我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

从五运六气角度探讨新型冠状病毒肺炎的发病、诊断及治疗(PDF)

《医学争鸣》[ISSN:1000-2790/CN:61-1060/R]

期数:
2020年01期
页码:
11-14,17
栏目:
新冠肺炎防控
出版日期:
2020-02-29

文章信息/Info

Title:
Discussion on pathogenesis, diagnosis and treatment of COVID-19 from the perspective of five evolutive phases and six climatic factors
作者:
金 锐
(首都医科大学附属北京世纪坛医院临床合理用药生物特征谱学评价北京重点实验室,北京 100038; 北京中医药大学中药学院中药药物警戒与合理用药研究中心,北京 100029)
Author(s):
JIN Rui
Beijing Key Laboratory of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Beijing Shijitan Hospital of Capital Medical University, Beijing 100038, China; Research Center for Chinese Medicine Pharmacovigilance and Rational Drug Use, Beijing University of Chinese Medicine, Beijing 100029, China
关键词:
五运六气运气学说新型冠状病毒肺炎温疠中医
Keywords:
five evolutive phases and six climatic factors yun-qi theory COVID-19 wenli traditional Chinese medicine
分类号:
R22; R563
DOI:
10.13276/j.issn.1674-8913.2020.01.003
文献标识码:
A
摘要:
中医运气学说(五运六气)记载了很多疫病防治的内容,在《瘟疫论》《温病条辨》等医 书中都有论述。本文尝试分析2019己亥年底武汉新型冠状病毒肺炎(COVID-19)发病的运气学背景, 提出诊断及治疗思路。其一,从“温疠”角度,2019己亥年终之气(2019-12-07—2020-02-04)容 易发生较严重的传染性疾病(温疠),首发地点很可能在我国中部地区(灾五宫)。其二,从“胜复 气”角度,2019己亥年土运不足,胜气为木,复气为金,疫病临床诊疗应关注燥邪。其三,从“药 食宜”角度,2019己亥年复气为金,2020庚子年金运太过,宜采用苦温、辛温和酸温的药物治疗。 同时,通过目前疫情信息,国家卫健委发布《新型冠状病毒感染的肺炎诊疗方案(试行第五版)》所 提示的患者症状、证型和各阶段治疗方的药味统计,以及关于2003癸未年SARS疫情的五运六气研究 等内容,进行验证性分析,为本次武汉COVID-19的中医防治提供参考。
Abstract:
The theory of yun-qi in traditional Chinese medicine (TCM), also known as five evolutive phases and six climatic factors, involves a lot about prevention and treatment of epidemic diseases as discussed in Wen Yi Lun and Wen Bing Tiao Bian. This paper attempts to analyze the background of the pathogenesis of COVID-19 in Wuhan, China from the perspective of five evolutive phases and six climatic factors, and then puts forward the diagnosis and treatment ideas. First of all, from the perspective of “wenli”, the sixth time period of 2019 (December 7, 2019 to February 4, 2020) was prone to the outbreak of serious infectious diseases (wenli), and the first attack was likely to be in the central region of China (zai wugong). Secondly, from the perspective of “recovery of qi”, in 2019, the spleen-earth qi was insufficient, so the surpassing qi was liver-wood qi, and the payback qi was lung-metal qi. This reminds us the dryness pathogenic factor of the six climatic conditions should be paid attention to in clinical diagnosis and treatment of epidemic diseases. Thirdly, from the perspective of “the suitable medicine and food”, the payback qi in 2019 (ji-hai year) is lung-metal qi and the lung-metal qi in 2020 (geng-zi year) is too much, so it is advisable to use herbs of bitter-warm, pungent-warm and sour-warm property. In addition, the confirmatory analysis has been done based on the current information about COVID-19, the Diagnosis and Treatment Plan for Corona Virus Disease 2019 (Trial Version 5) published by National Health Commission of the People’s Republic of China which includes the symptoms, TCM syndrome types and the TCM prescriptions in each stage of the treatment, as well as the similar researches on the SARS in 2003 (gui-wei year). This article aims at providing some thoughts on the prevention and treatment of corona virus disease 2019 (COVID-19) by means of traditional Chinese medicine.

参考文献/References

[1] 张登本, 张景明, 陈震霖. 运气理论六十年研究述评[J]. 山西中医学院学报, 2011, 12(2):2-10.
[2] 苏 颖. 五运六气概论[M]. 北京:中国中医药出版社, 2016:4-5.
[3] 岳冬辉. 吴鞠通从运气学说论治温病的贡献与特色探 析[J]. 中国中医基础医学杂志, 2010,16(12):1094-1095.
[4] 顾植山. 五运六气疫病预测的回顾分析—— 兼对2017 丁酉年疫病预测[N]. 中国中医药报, 2017-02-23(004).
[5] 高雅婷, 郭 润, 许 燕, 等. 从五运六气理论探讨近年 来重大疫情的发病规律[J]. 长春中医药大学学报, 2015, 31(3):498-500.
[6] 杨 威, 王国为, 冯茗渲, 等. 五运六气疫病预测思路与 方法探讨[J]. 中国中医基础医学杂志, 2018, 24(1):21-23.
[7] 黄帝内经·素问[M]. 田代华, 整理. 北京:人民卫生出版 社, 2005.
[8] 顾植山. 运气学说对中医药辨治SARS的启示[J]. 中华中 医药杂志, 2005(5):261-264, 260.
[9] 何时军, 张小鸥, 彭姝晗, 等. 从SARS发病规律论证五 运六气起点时间及临床意义[J]. 中医临床研究, 2018, 10(22):10-12.
[10] 陈凤芝, 周丽雅, 苏 颖.《内经》运气理论与温病SARS 辨识[J]. 中医药学刊, 2004, 22(7):1308-1309.
[11] Li Q, Guan X, Wu P, et al. Early Transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia[J]. N Engl J Med, 2020, Doi:10.1056/NEJMoa2001316.
[12] 白丽群. 1910 ~ 1911年东北大鼠疫与哈尔滨公共卫生体 系的建立[D]. 哈尔滨:黑龙江省社会科学院, 2015.
[13] 曹晶晶. 1910年东北鼠疫的发生及蔓延[J]. 东北史地, 2007(1):64-68.
[14] 贺圣达, 李晨阳. 非典型肺炎对东盟的影响[J]. 学术探索, 2003(10):32-35.
[15] 葛金文, 闻晓东, 袁长津, 等. 严重急性呼吸综合症 (SARS)的中医病名及病因病机研究[J]. 湖南中医学院学 报, 2003(5):59-61.
[16] 中华中医药学会. 传染性非典型肺炎(SARS)中医诊疗指 南[J]. 中国医药学报, 2003, 18(10):579-586.
[17] 张伯礼, 王晓晖. 非典的中医命名、分期及病机[J]. 天津 中医药, 2003, 20(3):12-14.
[18] 杨牧祥, 王少贤, 于文涛, 等. 中医药参与治疗SARS综 述[J]. 中国全科医学, 2004, 7(24):1879-1883.
[19] 国家卫生健康委员会, 国家中医药管理局. 新型冠状病 毒感染的肺炎诊疗方案(试行第五版)[Z]. 2020-02-04.

备注/Memo

备注/Memo:
基金项目:北京中医药科技发展基金(QN2016-04)
作者简介:金 锐。博士,副主任药师。研究方向:中药临床药学与中药药性理论。Tel:13720009471,E-mail:jinrui9862@126.com
更新日期/Last Update: 2020-03-09