
[10]顾植山.五运六气看当前新型冠状病毒肺炎疫情[J/OL].世界中医药:1-6[2020-02-29].http://kns.cnki.net/kcms/detail/11.5529.R.20200222.2028.004.html.
[11] Epidemiological and clinical features of the 2019 novel coronavirus outbreak in China, Preprint in MedRXiv. https: / / www. medrxiv. org/ content/10. 1101/2020. 02.10. 20021675v1
[12]李广兴,潘龙.冠状病毒基因组结构和相关蛋白研究进展[J].东北农业大学学报,2013,44(9):149-154.
[13] XU X, CHEN P, WANG J, et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission[ J] .Sci China Life Sci, 2020, doi: org/10. 1007/ s11427 -020 -1637 -5.
[14]杨家耀,苏文,乔杰,等.90例普通型新型冠状病毒肺炎患者中医证候与体质分析[J/OL].中医杂志.http://kns.cnki.net/kcms/detail/11.2166.R.20200221.1513.004.html.
[15]孙宏源,毕颖斐,朱振刚,等.天津地区88例新型冠状病毒肺炎患者中医证候特征初探[J/OL].中医杂志:1-4[2020-02-29].http://kns.cnki.net/kcms/detail/11.2166.R.20200224.0948.004.html.
[16]张佳乐,杨莉,鲜天才,等.艾灸防控新型冠状病毒肺炎的思路探讨[J/OL].医学争鸣:1-9[2020-02-29].http://kns.cnki.net/kcms/detail/61.1481.r.20200227.1909.002.html.
[17]中国针灸学会.关于印发《新型冠状病毒肺炎针灸干预的指导意见(第一版)》的通知[EB/OL].(2020-02-09)[2020-02-09].http://www.caam.cn/articl/2183.
[18]吕沛宛,王赛男,唐祖宣.艾灸早期介入防治新型冠状病毒肺炎可行性分析[J].中医学报.http://kns.cnki.net/kcms/detail/41.1411.r.20200219.0940.002.html.
[19]赵鸿,王宇红,奉延旗,等.中药香囊芳香气味空气消毒的效果观察[J].中国中医药现代远程教育,2013,11(14):157-158.
[20] Wang H, Zhang Q, Cheng M L, et al. Effect of the MiaoYao Fanggan Sachet - derived isorhamnetin on TLR2/4 and NKp46 expression in mice. Journal of Ethnopharmacology,2012,144( 1) :138 -144.
[21]吕鹏,白明学.中药香囊芳香气味空气消毒的效果探讨[J].海峡药学,2017,29(2):47-48.
[22]姚伟,赵向东,冯全生.古代芳香药物在疫病预防中的运用[J].国医论坛,2011,26(5):47-49.
[23]牛明,王睿林,王仲霞,等.基于临床经验和分子对接技术的抗新型冠状病毒中医组方快速筛选模式及应用[J/OL].中国中药杂志:1-8[2020-02-29].https://doi.org/10.19540/j.cnki.cjcmm.20200206.501.[1]国家卫生健康委.新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-18)[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdfNATIONALHEALTHCOMMISSION.Thenewcoronaviruspneumoniadiagnosisandtreatmentplan(Trialversion6).[EB/OL].(2020-02-18[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf
[2] HASKELBERG H, MALLON P W, HOY J, et al. Bonemineral density over 96 weeks in adults failing first - linetherapy randomized to raltegravir/ lopinavir/ ritonavir compared with standard second - line therapy[ J] . J AcquirImmune Defic Syndr, 2014,67( 2) :161 -168.
[3] PAO V Y, LEE G A, TAYLOR S, et al. The protease inhibitor combination lopinavir/ ritonavir does not decrease insulin secretion in healthy, HIV - seronegative volunteers [ J] . AIDS, 2010, 24( 2) :265 -270.
[4] WEGZYN C M, FREDRICK L M, STUBBS R O, et al.Diarrhea Associated with lopinavir/ ritonavir - based therapy: results of a Meta - Analysis of 1469 HIV -1 - Infected Participants[ J] . J Int Assoc Phys AIDS Care, 2012,11( 4) :252 -259.
[5] DAI L, LIU A, ZHANG H, et al. Impact of lopinavir/ritonavir and efavirenz - based antiretroviral therapy on the lipid profile of Chinese HIV/ AIDS treatment - naive patients in Beijing: a retrospective study[ J] . Int J Antimicrob Agents, 2019, 17( 5) : 324 -334.
[6]陈岷,童荣生,边原,等.皮下注射α-干扰素治疗2019年新型冠状病毒的循证快速评估[J/OL].医药导报:1-19[2020-02-29].http://kns.cnki.net/kcms/detail/42.1293.R.20200210.1759.002.html.
[7]刘松松,谢益鸣.101例藿香正气水药品不良反应文献分析[J].中国药物警戒,2017,14(5):317-320.
[8]黄玲,王艳,吴曙粤.中药麻黄药理作用研究进展[J].中外医疗,2018,37(7):195-198.
[9] Clinical characteristics of 2019 novel coronavirus infection in China, MedRxiv. https: / / www. medrxiv. org/ content/10. 1101/2020. 02. 06. 20020974v1
[10]顾植山.五运六气看当前新型冠状病毒肺炎疫情[J/OL].世界中医药:1-6[2020-02-29].http://kns.cnki.net/kcms/detail/11.5529.R.20200222.2028.004.html.
[11] Epidemiological and clinical features of the 2019 novel coronavirus outbreak in China, Preprint in MedRXiv. https: / / www. medrxiv. org/ content/10. 1101/2020. 02.10. 20021675v1
[12]李广兴,潘龙.冠状病毒基因组结构和相关蛋白研究进展[J].东北农业大学学报,2013,44(9):149-154.
[13] XU X, CHEN P, WANG J, et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission[ J] .Sci China Life Sci, 2020, doi: org/10. 1007/ s11427 -020 -1637 -5.
[14]杨家耀,苏文,乔杰,等.90例普通型新型冠状病毒肺炎患者中医证候与体质分析[J/OL].中医杂志.http://kns.cnki.net/kcms/detail/11.2166.R.20200221.1513.004.html.
[15]孙宏源,毕颖斐,朱振刚,等.天津地区88例新型冠状病毒肺炎患者中医证候特征初探[J/OL].中医杂志:1-4[2020-02-29].http://kns.cnki.net/kcms/detail/11.2166.R.20200224.0948.004.html.
[16]张佳乐,杨莉,鲜天才,等.艾灸防控新型冠状病毒肺炎的思路探讨[J/OL].医学争鸣:1-9[2020-02-29].http://kns.cnki.net/kcms/detail/61.1481.r.20200227.1909.002.html.
[17]中国针灸学会.关于印发《新型冠状病毒肺炎针灸干预的指导意见(第一版)》的通知[EB/OL].(2020-02-09)[2020-02-09].http://www.caam.cn/articl/2183.
[18]吕沛宛,王赛男,唐祖宣.艾灸早期介入防治新型冠状病毒肺炎可行性分析[J].中医学报.http://kns.cnki.net/kcms/detail/41.1411.r.20200219.0940.002.html.
[19]赵鸿,王宇红,奉延旗,等.中药香囊芳香气味空气消毒的效果观察[J].中国中医药现代远程教育,2013,11(14):157-158.
[20] Wang H, Zhang Q, Cheng M L, et al. Effect of the MiaoYao Fanggan Sachet - derived isorhamnetin on TLR2/4 and NKp46 expression in mice. Journal of Ethnopharmacology,2012,144( 1) :138 -144.
[21]吕鹏,白明学.中药香囊芳香气味空气消毒的效果探讨[J].海峡药学,2017,29(2):47-48.
[22]姚伟,赵向东,冯全生.古代芳香药物在疫病预防中的运用[J].国医论坛,2011,26(5):47-49.
[23]牛明,王睿林,王仲霞,等.基于临床经验和分子对接技术的抗新型冠状病毒中医组方快速筛选模式及应用[J/OL].中国中药杂志:1-8[2020-02-29].https://doi.org/10.19540/j.cnki.cjcmm.20200206.501.

相似文献/References:

[1]周敬文 老膺荣 李嘉豪 周薇 刘琴.基于丁酉年数据挖掘分析老膺荣 主任治疗不寐经验[J].现代中医药,2023,(03):035.[doi:10.13424/j.cnki.mtcm.2023.03.007]
　ZHOU Jingwen LAO Yingrong LI Jiahao ZHOU WeiLIU Qin.Director LAO Yingrong's Experience in TreatingInsomnia Based on Dingyou Year Data Mining Analysis[J].Modern Traditional Chinese Medicine,2023,(02):035.[doi:10.13424/j.cnki.mtcm.2023.03.007]

备注/Memo

备注/Memo:
通讯作者:姚笑,医学博士,硕士研究生导师?E-mail:yaoxiao-yes@163.com
更新日期/Last Update: 2021-03-26