首页|国医大师王庆国"转枢机,和营卫"法治疗"长新冠"综合征经验

国医大师王庆国"转枢机,和营卫"法治疗"长新冠"综合征经验

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随着新型冠状病毒肺炎的流行,新型冠状病毒转阴后出现的气短、乏力、气促和睡眠困难等症状困扰着感染者,世界卫生组织将这种感染后遗症定义为"长新冠".王庆国教授认为应抓住"长新冠"患者枢机不利、营卫不畅、"血弱气尽"的病理特点,把握气机失调、营卫气血失和的基本病机,重视调畅枢机,调和营卫,从本论治.王庆国认为柴胡桂枝汤可调少阳之枢出入和脾胃之枢升降,调气血、营卫、三焦,是治疗"长新冠"综合征的首选方.王庆国治疗"长新冠"综合征中疲劳症擅用柴胡桂枝汤合黄芪生脉饮或三仙汤加减,脑雾症常合孔圣枕中丹加减,失眠症状常合甘麦大枣汤、双夏汤加减,临床收效颇佳.
Wang Qingguo's experience in treating"long COVID"syndrome with the method of"activating pivot,harmonizing nutrient qi and defensive qi"
With the prevalence of novel coronavirus pneumonia,the symptoms of shortness of breath,fatigue,tachypnea and difficulty in sleeping after the negative conversion of novel coronavirus have been troubling the infected persons,and the World Health Organization(WHO)defines the sequelae of this infection as"long COVID".Professor Wang Qingguo believes that the treatment of long COVID should be focused on its pathological characteristics such as the dysfunction of pivot,the obstruction of nutrient qi and defensive qi,and the exhaustion of blood and qi,on its basic pathogeneses of imbalanced qi circulation,disharmony between nutrient qi and defensive qi and blood,paying attention to the regulation of pivot,harmonizing yingfen and weifen,differentiating and treating the disease based on its root cause.He maintains that Chaihu Guizhi decoction is the first choice to treat the"long COVID"syndrome by regulating the movement of Shaoyang pivot and the ascending and descending of spleen and stomach pivot,regulating qi and blood,yingfen and weifen,sanjiao,and balancing qi and blood,yin and yang of the body.He is good at using Chaihu Guizhi decoction for the treatment of fatigue in the"long COVID"syndrome in combination with Huangqi Shengmai decoction or Sanxian decoction,for the treatment of brain fog often in combination with modified Kongsheng Zhenzhong pills,for the treatment of insomnia often in combination with modified Ganmai Dazao decoction and Shuangxia decoction,achieving a remarkable clinical effect.

novel coronavirus infectionlong COVIDpivotnutrient qi and defensive qiWang Qingguo

武怡平、邵奇、赵京博、余巧玉、王庆国

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北京中医药大学中医学院,北京 100029

新型冠状病毒感染 长新冠 枢机 营卫 王庆国

国家自然科学基金重点项目全国名老中医药专家传承工作室建设项目

U21A204002014011

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(5)
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