主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (4): 1-7.doi: 10.3969/j.issn.2095-6606.2020.04.001

• 新型冠状病毒肺炎专题 •    下一篇

王庆国辨治新型冠状病毒肺炎的案例与思路*

赵辉1△, 武晓冬2△, 王雪茜3#, 宋金岭1, 潘磊1, 申建国1, 指导:王庆国3   

  1. 1 河北省沧州中西医结合医院 河北 061001;
    2 中国中医科学院针灸研究所;
    3 北京中医药大学
  • 发布日期:2020-07-30
  • 通讯作者: #王雪茜,女,博士,教授、主任医师,博士生导师
  • 作者简介:△赵辉,女,博士,主任医师、教授,硕士生导师; 武晓冬,女,博士,主任医师、研究员,硕士生导师(并列第一作者)
  • 基金资助:
    *国家自然科学基金面上项目(No.81874448),中央高校基本科研业务费专项资金资助(No.2020-JYB-YJ-001),第四批全国中医(临床、基础)优秀人才研修项目

Case report of COVID-19 and thoughts of differential treatment by Wang Qingguo*

Zhao Hui1△, Wu Xiaodong2△, Wang Xueqian3#, Song Jinling1, Pan Lei1, Shen Jianguo1, Tutor: Wang Qingguo3   

  1. 1 Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Hebei 061001;
    2 Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences;
    3 Beijing University of Chinese Medicine
  • Published:2020-07-30

摘要: 新型冠状病毒肺炎属于中医疫病的范畴。王庆国教授认为该病的核心病机是湿邪为患,初病时可以兼寒,可以兼热,也可以兼津伤等。在治疗过程中病机变化复杂,有化热者,有化燥者,有伤阴者,有动血者;有出表向愈者,也有误治传里者,还有久居半表半里之位者;而传里之证,有入肺者,也有影响脾胃者,更甚者可以内陷厥阴心包,而内闭外脱,则是危重期的重要病机。舌苔厚腻是该次疫病的典型舌象,舌苔的变化对判断病情的演变具有重要作用。治疗总以“逐邪为第一要义”,初期治疗最为关键,不可过用寒凉、温燥之品。对王庆国教授治疗的4例新型冠状病毒肺炎确诊或疑似病例的验案进行分析,为中医临床治疗该病提供参考。

关键词: 新型冠状病毒肺炎, 湿邪, 中医, 诊疗经验, 名医经验, 王庆国

Abstract: COVID-19 falls into the scope of pestilence in traditional Chinese medicine. Prof. Wang Qingguo thinks that its core pathogenesis is dampness pathogens and at the disease onset, it can be combined with the cold pathogen, heat pathogen, as well as fluid consumption, and so on. During the treament, its pathogenesis is complex. It may transform into heat, or into dryness, and it may impair yin or stir up blood. Some may recover after pathogens are dispelled from the surface, some may penetrate into the interior due to mistreatment, and some may stay in the position of half exterior and half interior for a prolonged period of time. Among those with transition into the interior, some may affect the lung, some may affect the spleen and stomach, Jueyin pericardium may be affected in some. Internal closure and external detachment are important disease mechanism in the critical stage. Thick and greasy coating on the tongue is the typical tongue image of the disease, therefore, the coating change on the tongue plays an important role in judging the patient's condition. Early treatment is critical. Ideal curative effects can be obtained by sticking to the principle of eliminating evils and avoiding using the herbs(medicines)that are too cold or too hot in nature. This paper analyzed 4 confirmed or suspected cases of COVID-19 treated by Professor Wang Qingguo in order to provide references for the clinical treatment of the disease in traditional Chinese medicine.

Key words: COVID-19, dampness pathogen, traditional Chinese medicine, experience with treatment, famous doctor's experience, Wang Qingguo

中图分类号: 

  • R259