[1]宋元泽,李兴芳△.从“燥”论治危重型新型冠状病毒肺炎患者痰栓问题*[J].西部中医药,2020,33(S1):66.
　SONG Yuanze,LI Xingfang.On Sputum Bolt in the Patients Suffering Critical Type COVID-19 on the Foundation of Dryness[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):66.
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从“燥”论治危重型新型冠状病毒肺炎患者痰栓问题*()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年S1
页码:
66
栏目:
出版日期:
2025-06-30

文章信息/Info

Title:
On Sputum Bolt in the Patients Suffering Critical Type COVID-19 on the Foundation of Dryness
作者:
宋元泽，李兴芳△
甘肃省中医院,甘肃 兰州 730050
Author(s):
SONG Yuanze, LI Xingfang
Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
新型冠状病毒肺炎; 危重型; 内燥; 痰栓; 麦冬
Keywords:
COVID-19;  critical type;  internal dryness;  sputum bolt;  Maidong
分类号:
R563
文献标志码:
A
摘要:
根据新型冠状病毒肺炎患者临床资料，结合《黄帝内经》理论，认为此次新型冠状病毒感染起于外燥，后内传中焦，影响脾胃运化导致痰湿，最后深入下焦，转为内燥。肝肾阴亏，真水涸竭，熏蒸于肺，炼液为痰为栓。危重型新型冠状病毒肺炎患者，除口服新型冠状病毒肺炎诊疗指南（第七版）推荐的人参、附子、山茱萸回阳救逆外，治疗还可按《黄帝内经》五行学说，取培土生金，金水相生之理，予大剂量麦冬或可帮助清除远在肺泡的痰栓。其机制可能与麦冬抗炎、抗血栓、免疫调节、抗氧化及抑制胶原蛋白表达有关。
Abstract:
In light of clinical data of COVID-19 patients, combined with the theory of Huangdi Neijing, the infection of SARS-CoV-2 results from external dryness, later transmits to middle energizer, and affects the transportation and transformation of spleen and stomach, which could cause phlegm dampness, consequently transforming into internal dryness after lowering to lower energizer. Yin depletion of liver and kidney, kidney-essence drying up, fumigation in lung, refining the fluid into the sputum and bolt. For critical type COVID-19, except oral administration of the herbs of restoring Yang and saving the reverse such as Renshen (Ginseng Radix Et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata) and Shanzhuyu (Cornifructus) recommended in diagnostic and therapeutic guideline for COVID-19 (the seventh edition), the therapy could follow the theory of five elements in Huangdi Neijing, the principle of reinforcing earth to generate metal, the generation of metal and earth, large dose of Maidong(Radix Ophiopogonis) could be given to eliminate sputum bolt in pulmonary alveoli. The mechanism might be related to that it could fight against the inflammation and blood clots, regulate the immune system, resist oxidation and inhibiting the expressions of collagen.

参考文献/References:

[1] 刘茜，王荣帅，屈国强，等.新型冠状病毒肺炎死亡尸体系统解剖大体观察报告[J].法医学杂志，2020，36(1):21-23.
[2] 顾植山.五运六气看当前新型冠状病毒肺炎疫情[J].世界中医药，2020，15(2):144-149.
[3] 佚名.黄帝内经·素问[M].北京:人民卫生出版社，1963:474-581.
[4] 唐笠山.吴医汇讲[M].上海:上海科学出版社，1983:15.
[5] 郑齐.中医学“燥”的理论研究[D].北京:中国中医科学院，2010.
[6] 范伏元，樊新荣，王莘智，等.从“湿毒夹燥”谈湖南新型冠状 病毒感染的肺炎的中医特点及防治[J/OL].中医杂志，2020:1-4（2020-02-06）[2020-03-09].http://kns.cnki.net/kcms/detail/11.2166.r.20200206.1256.004.html.
[7] 周学海.读医随笔[M].南京:江苏科学技术出版社，1983： 139.
[8] 张介宾.景岳全书[M].上海:上海科学技术出版社，1959:219.
[9] 赵振彪，王辉，刘歌，等.麦冬药性与功用考证[J].中医药导报，2019，25(5):82-85.
[10] 刘豹，忽新刚，赵丽敏，等.麦门冬汤通过PPARγ抑制特发性 肺间质纤维化中细胞氧化损伤的研究[J].中华中医药杂志，2019，34(11):5136-5140.

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备注/Memo

备注/Memo:
收稿日期：2020-03-12 作者简介：宋元泽(1990—)，男，博士学位，主治医师。研究方向：呼吸系统疾病的中医治疗。 △通讯作者：李兴芳(1975—)，男，硕士学位，副主任医师。
更新日期/Last Update: 2020-08-14