| 引用本文: |
陈龙娇,杨喜乐,王芳,刘杰,黎敬波,万军,孙宁.基于燥理论对全球新型冠状病毒肺炎的思考[J].湖南中医药大学学报,2021,41(11):1749-1755[点击复制] |
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| 基于燥理论对全球新型冠状病毒肺炎的思考 |
| 陈龙娇,杨喜乐,王芳,刘杰,黎敬波,万军,孙宁 |
| (北京中医药大学深圳医院(龙岗), 广东 深圳 518172;西安市第九医院, 陕西 西安 710054;西安国际医学中心, 陕西 西安 710100;深圳黄医门中医药技术开发有限公司, 广东 深圳 518000;广州中医药大学, 广东 广州 510006;香港理工大学化学生物学及药物研发国家重点实验室, 香港 999077;广州医科大学附属第五医院, 广东 广州 510799) |
| 摘要: |
| “燥”是中医理论的重要概念，其表象为津液缺失，本质是气机逆乱。新型冠状病毒肺炎（简称“新冠肺炎”）的病性问题素有争论，本文认为“燥”可涵盖新冠肺炎的诸多特点。从临床症状来看，新冠肺炎初期符合燥以干之，后期符合燥的演变。新冠肺炎或为全球变暖的产物，气候异常加速病毒变异和扩散，同时导致宿主免疫力降低，庚年的运气学特点为疫情的出现提供了契机。从整个疫情来看，燥性本寒为病毒提供了生存条件，燥化生火是炎症反应的内因，燥湿转化是肺炎反复的病机，因燥生风是病毒扩散的体现，同时，燥不止于秋提示了长期共存的可能性。辛润治燥之法或可予治疗以启发。 |
| 关键词: 新型冠状病毒肺炎 燥 病机 气候 辛润治燥 |
| DOI：10.3969/j.issn.1674-070X.2021.11.017 |
| 投稿时间：2021-04-08 |
| 基金项目:国家自然科学基金项目（81703333）；广东省基础与应用基础研究基金项目（2020A1515011326）；广州市卫生健康委员会-广州市中医药和中西医结合科技项目（20192A011018）；广州市加速康复腹部外科重点实验室（201905010004）。 |
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| Exploring the Mechanism in Global COVID-19 Based on the Dryness Theory |
| CHEN Longjiao,YANG Xile,WANG Fang,LIU Jie,LI Jingbo,WAN Jun,SUN Ning |
| (Shenzhen Hospital of Beijing University of Chinese Medicine, Shenzhen, Guangdong 518172, China;Ninth Affiliated Hospital of Xi'an, Xi'an, Shanxi 710054, China;Xi'an International Medical Center, Xi'an, Shanxi 710100, China;Shenzhen Huangyimen Traditional Chinese Medicine Technology Development Limited Company, Shenzhen, Guangdong 518005, China;Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China;The State Key Laboratory of Chemical Biology and Drug Discovery, The Hong Kong Polytechnic University, Hong Kong, 999077, China;The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510799, China) |
| Abstract: |
| The "dryness" which belongs to indispensable theory concept of traditional Chinese medicine. It appearances as lack of body fluid, the essence is the rebellion of the Qi. The pathogenesis of COVID-19 has been controversial, this paper believes that the "dryness" can cover many characteristics of COVID-19. From the perspective of clinical symptoms, the initial symptoms of COVID-19 accords with dryness, and the later symptoms accords with the evolution of dryness. COVID-19 may be the product of global warming. The abnormal climate accelerates viral mutation and spread, reducing the host's immunity. The characteristics of five vircuits and six Qi in Gengnian provided an opportunity for the emergence of COVID-19. In general, the dry nature of the cold provides survival conditions for the virus, desiccation heat is the internal cause of the inflammatory reaction, the transformation of dryness and dampness is the recurring pathogenesis of pneumonia. Dryness generating wind is the manifestation of the viral transmission. Dryness does not only exist in autumn which suggests the possibility of long-term coexistence of the epidemic. The Xinrun method to cure dryness may inspire ideas for treatment. |
| Key words: COVID-19 dryness pathogenesis climate Xinrun method to cure dryness |
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