nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2022, 01, v.41;No.411 1-5+12
德尔塔变异毒株致新型冠状病毒肺炎中医分析
基金项目(Foundation): 山东省重大科技创新工程项目(编号:2020SFXGFY04-1)
邮箱(Email):
DOI: 10.16295/j.cnki.0257-358x.2022.01.001
摘要:

德尔塔变异毒株较原始毒株载量更高,传染性更强,病情进展更快,目前尚无特效药物,中医药在国内德尔塔变异毒株引起的疫情防控中发挥了重要作用。根据国内疫情发生的岁运、地域、四时以及患者的临床症状,认为目前德尔塔变异毒株引起的疫情较去年的新型冠状病毒肺炎疫情有变化,病因当为湿热疫毒,兼夹暑邪特点,病机与湿、热、暑、痰、瘀、毒、虚相关。治疗上应以清利湿热、清暑益气、化痰祛瘀、扶正解毒等为原则。同时重视"三因制宜""天人合一"的治病理念。

Abstract:

Compared with the original strain,the delta variant has a higher viral load,stronger infectivity,and faster disease progression. Currently,there is no specific drug for it. Traditional Chinese medicine(TCM)has played an important role in the prevention and control of COVID-19 caused by the delta variant strain in China. According to the year circuit,region,seasons,and clinical symptoms of the COVID-19 in China,it is believed that the COVID-19 caused by the delta variant strain is different from the previous COVID-19,the disease cause is dampness and heat,and pestilent qi,accompanied by heat evil,and the disease mechanism involves dampness,heat,summer-heat,phlegm,stasis,toxin,and deficiency. Therefore,the treatment should be based on the principles of clearing dampness and heat,clearing heat and replenishing qi,resolving phlegm and removing stasis,reinforcing healthy qi and removing toxins. At the same time,the concept of “variation due to three factors” and “unity between heaven and human” should be emphasized.

参考文献

[1] LAZAREVIC I,PRAVICA V,MILJANOVIC D,et al. Immune evasion of SARS-CoV-2 emerging variants:what have we learnt so far?[J]. Viruses,2021,13(7):1192.

[2] PASCARELLA S,CICCOZZI M,ZELLA D,et al. SARSCoV-2 B.1.617 Indian variants:are electrostatic potential changes responsible for a higher transmission rate?[J]. J Med Virol,2021,93(12):6551-6556.

[3] TORJESEN I. Covid-19:Delta variant is now UK’s most dominant strain and spreading through schools[J]. BMJ Clin Res Ed,2021,373:n1445.

[4] EUROPEAN CENTRE FOR DISEASE PREVENTION AND CONTROL. Assessing SARS-CoV-2 circulation, variants of concern,non-pharmaceutical interventions and vaccine rollout in the EU/EEA,15th update-10 June 2021[EB/OL].ECDC:Stockholm,2021.(2021-06-10)[2021-08-06]. https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assess ment-sars-cov-2-circulation-variants-concern#no-link.

[5]中医药对德尔塔变异毒株引起的新冠肺炎有较好疗效[J].中医健康养生,2021,7(8):2.

[6]余锋,刘南,赵静.清热解毒化湿法治疗登革热的探讨[J].中国中医急症,2015,24(3):464-465.

[7]王琦. 9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.

[8]第五永长,李妮矫.论中医“毒”概念的演变及其阴阳属性[J].中华中医药杂志,2010,25(5):654-657.

[9]周永学.新型冠状病毒感染肺炎中医病因病机与治法探讨[J].陕西中医药大学学报,2020,43(5):28-32.

[10]赵岩松,黎又乐,沈宜华,等.对暑邪的再认识[J].江苏中医药,2016,48(6):6-8.

[11]刘芳芳,王平.湿邪外袭与湿自内生内外合邪的探讨[J].湖北中医药大学学报,2016,18(1):43-45.

[12]谢菁,谷浩荣,贾春华.从认知语言学角度探讨中医六淫概念隐喻:以湿邪概念为例[J].中医药学报,2012,40(3):3-6.

[13]孙广仁,郑洪新.中医基础理论[M]. 3版.北京:中国中医药出版社,2012:222.

[14] LI B S,DENG A P,LI K B,et al. Viral infection and transmission in a large well-traced outbreak caused by the Delta SARS-CoV-2 variant[EB/OL]. MedRxiv,2021.(2021-07-07)[2021-08-16]. https:www.medrxiv.org/content/10.1101/2021.07.07.21260122v2.

[15]孙志其,韩涛.基于《黄帝内经》“时立气布”思想的暑邪理论探析[J].中华中医药杂志,2019,34(5):1875-1880.

[16]李斐然,张伟.从“怪病多痰”论治弥漫性肺间质疾病[J].辽宁中医杂志,2019,46(8):1620-1622.

[17]宋夕元,徐立然,郑志攀,等.从“怪病多痰”探讨艾滋病肺部感染的病因病机[J].中医学报,2013,28(10):1435-1437.

[18] HOFFMANN M,KLEINE-WEBER H,SCHROEDER S,et al. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and is blocked by a clinically proven protease inhibitor[J]. Cell,2020,181(2):271-280.

[19]周洋,陈峰. COVID-19大流行对男性生殖健康的潜在影响[J].中国男科学杂志,2021,35(3):88-92.

[20]孙冉冉,姚海强,李玲孺,等.痰湿体质与不孕不育的相关性探讨[J].世界中医药,2015,10(9):1429-1431.

[21]杨道文,李得民,晁恩祥,等.关于新型冠状病毒肺炎中医病因病机的思考[J].中医杂志,2020,61(7):557-560.

[22]陈一飞,郝征.浅析王孟英《温热经纬》中“暑邪”医学思想[J].中国中医基础医学杂志,2019,25(7):874-875,936.

基本信息:

DOI:10.16295/j.cnki.0257-358x.2022.01.001

中图分类号:R259

引用信息:

[1]张伟,陈凤.德尔塔变异毒株致新型冠状病毒肺炎中医分析[J],2022,41(01):1-5+12.DOI:10.16295/j.cnki.0257-358x.2022.01.001.

基金信息:

山东省重大科技创新工程项目(编号:2020SFXGFY04-1)

检 索 高级检索