| 引用本文: |
刘斐斐, 杨红霞, 樊友龙, 左子欣, 刘成帅, 查玉玲, 周育平.伏邪理论下新冠感染愈后遗留心悸的病机与治疗探析[J].湖南中医药大学学报,2026,46(1):143-149[点击复制] |
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| 伏邪理论下新冠感染愈后遗留心悸的病机与治疗探析 |
| 刘斐斐,杨红霞,樊友龙,左子欣,刘成帅,查玉玲,周育平 |
| (中国中医科学院广安门医院, 北京 100053;中国中医科学院西苑医院, 北京 100091;中国中医科学院中医临床基础医学研究所, 北京 100700;中国中医科学院眼科医院, 北京 100040) |
| 摘要: |
| 本文从中医学伏邪理论出发，深入挖掘《黄帝内经》“冬伤于寒，春必病温”的伏邪理论渊源，结合《温病条辨》“伏气温病”学说，系统分析新型冠状病毒（COVID-19）感染后遗留心悸的深层病机，提出“疫毒伏气化火内扰”的理论观点，并详细阐述COVID-19作为特殊戾气的致病特点及其伏火转归机制，系统阐述其“伏、郁、动”的病理特点；通过深入分析疫毒内郁期、郁而化火期、上扰心神期3个阶段的病机演变规律，提出“清透并举、心神同调”的治疗策略；文中重点解析了八味除烦汤治疗本病的理论基础和组方特色，从透邪解郁、清解郁热、心神兼调等多维度揭示其作用机制。为临床治疗COVID-19感染愈后遗留心悸提供思路与方法。 |
| 关键词: 心悸 伏邪理论 新型冠状病毒 疫毒 八味除烦汤 |
| DOI：10.3969/j.issn.1674-070X.2026.01.020 |
| 投稿时间：2025-10-18 |
| 基金项目:第五批全国中医临床优秀人才研修项目（国中医药人教函〔2022〕1号）。 |
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| Pathogenesis and treatment of palpitations after COVID-19 recovery from latent pathogen theory |
| LIU Feifei, YANG Hongxia, FAN Youlong, ZUO Zixin, LIU Chengshuai, ZHA Yuling, ZHOU Yuping |
| (Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China;Eye Hospital, China Academy of Chinese Medical Sciences, Beijing 100040, China) |
| Abstract: |
| Based on TCM latent pathogen theory, this paper thoroughly explores the theoretical origin of latent pathogen stated in Huang Di Nei Jing (Huangdi's Classic of Medicine)－"invasion of cold pathogens in winter predisposes to warm febrile diseases in spring"－and combines it with the "latent-qi warm disease" theory recorded in Wen Bing Tiao Bian (Systematic Differentiation of Warm Diseases). It systematically analyzes the underlying pathogenesis of palpitations lingering after COVID-19 infection, puts forward the theoretical viewpoint of "epidemic toxins lurk as latent qi, transforming into fire and causing internal disturbance", and elaborates on the pathogenic characteristics of COVID-19 as a special pestilential qi and the transformation mechanism of its latent fire. Meanwhile, this paper expounds systematically on its pathological features of "latency, stagnation and agitation". By in-depth analysis of the pathogenic evolution rules in three stages—the internal stagnation stage of epidemic toxin, the stage of stagnation transforming into fire, and the stage of fire disturbing the heart spirit—the therapeutic strategy of "simultaneous application of clearing and dispersing methods while regulating both the heart and spirit" is proposed. This paper focuses on interpreting the theoretical basis and formulation characteristics of Bawei Chufan Decoction for the treatment of this condition, and reveals its mechanism of action from multiple dimensions including dispersing pathogens to relieve stagnation, clearing and resolving stagnant heat, and regulating both the heart and spirit. It aims to provide ideas and methods for the clinical treatment of lingering palpitations after COVID-19 recovery. |
| Key words: palpitations latent pathogen theory COVID-19 epidemic toxin Bawei Chufan Decoction |
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