文章摘要
鲍建敏.基于“肺与大肠相表里”再认识的新型冠状病毒肺炎治疗[J].浙江中医药大学学报,2020,44(6):500-506.
基于“肺与大肠相表里”再认识的新型冠状病毒肺炎治疗
Treatment of Novel Coronavirus Pneumonia Based on Re-recognition of "Lung and Large Intestine Being Interiorly and Exteriorly Related"
投稿时间:2020-02-19  
DOI:10.16466/j.issn1005-5509.2020.06.002
中文关键词: 肺与大肠相表里  肠道微生态  免疫调节  新型冠状病毒肺炎  中医药治疗  诊疗方案
英文关键词: the lung and large intestine being interiorly and exteriorly related  intestinal microecology  immunoregulation  Novel Coronavirus Pneumonia  traditional Chinese medicine therapy  protocols of diagnosis and treatment
基金项目:国家中医药管理局第六批全国老中医专家学术经验继承项目(国中医药人教发[2017]29号);浙江省中医药科学研究基金计划项目(2020ZA121)
作者单位
鲍建敏 台州市第一人民医院 浙江台州 318020 
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中文摘要:
      [目的]从肠道微生态角度探讨“肺与大肠相表里”理论在新型冠状病毒肺炎治疗中的临床意义。[方法]通过整理近年来有关呼吸系统与肠道微生态相关性的研究,对“肺与大肠相表里”理论进行再认识,并从该中医理论出发,对新型冠状病毒肺炎中医诊治方案进行分析。[结果]“肺与大肠相表里”理论是中医学理论体系中整体观念的体现,肺与大肠在生理上相互协调,在病理上相互影响,在治疗上相互为用。肠道菌群促进人体免疫应答的形成,并参与免疫调节。“肺与大肠相表里”理论的生物学机制正是通过调节肠道微生态,影响免疫功能。通过解读国家卫建委诊疗方案和浙江经验,发现中医药治疗与西医调节肠道菌群治疗具有共通性,其目的都是通过调节肠道微生态平衡,从而促进免疫功能的恢复。[结论]运用“肺与大肠相表里”理论对指导新型冠状病毒肺炎诊治具有实践意义,其实质是通过调节肠道微生态来实现人体免疫功能的恢复和稳定。
英文摘要:
      [Objective] To investigate the clinical significance of "lung and large intestine being interiorly and exteriorly related" theory in the treatment of Novel Coronavirus Pneumonia from the perspective of intestinal microecology.[Methods]Through sorting out the research status of the relationship between respiratory system and intestinal microecology in recent years, the theory of "lung and large intestine being interiorly and exteriorly related" was re-recognized. The traditional Chinese medicine(TCM) diagnosis and treatment plan of Novel Coronavirus Pneumonia was analyzed from the theory of TCM.[Results] The "lung and large intestine being interiorly and exteriorly related" theory is a reflection of the whole concept in the theoretical system of TCM. The relationship between lung and large intestine is coordinated physiologically, influenced pathologically in treatment. Intestinal flora promotes the formation of human immune response and participates in immune regulation. The biological mechanism of "lung and large intestine being interiorly and exteriorly related" theory is to influence the immune function by regulating the intestinal microecology. Through the interpretation of the National Health Commission's protocols of diagnosis and treatment and the experience of Zhejiang, it is found that the treatment of TCM is in line with the western medicine regulating the intestinal flora. The aim is to regulate the intestinal microecological balance so as to promote the recovery of immune function.[Conclusion]It has practical significance in guiding the diagnosis and treatment of Novel Coronavirus Pneumonia by using " lung and large intestine being interiorly and exteriorly related" theory. Its therapeutic approach is to recover and stabilize the immune function of human body through intestinal microecology.
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