[1]汤伯宗,田成,徐庆年,等.从“寒湿疫”论治普通型新型冠状病毒肺炎临床观察[J].西部中医药,2020,33(S1):62.[doi:org/10.19844/j.cnki.1672-397X.2020.00.001]
　TANG Bozong,TIAN Cheng,XU Qingnian,et al.Clinical Obsevation on Treating Common Type COVID-19 from Cold-damp Epidemic[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):62.[doi:org/10.19844/j.cnki.1672-397X.2020.00.001]
点击复制

从“寒湿疫”论治普通型新型冠状病毒肺炎临床观察()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年S1
页码:
62
栏目:
出版日期:
2025-06-30

文章信息/Info

Title:
Clinical Obsevation on Treating Common Type COVID-19 from Cold-damp Epidemic
作者:
汤伯宗，田成，徐庆年，陆云飞，杨宗国，叶晨，时佳，吕莹，陈姼姼，殷科珊，陈晓蓉
上海市公共卫生临床中心,上海 201508
Author(s):
TANG Bozong, TIAN Cheng, XU Qingnian, LU Yunfei, YANG Zongguo, YE Chen, SHI Jia, LYU Ying,
CHEN Shishi, YIN Keshan, CHEN Xiaorong Shanghai Public Health Clinical Center, Shanghai 201508, China
关键词:
新型冠状病毒肺炎; 寒湿疫; 寒湿; 中西医结合治疗; 临床疗效
Keywords:
COVID-19;  cold-damp epidemic;  cold-damp;  integrative medicine;  clinical effects
分类号:
R259
DOI:
org/10.19844/j.cnki.1672-397X.2020.00.001
文献标志码:
A
摘要:
目的：观察从“寒湿疫”角度治疗新型冠状病毒肺炎(Corona Virus Disease 2019，COVID-19)的临床疗效。方法：对8例COVID-19患者在西医治疗基础上给予宣肺透邪、解表开闭、散寒祛湿中药治疗，观察治疗前后患者症状、体征、实验室检查（血常规、肝肾功能、心肌酶谱、凝血功能、淋巴细胞亚群）及胸部CT变化情况。结果：经中西医结合治疗后，所有患者出院时均无咳嗽、咯痰、胸闷等明显不适症状;实验室检查各项指标均在出院前恢复正常；胸部CT主要表现治疗后均有改善。结论：从“寒湿疫”论治普通型COVID-19，可改善患者临床症状及实验室检查结果，提示COVID-19的中医病因可能与“寒湿”有关。
Abstract:
Objective: To observe clinical effects of treating COVID-19 from the angle of ″cold-damp epidemic″. Methods: On the foundation of Western medicine, eight COVID-19 patients were treated with the herbs of dispersing lung and expelling the pathogenic factors, relieving the exterior and openning the closure, dispelling the cold and eliminating the damp, to observe the symptoms, body signs, lab tests (blood routine, liver and renal functions, myocardial enzymes, coagulation function and lymphocyte subsets), and the changes of chest CT before and after treating. Results: After treating with integrative medicine, all the patients showed no symptoms including cough, expectoration, chest tightness when discharged, different indexes of lab tests restored to normal before discharging; chest CT has been improved. Conclusion: Treatment based on cold-damp epidemic could improve clinical symptoms and lab test results in common type COVID-19, and it suggests that TCM cause of COVID-19 might be related to ″cold-damp″.

参考文献/References:

[1] 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)的通知[EB/OL].(2020-02-05)[2020-02-06].http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml.
[2] WU Z，MCGOOGAN J M.Characteristics of and important lessons from the Coronavirus Disease 2019(COVID-9) outbreak in China:Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention[J].JAMA，2020，323(13):1239-1242.
[3] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社，2002:168-189.
[4] 林琳，唐光华，欧爱华，等.103例SARS住院患者中医证候规律探讨[J].中医杂志，2004，45(1):51-52.
[5] 仝小林，李修洋，赵林华，等.从“寒湿疫”角度探讨新型冠状病毒肺炎的中医药防治策略[J].中医杂志，2020，61(6)：465-470.
[6] 刘发明，丁惠玲，龚晓明，等.新型冠状病毒肺炎(COVID-19)的胸部CT表现与临床特点[J].放射学实践，2020，35(3)：266-268.
[7] 钟飞扬，张寒菲，王彬宸，等.新型冠状病毒肺炎的CT影像学表现[J].武汉大学学报(医学版)，2020，41(3)：345-348.
[8] 郑榕，陈琴乙，黄铭涵.从”寒湿疫毒”辨治新型冠状病毒感染肺炎[J/OL].中国中医药信息杂志，2020：1-3(2020-02-13)[2020-03-21].http://kns.cnki.net/kcms/detail/11.3519. r.20200213.1105.002.htm1.
[9] 陈四清，周仲瑛.新型冠状病毒肺炎中医诊治策略与方法刍 议[J/OL].江苏中医药，2020:1-5(2020-03-09)[2020-03-13].https://doi.org/10.19844/j.cnki.1672-397X.2020.00.001.
[10] 张云飞，赵鹏飞，沈体雁.新型冠状病毒肺炎中医病理研究[J/OL].中医学报，2020:1-5(2020-03-06)[2020-03-13].http://kns.cnki.net/kcms/detail/41.1411.R.0200306.1110.004.html.
[11] 孙良明，陈劲松，薛燕星，等.国医大师薛伯寿治疗新型冠状病毒肺炎思路[J].世界中西医结合杂志，2020，15(3)：393-397.
[12] 国家卫生健康委员会办公厅，国家中医药管理局办公室.关 于推荐在中西医结合救治新型冠状病毒感染的肺炎中使用“清肺排毒汤”的通知[EB/OL].(2020-02-07)[2020-02-07].http://yzs.satcm.gov.cn/zhengcewenjian/2020-02-07/12876.html.

相似文献/References:

[1]李赟,王彩弟,王建云,等.简约远程中医诊疗在新型冠状病毒肺炎隔离病区中的应用[J].西部中医药,2020,33(S1):1.
　LI Yun,WANG Caidi,WANG Jianyun,et al.The Application of Simple Remote TCM Diagnosis and Treatment to COVID-19 Quarantined Inpatient Area[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):1.
[2]宋忠阳,雍文兴,张利英,等.新型冠状病毒肺炎的中医临床特征与辨证论治——甘肃经验*[J].西部中医药,2020,33(S1):3.
　SONG Zhongyang,YONG Wenxing,ZHANG Liying,et al.The Experience of TCM Clinical Characteristics, Syndrome Differentiation and Treatment for COVID-19 in Gansu Province[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):3.
[3]潘文,李盛华,王晓萍,等.中医对新型冠状病毒肺炎的认识与防治探讨[J].西部中医药,2020,33(S1):7.
　PAN Wen,LI Shenghua,WANG Xiaoping,et al.On TCM Understanding, the Prevention and Treatment of COVID-19[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):7.
[4]杨海侠,张银萍△,杨长虹,等.新型冠状病毒肺炎疑似患者留观隔离期的护理体会[J].西部中医药,2020,33(S1):13.
[5]丁潇,邹忆怀△,辛大永,等.北京顺义地区新型冠状病毒肺炎的中医临床证候与CT表现[J].西部中医药,2020,33(S1):16.
　DING Xiao,ZOU Yihuai,XIN Dayong,et al.TCM Clinical Syndromes and CT Manifestations of COVID-19 in Shunyi District of Beijing[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):16.
[6]桑天庆,周红光△.中医药在新型冠状病毒肺炎疫情中的应用[J].西部中医药,2020,33(S1):18.
　SANG Tianqing,ZHOU Hongguang.TCM Applied to Epidemic Situation of COVID-19[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):18.
[7]闫向勇,李 俊,燕忠生△.武汉地区新型冠状病毒肺炎中医证候及病机特点[J].西部中医药,2020,33(S1):20.
　YAN Xiangyong,LI Jun,YAN Zhongsheng.On the Characteristics of TCM Patterns and the Pathogenesis of COVID-19 in Wuhan Region[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):20.
[8]曾建峰,李乐愚,缪灿铭,等.岭南道地药材在中山地区新型冠状病毒肺炎防治中的应用*[J].西部中医药,2020,33(S1):24.[doi:10.1056/NEJMoa-2001017]
　and Treatment of COVID-9 in Zhongshan Region.The Application of Lingnan Genuine Drugs to the Prevention[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):24.[doi:10.1056/NEJMoa-2001017]
[9]朱玉,黎玉婷,姚德蛟△.从中西医不同角度分析麻杏石甘汤治疗新型冠状病毒肺炎的作用[J].西部中医药,2020,33(S1):26.
　of Traditional Chinese Medicine and Western Medicine.The Functions of Maxing Shigan Tang in the Treatment for COVID-19 from the Angles[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):26.
[10]张燕琴,孔维维,禇晓霞,等.甘肃省第一批援鄂医疗队新型冠状病毒肺炎隔离病房护理管理体会[J].西部中医药,2020,33(S1):22.[doi:org/10.13609/j.cnki.1000-]
　ZHANG Yanqin,KONG Weiwei,CHU Xiaoxia,et al.The First Batch of Gansu-Based Medical Teams Experience of Nursing Management on the COVID-19 Isolation Ward in Hubei[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):22.[doi:org/10.13609/j.cnki.1000-]
[11]杜洪霖,马战平△.西北地区新型冠状病毒肺炎的中医特点及防治*[J].西部中医药,2020,33(S1):5.
　DU Honglin,MA Zhanping.TCM Characteristics, the Prevention and Treatment of COVID-19 in Northwest China[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):5.
[12]杜洪霖,马战平.西北地区新型冠状病毒肺炎的中医特点及防治[J].西部中医药,2020,33(04):8.[doi:10.12174/j.issn.1004-6852.2020.04.03]
　DU Honglin,MA Zhanping.TCM Characteristics, the Prevention and Treatment of COVID-19 in Northwest China[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):8.[doi:10.12174/j.issn.1004-6852.2020.04.03]
[13]汤伯宗,田成,徐庆年,等.从“寒湿疫”论治普通型新型冠状病毒肺炎临床观察?[J].西部中医药,2021,34(11):1.[doi:10.12174/j.issn.2096-9600.2021.11.01]
　TANG Bozong,TIAN Cheng,XU Qingnian,et al.Clinical Obsevation on Treating Common Type COVID-19 from ″Cold-damp Epidemic″[J].Western Journal of Traditional Chinese Medicine,2021,34(S1):1.[doi:10.12174/j.issn.2096-9600.2021.11.01]

备注/Memo

备注/Memo:
*基金项目：国家科技重大专项基金“突发急性传染病中医药早期临床救治体系及预案研究”项目(2017ZX10305501-008)；上海市2017年度综合医院中西医结合专项重点项目(ZHYY-ZXYJHZX-1-201703)。 收稿日期：2020-03-21 *基金项目：国家科技重大专项基金“突发急性传染病中医药早期临床救治体系及预案研究”项目(2017ZX10305501-008)；上海市2017年度综合医院中西医结合专项重点项目(ZHYY-ZXYJHZX-1-201703)。 作者简介：汤伯宗(1984—)，男，博士学位，主治医师。研究方向：传染病的中医药防治。 △通讯作者：陈晓蓉(1964—)，女，硕士研究生导师，主任医师。
更新日期/Last Update: 2020-08-14