[1]鞠娅,浦明之,周运海.从卫气营血理论探讨武汉地区69例新型冠状病毒肺炎患者中医证候[J].西部中医药,2022,35(12):15-18.[doi:10.12174/j.issn.2096-9600.2022.12.04]
　JU Ya,PU Mingzhi,ZHOU Yunhai.TCM Syndromes of 69 COVID-19 Patients in Wuhan from the Perspective of Defensive Qi and Nutrient Blood Theory[J].Western Journal of Traditional Chinese Medicine,2022,35(12):15-18.[doi:10.12174/j.issn.2096-9600.2022.12.04]
点击复制

从卫气营血理论探讨武汉地区69例新型冠状病毒肺炎患者中医证候
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年12期
页码:
15-18
栏目:
出版日期:
2022-12-15

文章信息/Info

Title:
TCM Syndromes of 69 COVID-19 Patients in Wuhan from the Perspective of Defensive Qi and Nutrient Blood Theory
作者:
鞠娅, 浦明之, 周运海
南京中医药大学附属苏州市中医医院，江苏 苏州 215000
Author(s):
JU Ya, PU Mingzhi, ZHOU Yunhai
Suzhou Hospital of Traditional Chinese Medicine, Suzhou 215000, China
关键词:
新型冠状病毒肺炎; 中医证候; 湿阻肺脾; 卫气营血
Keywords:
COVID-19; TCM syndromes; damp blocking lung and spleen; defensive and nutrient blood
分类号:
R563.1
DOI:
10.12174/j.issn.2096-9600.2022.12.04
文献标志码:
A
摘要:
目的从卫气营血理论探讨分析武汉地区69例新型冠状病毒肺炎（Corona Virus Disease 2019，COVID-19）（简称新冠肺炎）患者的中医证候分布特点，为临床辨治提供参考。 方法收集2020年2月10日至3月22日武汉华中科技大学同济医院光谷院区确诊的69例新冠肺炎患者发病初期的临床资料，主要包括患者的基本信息、基础疾病、发病初期临床表现、舌脉、疾病分型、中医证型、病程等，并依据《新型冠状病毒肺炎诊疗方案（试行第七版）》进行分析辨证。 结果69例新冠肺炎患者年龄在58岁左右，男女比例均衡，有37.7%（26/69）的患者有基础疾病。患者的主要症状为咳嗽、胸闷、畏寒、呼吸困难、发热、乏力、白痰、纳差等；舌象特征以红舌、暗红舌为主，腻苔多见；脉象以脉软、脉滑为主，中医证型以湿阻肺脾证更多见，其次为湿热蕴肺、湿瘀伤阴证、气阴两虚证。西医分型中轻型患者2例，均为湿热蕴肺证；普通型患者47例，湿阻肺脾证较多见；重型患者20例，湿瘀伤阴证较多见。轻型、普通型、重型患者中四种中医证型构成比不同，差异无统计学意义（P＜0.05）。不同中医证型的患者年龄、住院时间比较差异无统计学意义（P＞0.05）。气阴两虚证患者发病到诊断时间、病程较长于其他三种证型（P＜0.05）。 结论武汉地区该阶段收治69例患者病位主要在肺、脾，发病与湿邪密切相关，其加重趋势及传变规律符合卫气营血辨证理论。
Abstract:
ObjectiveTo explore the characteristics of TCM syndrome distribution of 69 COVID-19 patients in Wuhan based on defensive Qi and nutrient blood theory, to provide the reference for syndrome differentiation in clinic. MethodsClinical data of 69 patients diagnosed with COVID-19 was collected in Guanggu branch, Tongji hospital, Huazhong University of Science and Technology beween Febuary 10 and March 22, 2020, mainly containing the patients' basic information, underlying disease, clinical manifestation at the early stage, tongue and pulse, diseases classification, TCM patterns, and duration of disease, the patients were analyzed and differentiated in light of diagnostic and therapeutic protocol of COVID-19 (trial version 7). ResultsAll 69 patients are around 58 years old, gender balance, [37.7%(26/69)] patients have suffered the underlying diseases. The patients' main symptoms were cough, chest distress, chilly, dyspnea, fever, weak, white sputum and poor appetite; tongue manifestions were red tongue, dark red tongue, mostly greasy tongue coating; pulse conitions were soft, slippery mainly, damp blocking lung and spleen pattern was more common, the next was damp-heat accumulating in lung, damp stagnation hurting Yin, Qi and Yin deficiency. According to the classification of Western medicine, there were two mild cases of damp-heat accumulating in lung; 47 common patients mostly of damp blocking lung and spleen; 20 severe cases of damp stagnation hurting Yin mostly. The difference had no statistical meaning in constituent ratio of four TCM patterns among the mild, common and severe patients (P<0.05). The difference was insignificant in the age and hospitalization time between the patients of different TCM patterns (P>0.05). The time from onsetting to diagnosis and the duration of the disease in patients of Qi and Yin deficiency pattern were longer than these of the other three patterns (P<0.05). ConclusionAll 69 patients admitted in Wuhan region during the period are located at lung and spleen, the onset is closely related to damp pathogen, its aggravation tendency and progress of disease conform to the theory of defensive Qi and nutrient blood.

相似文献/References:

[1]周涛,何彪,霍利,等.不同证型冠心病患者螺旋CT冠状动脉CTA影像分析[J].西部中医药,2015,28(02):130.
[2]玛丽亚,孙学健,严兴海.新疆昌吉地区238例支气管哮喘发作期患者中医证型分布[J].西部中医药,2013,26(12):63.
　MA Liya,SUN Xuejian,YAN Xinghai.TCM Patterns Distribution of 238 Cases of Bronchial Asthma at Exacerbation Stage in Changji of XinJiang[J].Western Journal of Traditional Chinese Medicine,2013,26(12):63.
[3]丁然,陆小左△.慢性乙型肝炎中医证候与舌象客观量化指标相关性的临床研究*[J].西部中医药,2015,28(01):56.
[4]吴强.芍连胃乐片治疗肝郁气滞型慢性萎缩性胃炎32例[J].西部中医药,2017,30(10):77.
　WU Qiang.ShaoLian WeiLe Tablets in Treating 32 Cases of Chronic Atrophic Gastritis of Liver-depression Qi-stagnation Pattern[J].Western Journal of Traditional Chinese Medicine,2017,30(12):77.
[5]陈慕芝,孙红艳,照日格图△.223例类风湿关节炎患者中医证候及实验室指标分析[J].西部中医药,2016,29(05):67.
　CHEN Muzhi,SUN Hongyan,ZHAORI Getu.The Analysis of Lab Indicators and TCM Patterns of 223 Patients with Rheumatoid Arthritis[J].Western Journal of Traditional Chinese Medicine,2016,29(12):67.
[6]王庆,李天一,陈忆莲,等.基于证素探析干燥综合征的中医证候分布规律[J].西部中医药,2018,31(09):81.
　WANG Qing,LI Tianyi,CHEN Yilian,et al.Exploration into TCM Syndrome Distribution Laws of Sjogren′s Syndrome Based on Syndrome Elements[J].Western Journal of Traditional Chinese Medicine,2018,31(12):81.
[7]马云飞,孙旭,杨永,等.乳腺癌的中医证型及用药规律研究[J].西部中医药,2017,30(01):46.
　MA Yunfei,SUN Xu,YANG Yong,et al.Study on TCM Syndrome and Medication Rule of Breast Cancer[J].Western Journal of Traditional Chinese Medicine,2017,30(12):46.
[8]李宁,李应福,谢兴文,等.兰州地区膝关节骨性关节炎的中医证候分布特点[J].西部中医药,2016,29(02):95.
　LI Ning,LI Yingfu,XIE Xingwen,et al.Distribution Features of TCM Syndromes of Knee Osteoarthritis in Lanzhou City[J].Western Journal of Traditional Chinese Medicine,2016,29(12):95.
[9]党民卿,导：王道坤.萎胃灵1号对慢性萎缩性胃炎癌前病变患者中医证候及病理组织学的影响[J].西部中医药,2016,29(07):1.
　DANG Minqing,Director: WANG Daokun.Effects of WeiWeiLing No.1 on TCM Syndromes and Histopathology of the Patients with Precancerous Lesions of Chronic Atrophic Gastritis[J].Western Journal of Traditional Chinese Medicine,2016,29(12):1.
[10]孔咏霞.乳腺癌中医证型与证候要素分布规律文献研究[J].西部中医药,2018,31(03):68.
　KONG Yongxia.Literature Research on Distribution Laws of Syndrome Elements and TCM Patterns of Breast Cancer[J].Western Journal of Traditional Chinese Medicine,2018,31(12):68.
[11]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(12):16.
[12]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(12):20.
[13]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(04):1.[doi:10.12174/j.issn.1004-6852.2020.04.01]
　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(12):1.[doi:10.12174/j.issn.1004-6852.2020.04.01]
[14]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(04):25.[doi:10.12174/j.issn.1004-6852.2020.04.08]
　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(12):25.[doi:10.12174/j.issn.1004-6852.2020.04.08]
[15]曹雪,刘小莹,郭团茂,等.陕西咸阳地区新型冠状病毒肺炎中医证候特征及其分析[J].西部中医药,2020,33(S1):76.[doi:org /10.1101 /2020.02.06.20020974]
　CAO Xue,LIU Xiaoying,GUO Tuanmao,et al.The Characteristics of TCM Syndrome of COVID-19 in Xianyang District and Its Analysis[J].Western Journal of Traditional Chinese Medicine,2020,33(12):76.[doi:org /10.1101 /2020.02.06.20020974]
[16]曹雪,刘小莹,郭团茂,等.陕西咸阳地区新型冠状病毒肺炎中医证候特征及其分析[J].西部中医药,2021,34(03):7.[doi:10.12174/j.issn.2096-9600.2021.03.02]
　CAO Xue,LIU Xiaoying,GUO Tuanmao,et al.The Characteristics of TCM Syndrome of COVID-19 in Xianyang District and Its Analysis[J].Western Journal of Traditional Chinese Medicine,2021,34(12):7.[doi:10.12174/j.issn.2096-9600.2021.03.02]

备注/Memo

备注/Memo:
鞠娅（1990—），女，博士学位，医师。研究方向：呼吸系统疾病的中医药防治。苏州市民生科技项目（SYS2020032）。
更新日期/Last Update: 2022-12-15