祛风清热化湿法治疗新型冠状病毒感染后咳嗽的临床经验
Clinical Experience of Dispelling Wind,Clearing Heat and Resolving Dampness in the Treatment of Post-COVID-19 Cough
裘佳波 1潘睿 1王真2
作者信息
- 1. 浙江中医药大学第一临床医学院 杭州 310053
- 2. 浙江中医药大学附属第一医院
- 折叠
摘要
[目的]总结王真教授治疗新型冠状病毒感染后咳嗽(以下简称新冠后咳嗽)的中医经验.[方法]通过记录并整理医案,参考国内外文献,从病因病机、处方经验、验案举隅三方面阐述王真教授的治疗经验.[结果]王真教授认为,新冠后咳嗽的病因是疠气,病机是风邪留恋、湿热内蕴,处方经验为祛风解表、通窍利咽,三焦湿热、分消走泄,因人制宜、标本兼顾.所举两则医案中,患者以新冠感染后反复咳嗽为主诉,王真教授以祛风清热化湿为主,养阴生津、健脾、益肾、化瘀为辅,处方周全,疗效确切.[结论]王真教授准确把握新冠后咳嗽的病因病机,治法明晰,用药严谨,疗效明显,其治疗经验具有临床价值.
Abstract
[Objective]To summarize the clinical experience of Professor WANG Zhen in the treatment of post-Corona Virus Disease 2019(COVID-19)cough.[Methods]Through the way of recording and sorting out medical cases,referring to domestic and foreign literature,this paper expounded the clinical experience of Professor WANG Zhen from three aspects:pathogenesis,prescription and medical cases.[Results]Professor WANG Zhen believes that the cause of post-COVID-19 cough is epidemic Qi,and the cause of the disease is wind and dampness-heat.The prescription experience is to dispel wind and relieve external symptoms,open the orifices and soothe the throat,clear heat and resolve dampness in tri-Jiao,and take into account both individual variability and symptoms and causes.Two medical cases are reported,the patient complained of post-COVID-19 cough,and Professor WANG Zhen mainly dispelled wind,cleared heat and resolved dampness,supplemented by nourishing Yin,invigorating the spleen,tonifying the kidney and dispersing blood stasis,with a comprehensive prescription and accurate curative effect.[Conclusion]Professor WANG Zhen accurately grasps the pathogenesis of post-COVID-19 cough,the treatment method is clear,the use of traditional Chinese medicine is rational,the therapeutic effect is obvious,and his clinical experience is valuable.
关键词
新型冠状病毒感染/咳嗽/祛风/清热化湿/因人制宜/名医经验/王真Key words
Corona Virus Disease 2019/cough/dispelling wind/clearing heat and resolving dampness/take into account the individual variability/famous doctor's experience/WANG Zhen引用本文复制引用
基金项目
浙江省中医药科技计划项目(2022ZA063)
出版年
2024