首页|从"厥热胜复、阴阳错杂"探析清肺排毒汤防治突发性疫病肺部感染的可行性

从"厥热胜复、阴阳错杂"探析清肺排毒汤防治突发性疫病肺部感染的可行性

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中医治疗疫病历史悠久,可参考文献众多,早在《黄帝内经·素问篇》中提到:"五疫之至,皆相染易,无问大小,症状相似",在 2019 年新型冠状病毒感染(COVID-19)的防治中,中医药便突显出自己独特的优势.肺部感染是突发性疫病最常伴病种之一,多由流行性细菌或病毒等各种感染因素诱发,若患者既往存在慢性肺部疾病史,则会进一步加重临床症状,极易发展成重症肺炎,病死率高、病情进展迅速,且治疗病程长、预后差、并发症多,一般抗菌药物应用效果不佳."厥热胜复、阴阳错杂"出自《伤寒论》厥阴病篇,是病至厥阴出现发热的典型特征之一.通过多角度探讨厥阴病与重症肺炎发病机制的相关性,分析清肺排毒汤治疗厥阴热的机制,更好地领会张仲景组方用药之精华,为疫病造成肺部感染患者的辨证过程提供新的思路.目前国内COVID-19 疫情防控机制逐步完善,现有COVID-19 患者逐渐减少,疫情局势趋于缓和,但即便如此,我们仍无法预测未来类似COVID-19 的突发重大疫病是否会再次暴发,关于中医药防治突发性疫病的特色理论创新及临床应用仍有必要开展.
To explore the feasibility of Qingfei Paidu decoction in the prevention and treatment of sudden epidemic pulmonary infection from the perspective of"Jue heat overcomes the complex,Yin and Yang are complicated"
Traditional Chinese medicine has a long history of treating epidemic diseases.Numerous references are available.As early as the Yellow Emperor's Classic of Internal Medicine-Su Wen Chapter mentioned:"the five epidemics are all similar,regardless of their size,and the symptoms are similar".In the prevention and treatment of the coronavirus disease 2019(COVID-19),Chinese medicine has shown its unique advantages.Pulmonary infection is one of the most common diseases associated with sudden epidemic diseases,which is mostly induced by various infectious factors such as epidemic bacteria or viruses.If the patient has a history of chronic lung disease,it will further aggravate the clinical symptoms,and is easy to develop into severe pneumonia,with high mortality,rapid progress,long course of treatment,poor prognosis,and many complications,and the general antibiotic application is not as effective as desired."Jue heat overcomes the complex,Yin and Yang are complicated"comes from the chapter of Jueyin disease in Shanghan Lun(Treatise on Febrile Diseases),which is one of the typical features of fever occurring from illness to Jueyin.To explore the correlation between Jueyin disease and the pathogenesis of severe pneumonia from multiple angles,analyze the mechanism of Qingfei Paidu decoction in the treatment of Jueyin fever,better understand the essence of Zhang Zhongjing's prescription,and provide new ideas for the syndrome differentiation process of patients with pulmonary infection caused by epidemic diseases.At present,the prevention and control mechanism of COVID-19 in China has been gradually improved,the number of patients with COVID-19 has been gradually reduced,and the epidemic situation is easing.However,even so,it is still impossible to predict whether sudden and major epidemic diseases similar to COVID-19 will break out again in the future.

Jueyin diseaseQingfei Paidu decoctionSevere pneumonia

徐泽、梁群

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黑龙江中医药大学附属第一医院重症医学科,黑龙江哈尔滨 150040

厥阴病 清肺排毒汤 重症肺炎

中医药防治新型冠状病毒感染的肺炎应急研究专项课题黑龙江省重点研发计划

2020ZYLCYJ06-2GA21C012

2024

中国中西医结合急救杂志
中国中西医结合学会

中国中西医结合急救杂志

CSTPCD
影响因子:1.925
ISSN:1008-9691
年,卷(期):2024.31(1)
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