文章摘要
田合禄,李正富.五运六气解读新型冠状病毒肺炎[J].浙江中医药大学学报,2020,44(3):211-215, 222.
五运六气解读新型冠状病毒肺炎
Interpretation of Novel Coronavirus Pneumonia by Five Elements’ Motion and Six Kinds of Natural Factors
DOI:10.16466/j.issn1005-5509.2020.03.001
中文关键词: 新型冠状病毒肺炎  五运六气  冬温  两感疫病  病因病机  病位  证候分析  易感人群
英文关键词: NCP  five elements’ motion and six kinds of natural factors  winter-warm syndrome  epidemic diseases caused by two factors  etiology and pathogenesis  disease location  syndrome analysis  susceptible population
基金项目:
作者单位
田合禄 北京中医药大学 北京 100029 
李正富 浙江中医药大学附属第二医院 
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中文摘要:
      [目的]从中医运气学角度对新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)的病位、病因、病性、核心病机、易感人群及证治等方面进行解读分析,理解NCP发生的运气学原理,为当前的临床诊治提供有益参考。[方法]运用五运六气理论,分别从NCP发生的气运背景、易感人群、证候分析等全面解读分析NCP发生的病位、病因、病性、核心病机及其证治。[结果]2019己亥年终之气的主气是太阳寒水,客气是少阳相火,岁运是湿土不及。客气少阳相火侵犯三焦之肺、岁运土气不及的脾胃虚弱为在上在里的关键因素,复感时寒阴雨雾露之气为在表的引发因素。素有阴火之人,常有脾气虚、心肺阴火、湿流下注的阳虚三联证之人,最易感受。病位在肺和脾胃,表有时寒阴雨雾露,里有肺胃三焦郁热,属两感疫病,故发病急危。肺是病变核心病位,肺功能失常,一来不能通调水道,二来脾不运输,于是湿聚为患,多见舌苔腻,此舌苔腻并非寒湿直中。既有火毒,复有湿毒,肺天脾地损伤,失纳天地气味,神气不生,营卫不通,形神不和。上有火通心郁肺,则上焦不通,中下焦湿聚结滞,三焦相溷,肺不吸天之五气,脾不纳地之五味,神气不生,营卫不行,脏腑经络不通,而邪乘亏虚处盘踞筑巢,则危病时致。其治疗,要透热清肺以祛邪,健运脾胃以扶正,兼以解表祛湿,用药当以辛咸寒透热清散和温健脾胃为主,基础方当以竹叶石膏汤和苇茎汤、升麻鳖甲汤为主。[结论]以中医五运六气理论分析,NCP属冬温,为“两感疫病”。其防治原则,当以透清肺之火热和健脾胃为基础,扶正祛邪,兼以解表利湿。
英文摘要:
      [Objective]From the perspective of five elements’ motion and six kinds of natural factors of traditional Chinese medicine, this paper analyzes the location, etiology, pathogenicity, core pathogenesis,susceptible population and syndrome and treatment of the novel coronavirus pneumonia(NCP), and understands the principle of Yunqi of the occurrence of the novel coronavirus pneumonia, so as to provide a useful reference for the current clinical diagnosis and treatment.[Method]Using the theory of five elements’ motion and six kinds of natural factors, the authors analyzed the location, etiology, pathogenicity, core pathogenesis and syndrome treatment of the NCP by analyzing the background of air transport, susceptible population and syndrome analysis of the NCP. [Results]The novel coronavirus pneumonia of the end of the year of 2019 belongs to the category of winter fever.The lung damage caused by heat, spleen and stomach weakness are the key factors of the lesions in the upper and lower parts of the body. Cold, cloudy, rain, fog and dew are the trigger factors in the surface.The disease is located in the lung and spleen, and there are cloudy, rainy, cold and wet on the surface, and the depression of the lung at the same time, which is a general epidemic disease of two factors, so the incidence of the novel coronavirus pneumonia is critical.Lung lesions are core disease, lung function disorders, the first can not regulate the channel, the second spleen can not transport water, so wet becomes the disease factor, so more clinical coating on the tongue.Tongue greasy coating is not necessarily, cold and wet evil directly hurt the spleen and stomach.Both fire poison and wet poison cause damage to the lungs and spleen.After lung and spleen injury, people cannot absorb air and food taste, and Qi and blood cannot be generated.Then the spirit of the Yingwei will become impassable, and form and spirit will be separated.There is heat injury to the lungs, leading to upper Jiao blocked,and medium and lower Jiao will produce moisture and evil concentration,and at last leading three Jiao confusion.The lungs cannot absorb the five Qi in the sky, and the spleen cannot absorb the five tastes in the earth,leading to spirit not born, Yingqi and Weiqi can not pass, viscera meridian impassable.The evil spirit takes advantage of a void to encroach on a nest, resulting in a critical condition.The treatment should be diathermy and clear lung to remove evil, strengthen the spleen and stomach to help healthy Qi, and to remove the pathogens from the surface and to clean damp evil, medication should be diathermy and clear and disperse and warm spleen and stomach, the basic prescription should be Zhuye Shigao decoction, Weijin decoction, Shengma Biejia decoction mainly.[Conclusion]The NCP is an epidemic disease caused by two factors.The principle of prevention and treatment should be based on clearing the heat of the lungs and strengthening the spleen and stomach,strengthening body resistance and eliminating evil,and removing exterior evil and clearing dampness.
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