摘要
本文介绍王保和教授运用加味生脉散治疗新型冠状病毒感染后心悸经验。王教授认为新型冠状病毒感染后心悸的发生主要在于湿热疫毒灼伤心肺气阴。疫毒初犯人体,正邪相争会导致正气受损,正气不足则损及三焦元气,以致营气、卫气和宗气不足,因此新型冠状病毒感染后处于恢复期的患者,普遍会出现胸闷、气短、乏力等气虚症状,又因为新型冠状病毒邪气本属于湿热,正邪交争的过程中继发产生如湿、痰、瘀、毒等浊邪,湿热疫毒夹杂浊邪侵犯心脏及肺脏,耗伤心肺气阴,导致阴血亏耗。王教授临证确立生脉散为基础方,并在此基础上予以化浊理气药、重镇安神药等临证化裁,临床效果颇佳。并附验案1则,以助佐证。
This paper introduces Professor Wang Baohe's experience in treating palpitations after COVID-19 infection by using modified Shengmai Powder.Professor Wang believes that the occurrence of palpitations after COVID-19 infection is mainly caused by the damp-heat epidemic toxin that damages the heart,lung,qi,and yin.At the early stage of epidemic toxin invasion,the struggling between healthy qi and pathogenic qi can consume healthy qi.The deficiency of healthy qi harms the primordial qi of the triple energizer,resulting in the deficiency of nutrient qi,defense qi,and pectoral qi.Therefore,patients who are in the recovery period after COVID-19 infection generallyhave qi deficiency symptoms such as chest tightness,shortness of breath,and fatigue.Because the pathogenic qi of coVID-19 features dampness and heat,the struggling between healthy qi and pathogenic qi produces turbid pathogens such as dampness,phlegm,stasis,and toxin.The mixture of damp-heat epidemic toxin with turbid pathogens invades the heart and lung,depleting the qi and yin of the heart and lung,resulting in yin and blood depletion.Professor Wang modified Shengmai Powder with turbidity-resolving and qi movement-regulating medicines and settling tranquilizers,achieving satisfactory clinical effects.This paper illustrates Professor Wang's experience with report of onecase.
作者
曹奕琪
王保和
CAO Yiqi;WANG Baohe(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Binhai New Area Hospital of Traditional Chinese Medicine,Tianjin 300450,China)
出处
《基层中医药》
2025年第5期17-21,共5页
Basic Traditional Chinese Medicine
基金
国家中医药管理局全国名老中医药专家传承工作室建设项目(王保和全国名老中医药专家传承工作室)。
关键词
新型冠状病毒感染
心悸
生脉散
名医经验
王保和
palpitations after CoVID-19 infection
Shengmai Powder
experience of famous doctors
Wang Baohe
