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翦慧颖,曾普华,黄惠勇,郜文辉,贺佐梅,李克雄.曾普华教授从“肺脾同病”救治重型新型冠状病毒肺炎的经验[J].湖南中医药大学学报,2020,40(8):913-917[点击复制] |
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| 曾普华教授从“肺脾同病”救治重型新型冠状病毒肺炎的经验 |
| 翦慧颖,曾普华,黄惠勇,郜文辉,贺佐梅,李克雄 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院附属医院, 湖南 长沙 410006) |
| 摘要: |
| 新型冠状病毒肺炎(以下简称新冠肺炎)归属于中医学“疫病”范畴。曾普华教授认为重型新冠肺炎的主要病机为疫毒闭肺、湿困中焦、痰湿内蕴，肺脾同病，宜从肺脾论治，治以宣肺、祛湿、排毒、健脾、益气。临床治疗期予麻杏苡甘汤、射干麻黄汤、达原饮合四君子汤加减，以宣肺排毒、健脾祛湿、泻肺平喘、止咳化痰、开达膜原；恢复期予六君子汤合沙参麦冬汤加减，以补肺健脾、益气养阴。提高了重型新冠肺炎患者救治成功率。 |
| 关键词: 重型 新型冠状病毒肺炎 炎症风暴 肺纤维化 宣肺排毒 健脾祛湿 泻肺平喘 益气养阴 曾普华 |
| DOI：10.3969/j.issn.1674-070X.2020.08.001 |
| 投稿时间：2020-05-10 |
| 基金项目:湖南省中医药防治新型冠状病毒肺炎科研专项(KYGG04)。 |
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| Professor ZENG Puhua's Experience in Treating Severe COVID-19 from “Lung and Spleen Comorbidity” |
| JIAN Huiying,ZENG Puhua,HUANG Huiyong,GAO Wenhui,HE Zuomei,LI Kexiong |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The Affiliated Hospital of Hunan Academy of Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| The Corona Virus Disease 2019 (COVID-19) belongs to the category of "pestilence" of Chinese medicine. Professor ZENG Puhua believes that the main pathogenesis of severe COVID-2019 is epidemic pathogenic factor hindering the lung, dampness retaining in the middle jiao, phlegm-dampness accumulating in interior. Due to lung an spleen comorbidity, it is appropriate to treat by ventilating lung, dispelling dampness, eliminating toxin, and benefiting Qi. During clinical treatment period, Maxing Yigan Decoction, Shegan Mahuang Decoction, Dayuan Decoction and Sijunzi Decoction to ventilate lung and eliminate toxin, invigorate spleen and dispel dampness, purge the lung and calm pant, stop cough and resolve phlegm, open pleuro-diaphragmatic interspace; During recovery period, Liujunzi Decoction and modified Shashen Maidong Decoction were given to tonify the lung and fortify the spleen, replenish Qi and nourish Yin. The treatment improves the successful rate of treating severe COVID-19 patients. |
| Key words: COVID-19 severe type inflammatory storms pulmonary fibrosis ventilate lung and eliminate toxin invigorate spleen and dispel dampness purge the lung and calm pant replenish Qi and nourish Yin ZENG Puhua |
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