摘要
目的通过分析武汉地区新型冠状病毒患者的临床资料,探讨新冠肺炎临床特点及中医证候,为中医临床辨证处方提供依据。方法纳入2020年2月1日—2020年2月14日就诊于华中科技大学同济医学院附属同济医院发热门诊及湖北省中山医院发热病房病例40例,完整记录患者的临床表现及舌象等资料,主要统计分析各临床症状的频次、频率。结果33例患者是以发热为首发症状(82.5%);外感症状:头痛13例(32.5%),畏寒20例(50%);呼吸系统表现:咳嗽28例(70%)、咳痰17例(42.5%)、咯血4例(10%)、胸闷23例(57.5%)、动则气喘18例(45%);消化系统表现:食欲不振26例(65%)、口干34例(85%)、口苦27例(67.5%)、恶心呕吐12例(30%)、腹泻23例(57.5%);舌质表现:淡红色13例(34.2%),深红舌14例(36.8%),黯红舌11例(28.9%);舌苔表现:白腻苔6例(15.8%)、黄薄腻苔14例(36.8%)、黄厚腻苔9例(23.7%)。结论新冠肺炎属于"瘟疫"类温病,病邪以"湿"为主,以"湿邪困脾闭肺"为基本病机,以"湿阻少阳"为核心病机。
Objective To research the clinical characteristic and traditional Chinese medicine(TCM)syndromes of COVID-19 and provide basis for TCM syndrome differentiation and prescription,the clinical data of patients with COVID-19 was analyzed.Methods Forty patients from the fever clinics of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,and the fever ward of Zhongshan Hospital in Hubei Province were included from February 1,2020 to February 14,2020.The clinical manifestations and tongue manifestations of the patients with COVID-19 were recorded completely.The times and frequency of clinical symptoms were mainly analyzed statistically.Results Fever was the first symptom in 33 patients(82.5%).The patients showed headache in 13 cases(32.5%),and aversion to cold in 20 cases(50%).The number of patients with respiratory symptoms was as follows:cough in 28 cases(70%),expectoration in 17 cases(42.5%),hemoptysis in 4 cases(10%),chest tightness in 23 cases(57.5%)and dyspnea in 18 cases(45%).The number of patients with digestive system symptoms was as follows:anorexia in 26 cases(65%),dry mouth in 34 cases(85%),bitter taste in 27 cases(67.5%),nausea and vomiting in 12 cases(30%)and diarrhea in 23 cases(57.5%).The tongue proper characteristics of patients consisted of light red in 13 cases(34.2%),deep red in 14 cases(36.8%)and dark red in 11 cases(28.9%).Patients showed white greasy coating in 6 cases(15.8%),yellow thin greasy coating in 14 cases(36.8%)and yellow thick greasy coating in 9 cases(23.7%).Conclusion COVID-19 belongs to one of febrile diseases named“pestilence”,with“dampness”as the main pathogenic factor.The basic pathogenesis of COVID-19 is dampness obstructing spleen and closing lung.Moreover,the core pathogenesis of COVID-19 is“dampness obstructing Shaoyang”.
作者
王定坤
任妍林
巩静
董浩旭
董慧
张明敏
陆付耳
涂胜豪
WANG Dingkun;REN Yanlin;GONG Jing;DONG Haoxu;DONG Hui;ZHANG Mingmin;LU Fuer;TU Shenghao(Institute of Integrated Traditional Chinese and Western Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China;Institute of Traditional Chinese Medicine,Zhongshan Hospital of Hubei Province,Wuhan 430033,Hubei,China)
出处
《辽宁中医杂志》
CAS
2021年第7期11-14,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81703869,81974567)
关键词
新型冠状病毒肺炎
湿邪
中医证候
湿阻少阳
COVID-19
pathogenic dampness
syndromes of traditional Chinese medicine
dampness obstructing Shaoyang
