张传雷 陈晓琦 王海峰

    【摘 要】 新型冠状病毒肺炎是感染新型冠状病毒引起的急性呼吸道传染病 属中医“温病”范畴 随着中医药对新冠肺炎的认识不断深入 尤其“湿毒”作为重要病理因素已基本达成共识 中医药在治疗新型冠状病毒肺炎方面取得有目共睹的成就 然其病机及传变规律仍需尽快完善。笔者自2020年1月运用中医温病三焦辨证法治疗COVID-19患者 疗效确切。

    【关键词】 中医温病;三焦辨证;新型冠状病毒肺炎

    Abstract：Corona Virus Disease 2019(COVID-19) is a new type of acute respiratory infectious disease caused by a new coronavirus. It is a category of “warm disease” in TCM. With the deepening of TCM understanding of new crown pneumonia， especially “damp poison” as an important pathological factor， a consensus has been reached. TCM has achieved remarkable achievements in treating new coronavirus pneumonia， but its pathogenesis and transmission rule still need to be achieved. Since January 2020， the author used the triple energizer dialectics of febrile disease to treat COVID-19 patients with definite curative effect.

    Keywords：Warm Disease of TCM; Syndrome Differentiation of Triple Energizer; Corona Virus Disease 2019

    1 温病三焦辨证对COVID-19病机的认识

    吴鞠通在《温病条辨》中提出“三焦辨证”体系 以“三焦辨证”来归纳温病错综复杂的临床表现。三焦辨证体系重在辨部位、病性、证候 并阐明温病“始上焦 终下焦”、“上焦病不治 则传中焦;中焦病不治 即传下焦”的病机传变规律 总结温病的病机发展规律 提出“治上焦如羽、非轻不举;治中焦如衡、非平不安;治下焦如权、非重不沉”的治法 ......