结合中医疮疡理论辨证论治惠州地区新型冠状病毒感染的疗效观察
Journal of Guangzhou University of Traditional Chinese Medicine(2023)
Abstract
[目的]观察结合中医疮疡理论辨治惠州地区新型冠状病毒感染(简称新冠感染)的疗效.[方法]基于对新冠感染的病因病机、症状及传变特点与中医疮疡理论高度契合的认识,运用疮疡理论"早期透、中期清、晚期补"(简称"透、清、补")的辨证思路制定新冠感染诊疗方案,即:早期风热犯肺证予解表祛邪消毒方(银翘散加减)治疗,中期痰热蕴肺证予清热化痰托散方(麻杏石甘汤合桑白皮汤加减)治疗,后期气阴两虚证予益气养阴扶正方(生脉散合沙参麦冬汤加减)治疗.回顾性观察其对本院收治的能坚持中医药治疗且临床资料完整的58例惠州地区新冠感染患者的治疗效果.[结果](1)中药使用情况:58例新冠感染患者共接受中医诊疗186次,患者的平均住院天数为(16.12±6.39)d,平均服用中药天数为(11.80±5.90)d,中药治疗的总有效率达100%.(2)症状改善情况:首发症状为发热者36例(占62.07%),平均体温为(38.53±0.56)℃,退热天数为1~12 d,平均(2.93±2.76)d;其他症状如恶寒、咳嗽、咯痰、气喘气促、乏力不适、头晕头痛、肌肉酸痛、鼻塞流涕等经治疗后均显著改善.(3)核酸转阴情况:经治疗后,58例患者核酸全部转为阴性,平均核酸转阴时间为(7.07±3.73)d.(4)影像学改善情况:胸部CT或胸片检查提示肺部有病变者55例(占94.83%),经治疗后,肺部病变改善吸收时间为(6.84±3.30)d.[结论]新冠感染患者在病因病机、症状及传变上与中医疮疡理论高度契合,结合疮疡理论,辨证运用"透、清、补"法进行治疗,能有效改善新冠感染患者临床症状,防止患者由轻症转为重症.
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Key words
novel coronavirus 2019 infection,sore and ulcer theory,expelling,clearing and tonifying,windheat attacking the lung,phlegm-heat accumulating in the lung,deficiency of both qi and yin,Yinqiao Powder,Maxing Shigan Decoction,Sangbaipi Decoction,Shengmai Powder,Shashen Maidong Decoction,Huizhou area
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