应用蒿芩清胆汤治疗新型冠状病毒肺炎医案分析
Analysis of Medical Cases of Coronavirus Disease-2019 Treated with Haoqin Qingdantang
DOI:10.13422/j.cnki.syfjx.20201324
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1.中国中医科学院西苑医院,北京 100091
2.武汉市金银潭医院,武汉 430022
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李斌, 丛晓东, 苗青, 等. 应用蒿芩清胆汤治疗新型冠状病毒肺炎医案分析[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13422/j.cnki.syfjx.20201324
Bin LI, Xiao-dong CONG, Qing MIAO, et al. Analysis of Medical Cases of Coronavirus Disease-2019 Treated with Haoqin Qingdantang[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13422/j.cnki.syfjx.20201324
李斌, 丛晓东, 苗青, 等. 应用蒿芩清胆汤治疗新型冠状病毒肺炎医案分析[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13422/j.cnki.syfjx.20201324 DOI:
Bin LI, Xiao-dong CONG, Qing MIAO, et al. Analysis of Medical Cases of Coronavirus Disease-2019 Treated with Haoqin Qingdantang[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13422/j.cnki.syfjx.20201324 DOI:
新型冠状病毒肺炎(COVID-19)传染性较强,在疾病早期常表现为寒湿郁肺的证候,可出现发热乏力、身体酸痛、干咳、纳差、舌苔白腻等症状;在病情发展过程中湿毒疫邪常入里化热,湿热疫毒裹挟阻于膜原、三焦、肺脏,表现为胸闷气短,活动后加重,或发热不解,食欲差、口苦、倦怠乏力、腹泻、便溏,舌苔黄厚腻,此时邪气既可外解而向愈,又能内陷入于里,导致病情危重甚至死亡,故此时是该病治疗的关键环节。该研究以蒿芩清胆汤清利湿热、和解少阳、畅达三焦、分消湿热疫毒,截断疫毒入于里,取得了很好的疗效。该方重在调畅少阳胆和三焦,重视脾胃为后天之本,方中二陈汤调和脾胃、升清降浊,且加用北柴胡增其疏解之功,加赤芍活血行瘀,以防邪气入血。当病情改善常去青蒿、滑石,加党参以补益脾胃,扶正以祛邪。该文结合在武汉金银潭医院治疗COVID-19案例,总结应用蒿芩清胆汤的一些体会。
Coronavirus disease-2019 (COVID-19) is highly contagious.In the early stages of the disease, the symptoms of coldness, dampness and depression in the lungs often appear, including fever, fatigue, soreness, dry cough, poor appetite, and white greasy tongue coating.During the development of the disease, the damp toxin epidemic often enters the inner and generates heat, and the damp heat epidemic toxin blocks pleurodiaphragmatic sites, the triple energizer and lungs, with manifestations of chest tightness, shortness of breath, exacerbation after exercise, or high fever without bringing down, poor appetite, bitterness in mouth, fatigue, diarrhea, loose stools, and yellow and thick tongue fur.As the pathogen can go outward or enter more deeply inside to cause death at the moment, it is the crucial time to treat the disease.In this study, Haoqin Qingdantang was used to clear dampness and heat, reconcile Shaoyang channel and recover the triple energizer, detoxify the dampness fever epidemic toxin, and block the toxin inside, with a good efficacy.This prescription focuses on smoothing the Shaoyang gallbladder channel and the triple energizer, and regards the spleen and stomach as the acquired essence.In the prescription, Erchentang reconciles the spleen and stomach, elevates clear Qi and lower turbid Qi.Bupleuri Radix is added to increase its detoxification function, and Paeoniae Rubra Radix is added to circulate the blood and prevent pathogen from the blood.When the condition improves, Sweet Wormwood Herb and talc are often withdrawn, and, Codonopsis, is added to nourish the spleen and stomach, to strengthening vital qi to eliminate pathogenic factor.Based on the cases of COVID-19 treated in Wuhan Jinyintan Hospital, this paper summarized some experience of applying Haoqin Qingdantang.
蒿芩清胆汤新型冠状病毒肺炎湿毒疫验案
Haoqin Qingdantangcoronavirus disease 2019case
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