[1]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):25-27.[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(04):25-27.[doi:10.12174/j.issn.1004-6852.2020.04.08]
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武汉地区新型冠状病毒肺炎中医证候及病机特点
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年04期
页码:
25-27
栏目:
疫病·新冠肺炎
出版日期:
2020-04-15

文章信息/Info

Title:
On the Characteristics of TCM Patterns and the Pathogenesis of COVID-19 in Wuhan Region
文章编号:
1004-6852(2020)04-0025-03
作者:
闫向勇李俊燕忠生
中国人民解放军联勤保障部队第九四○医院,甘肃 兰州 730050
Author(s):
YAN Xiangyong LI Jun YAN Zhongsheng △
Hospital 940 of PLA Joint Logistics Support Force, Lanzhou 730050, China
关键词:
新型冠状病毒肺炎临床表现中医证候病机武汉
Keywords:
COVID-19 clinical manifestations TCM syndrome the pathogenesis wuhan
分类号:
R563.1
DOI:
10.12174/j.issn.1004-6852.2020.04.08
文献标志码:
A
摘要:
目的:通过分析火神山医院新型冠状病毒肺炎(Corona Virus Disease 2019,COVID-19)(简称新冠肺炎)患者的临床资料,探讨武汉地区新冠肺炎的中医证候特点和发病机制,为进一步指导临床救治提供依据。方法:分析笔者参与诊治的武汉火神山医院228名患者的临床表现及中医证候特点。结果:228例患者中有发热症状228例(100%);咳嗽、咯痰198例(86.8%),倦怠乏力138例(60.5%)、胸闷气短178例(78.1%),咽痛97例(42.5%)、食欲下降119例(52.2%)、肌肉酸痛74例(32.5%)。通过分析舌象,辨证分型包括寒湿郁肺证16例(7.0%)、湿毒郁肺证57例(25%)、疫毒袭闭证147例(64.5%)、虚证8例(3.5%)。结论:武汉地区新冠肺炎患者的中医病性多数为“湿热证”,舌红苔黄说明热象突出,中医药治疗要遵循“三因治宜”的原则进行辨证论治。
Abstract:
Objective: To provide the reference for further direction of clinical rescue and treatment by analyzing clinical data of the patients with COVID-19 from Huoshenshan hospital, discussing the characteristics of TCM syndrome and the pathogenesis of COVID-19 in Wuhan region. Methods: Clinical features and TCM patterns of 228 patients whose diagnosis and treatment the author participated in from Wuhan Huoshenshan hospital were analyzed. Results: Among 228 patients, there were 228 patients presenting fever (100%); 198 cases suffering cough, expectoration (86.8%), 138 cases lassitude and feeble (60.5%), 178 cases chest stuffiness and panting (78.1%), 97 cases pharyngalgia (42.5%), 119 cases poor appetite (52.2%) and 74 cases muscular soreness (32.5%). After analyzing tongue manifestations, 16 patients were differentiated as the pattern of cold damp stagnating lung (7.0%), 57 cases damp toxin stagnating lung pattern (25%), 147 cases epidemic toxin invasing and blocking pattern (64.5%) and eight cases deficiency pattern (3.5%). Conclusion: The nature of COVID-19 patients in Wuhan region mostly is "damp heat pattern", red tongue and yellow tongue coating demonstrates the prominent heat manifestations, TCM therapy should be differentiated based on the principle of "adaptation to human body, season and local conditions".

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备注/Memo

备注/Memo:
收稿日期:2020-02-29*基金项目:中国人民解放军联勤保障部队第九四零医院“新冠肺炎(COVID-19)”应急医学科研项目(20yjky-009)。作者简介:闫向勇(1980—),男,主治医师。研究方向:临床常见病的中西医结合诊治。△通讯作者:燕忠生(1968—),男,硕士学位,主任医师。研究方向:内科疾病的中西医结合诊治。
更新日期/Last Update: 2020-04-15