基于经方辨治新型冠状病毒感染后遗梅核气验案4则
Four cases of post-COVID-19 globus hysteriocus based on classic prescriptions
石聪 1吴珂 1陈雪明 1王颖雪 2张琳琳 2林燕1
作者信息
- 1. 河北中医药大学第一附属医院儿科 石家庄 050011
- 2. 河北省石家庄市中医院儿科
- 折叠
摘要
梅核气是新型冠状病毒(简称新冠)感染后一种常见的后遗症.新冠感染后因疾病传变,失治误治,致邪陷少阳,痰热互结,予小柴胡汤与半夏厚朴汤合方加减;或少阳郁热,水饮上泛,予小柴胡汤合五苓散加减;或阳明虚火,痰凝气聚,予麦门冬汤加减;少阴误治,寒痰凝聚,予半夏汤合麻黄附子细辛汤加减.本文结合4 则临床验案对经方辨治新冠感染后遗梅核气进行阐述.
Abstract
Globus hystericus(termed meiheqi,or plum-stone qi,in TCM)is a common sequela following COVID-19 infection.Post-COVID-19,due to disease progression,mismanagement,or mistreatment,pathological factors can sink into shaoyang,resulting in a combination of phlegm and heat.Treatment strategies include modifications of Xiaochaihu Decoction(Minor Bupleurum Decoction)and Banxia Houpo Decoction(Pinellia and Officinal Magnolia Bark Decoction)for shaoyang syndrome with phlegm-heat;Xiaochaihu Decoction combined with Wuling San(Five Substances Powder with Poria)for heat stagnation in shaoyang and upward surging of water;Maimendong Decoction for yangming deficiency with phlegm coagulation and qi accumulation;and modifications of Banxia Decoction(Pinellia Decoction)plus Mahuang Fuzi Xixin Decoction(Ephedra,Aconite and Asarum Decoction)for shaoyin syndrome with cold phlegm.This paper elaborates on the treatment of globus hystericus as a sequela of COVID-19 infection through four clinical cases,illustrating the application of classic prescriptions.
关键词
新型冠状病毒感染后遗症/梅核气/经方/验案Key words
sequela of COVID-19/globus hysteriocus/classic prescriptions/proven cases引用本文复制引用
基金项目
全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)
出版年
2024
国家科技期刊平台
NSTL
万方数据