[1]陈金红,张少强,邓芳隽,等.基于临床症状探讨新型冠状病毒肺炎的中医证素分布及证候特点[J].西部中医药,2022,35(06):8-11.[doi:10.12174/j.issn.2096-9600.2022.06.03]
　CHEN Jinhong,ZHANG Shaoqiang,DENG Fangjun,et al.Syndrome Characteristics and Distribution of TCM Syndrome Elements of COVID-19 Based on Clinical Symptoms[J].Western Journal of Traditional Chinese Medicine,2022,35(06):8-11.[doi:10.12174/j.issn.2096-9600.2022.06.03]
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基于临床症状探讨新型冠状病毒肺炎的中医证素分布及证候特点
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年06期
页码:
8-11
栏目:
出版日期:
2022-06-15

文章信息/Info

Title:
Syndrome Characteristics and Distribution of TCM Syndrome Elements of COVID-19 Based on Clinical Symptoms
作者:
陈金红1, 张少强2, 邓芳隽1, 郭圣璇3, 李晓凤2, 杜武勋2
1.天津中医药大学研究生院，天津 300193
2.天津中医药大学第二附属医院
3.天津中医药大学第一附属医院
Author(s):
CHEN Jinhong1, ZHANG Shaoqiang2, DENG Fangjun1, GUO Shengxuan3, LI Xiaofeng2, DU Wuxun2
1.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
2.Second Affiliated Hospital of Tianjin University of TCM
3.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
关键词:
新型冠状病毒肺炎; 证素; 证候; 临床研究
Keywords:
COVID-19; syndrome element; syndrome; clinical study
分类号:
R563.1
DOI:
10.12174/j.issn.2096-9600.2022.06.03
文献标志码:
A
摘要:
目的通过流行病学调查的方法，对新型冠状病毒肺炎的证素分布及证候特点进行归纳总结，为新型冠状病毒肺炎（Corona Virus Disease 2019，COVID-19）（简称新冠肺炎）的中医诊断和规范化治疗提供参考和依据。 方法通过2019-nCoV临床研究系统收集16家新冠肺炎定点治疗医院的确诊患者，对纳入的患者进行证素提取和证候分析，探讨其临床特点。 结果从634例新冠肺炎患者中共得到病位证素合计827次，常见的包括肺、表、脾；病性证素合计1475次，常见的包括湿、热、痰、阴虚、毒、气虚、外风；常见的临床证候为痰湿蕴肺、痰热蕴肺、热毒郁肺、湿毒郁肺、风热袭表、脾虚湿盛、脾气亏虚、肺热阴虚。 结论痰、湿、热、毒、风在新冠肺炎致病过程中起到了重要作用，并常见虚实夹杂，患者常出现上焦肺燥热阴虚，中焦脾气虚湿盛的病理特点。
Abstract:
ObjectiveTo provide the reference and evidence for TCM diagnosis and standardized therapy of COVID-19 by concluding the characteristics of syndrome and the distribution of syndrome element of COVID-19 via epidemiological investigation. MethodsThe confirmed patients were collected systematically from 16 desig-nated hospitals of COVID-19 by 2019-nCoV clinical study, syndrome elements of the included patients were extracted and the syndromes were analyzed, clinical charac-teritics were discussed. ResultsAll 827 times of syndrome elements of disease location were obtained among 634 COVID-19 patients, the common locations contained lung, the exterior and spleen; 1475 times of syndrome ele-ments of disease nature were gained, commonly containing damp, heat, phlegm, Yin deficiency, toxin, Qi defici-ency and external wind; common clinical syndromes were phlegm and damp accumulation in lung, phlegm and heat accumulating in lung, heat toxin stagnating in lung, damp toxin stagnating in lung, wind heat attacking the exterior, spleen deficiency and damp excess, depletion of spleen Qi, lung heat and Yin deficiency. ConclusionPhlegm, damp, heat, toxin and wind are vital for the pathogenesis of COVID-19, deficiency mixed with excess is common, the disease shows the pathological characteristics of lung dry-heat and Yin deficiency in the upper energizer and spleen Qi deficiency and damp excess in middle energizer.

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备注/Memo

备注/Memo:
陈金红（1993—），女，在读博士研究生。研究方向：心血管疾病的临床与基础研究、中医古籍研究。天津市教委科研计划项目（2019SK025）。
更新日期/Last Update: 2022-06-24