[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(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.
点击复制

武汉地区新型冠状病毒肺炎中医证候及病机特点()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年S1
页码:
20
栏目:
出版日期:
2025-06-30

文章信息/Info

Title:
On the Characteristics of TCM Patterns and the Pathogenesis of COVID-19 in Wuhan Region
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
Keywords:
COVID-19;  clinical manifestations;  TCM syndrome;  the pathogenesis
分类号:
R563.1 ［
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%)。通过对舌象进行分析，辨证分型寒湿郁肺证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 based on the principle of "adaptation to human body, season and local conditions".

参考文献/References:

[1] 国家卫生健康委办公厅，国家中医药管理局办公室.新型冠 状病毒感染的肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-18)[2020-02-19].http://www.nhc.gov.cn/yzygj/s76-53p/202002/8334a8326dd94d329df351d7da8aefc2.shtml.
[2] 北京协和医院新型冠状病毒感染的肺炎诊治专家组.北京协和医院关于“新型冠状病毒感染的肺炎”诊疗建议方案(V2.0)[J].中华内科杂志，2020，59(3):186-188.
[3] CHEN N S，ZHOU M，DONG X，et al.Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan，China:a descriptive study[J].Lancet，2020395(10223)：507-513.
[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/OL].西部中医药，（2020-02-21）[2020-02-21].http://gszy.paperopen.com/oa/darticle.aspxtype=view&id=202002276.
[5] 李力，李琦，程金波，等.新型冠状病毒肺炎患者分层治疗与中医辅助治疗方案[J].第三军医大学学报，2020，42(4):427-430.
[6] 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/OL].西部中医药，（2020-02-21）[2020-02-25].http ://gszy.paperopen.com/oa/darticle.aspxtype=view&id=202002231.

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]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.
[4]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.
[5]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.
[6]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.
[7]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.
[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]李浩然,熊轶敏△.探讨新型冠状病毒肺炎与SARS的临床表现、影像学特征及中医认识的异同[J].西部中医药,2020,33(S1):30.
　LI Haoran,XIONG Yimin.The Differences and Similarities in Clinical Manifestations, Imaging Features and TCM Understanding between COVID-19 and SARS[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):30.
[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(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(S1):25.[doi:10.12174/j.issn.1004-6852.2020.04.08]
[13]李浩然,熊轶敏.探讨新型冠状病毒肺炎与SARS的临床表现、影像学特征及中医认识的异同[J].西部中医药,2020,33(07):7.[doi:10.12174/j.issn.1004-6852.2020.07.02]
　LI Haoran,XIONG Yimin.The Differences and Similarities in Clinical Manifestations, Imaging Features and TCM Understanding between COVID-19 and SARS[J].Western Journal of Traditional Chinese Medicine,2020,33(S1):7.[doi:10.12174/j.issn.1004-6852.2020.07.02]

备注/Memo

备注/Memo:
收稿日期：2020-02-29 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。
更新日期/Last Update: 2020-03-06