张忠德采用平调五脏法辨治新型冠状病毒感染后长期症状经验

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中文摘要：新型冠状病毒感染进入恢复期后,常会出现多个系统的症状,称之为新型冠状病毒感染后长期症状,中医对其辨治有独特的优势.张忠德教授认为,新型冠状病毒感染属于中医学"湿毒疫"范畴,新冠感染进入恢复期,所感湿毒之邪可使脏腑气血阴阳处于失调状态,出现阳气耗损或津血亏虚,湿浊困阻气机、入络成瘀为引起新型冠状病毒感染后长期症状的关键;提出其治疗应以平调五脏气血阴阳为原则,采用运化湿毒痰浊、理气活血化瘀之法治疗.根据五脏气血津液阴阳之盛衰,辨证分型选用"扶正系列方":元气亏虚证可选扶正升白方;肺脾肾虚证可用扶正益肺方;肝气郁结、心脾两虚证可选扶正安神方.临证时,张忠德教授针对湿毒浊气留滞部位选择相应的药物进行加减,并重视脾胃在整个治疗过程中的作用,注意顾护脾胃,以促进新型冠状病毒感染后患者的康复,提高其生活质量.

外文标题：ZHANG Zhong-De's Experience in Treating Long-Term Symptoms After Novel Coronavirus Infection Using the Method of Harmonizing Five Zang-Organs

外文摘要：The multiple systemic symptoms appearing during the convalescence of novel coronavirus infection(COVID-19)are called long-term symptoms after COVID-19,also named as long COVID.Traditional Chinese medicine(TCM)has unique advantages in the treatment of long COVID.In the view of Professor ZHANG Zhong-De,the novel coronavirus infection belongs to the category of damp-toxin pestilence in TCM.During the convalescence of novel coronavirus infection,the damp-toxin pathogen causes the dysfunction of qi,blood,yin and yang of zang-fu organs,and then results in the consumption of yang qi or the depletion of fluid and blood.Damp-turbidity obstructing qi movement and entering collaterals and then developing into blood stasis is the key pathogenesis of long COVID.Therefore,the therapeutic principle of harmonizing yin,yang,qi and blood of the five zang-organs is proposed,and the methods for transporting and transforming damp-toxin and phlegm-turbidity,regulating qi,activating blood and removing stasis should be adopted.According to the exuberance or decline of qi,blood and body fluid,and yin and yang of the five zang-organs,the Fuzheng Series Formulas(series formulas for supporting healthy qi)were recommended for the specific syndrome types:Fuzheng Shengbai Formula can be used for the syndrome of deficiency of original qi;Fuzheng Yifei Formula can be used for lung-spleen-kidney deficiency syndrome;Fuzheng Anshen Formula can be used for the syndrome of liver qi stagnation and heart-spleen deficiency.During the treatment,Professor ZHANG Zhong-De makes the modification of drugs indicated for the retention sites of damp-toxin and turbid qi,and addresses the importance of spleen and stomach in the whole treatment process by protecting spleen and stomach,so as to promote the rehabilitation of patients after novel coronavirus infection and improve their quality of life.

外文关键词：

long-term symptoms after novel coronavirus infection(long COVID)recovery from novel coronavirus infectiondamp-toxin pestilenceconsumption of yang qidepletion of fluid and bloodharmonizing the five zang-organsFuzheng Series FormulasZHANG Zhong-De

作者：

唐丽娟、何伟炎、金连顺、张曈、张忠德

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作者单位：

广州中医药大学第二附属医院,广东广州 510120

关键词：

新型冠状病毒感染后长期症状新冠康复湿毒疫阳气耗损津血亏虚平调五脏扶正系列方张忠德

基金：

国家自然科学基金项目第七批全国老中医药专家学术经验继承项目张忠德岐黄学者支持项目第二届全国名中医传承工作室(张忠德)建设项目岭南甄氏杂病流派传承工作室建设项目

项目编号：

82374392国中医药办人教函[2021]272号国中医药人教涵[2022]6号粤中医办函[2022]52号中医二院[2013]233号

出版年：

2024

DOI：

10.13359/j.cnki.gzxbtcm.2024.10.012

广州中医药大学学报

广州中医药大学

广州中医药大学学报

CSTPCD

影响因子：1.055

ISSN：1007-3213

年,卷(期)：2024.41(10)