| 于会勇,刘国星,刘畅,等.芳香辟秽法防治新型冠状病毒肺炎的理论探讨[J].浙江中医药大学学报,2020,44(11):1066-1070. |
| 芳香辟秽法防治新型冠状病毒肺炎的理论探讨 |
| Theoretical Discussion on Prevention and Treatment of Corona Virus Disease 2019 by Fragrant Herbs Repelling Foulness |
| DOI：10.16466/j.issn1005-5509.2020.11.007 |
| 中文关键词: 新型冠状病毒肺炎 瘟疫 芳香辟秽 疫疠 秽浊 湿邪 理论探讨 |
| 英文关键词: Corona Virus Disease 2019 plague fragrant herbs repelling foulness epidemic pestilence foul turbidity dampness evil theoretical discussion |
| 基金项目:北京市中医药科技发展资金项目(YJ2020-05) |
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| 中文摘要: |
| [目的]探讨芳香辟秽法治疗新型冠状病毒肺炎(简称新冠肺炎)的理论依据与应用策略。[方法]总结中医学治疗瘟疫的历代文献及实践应用，梳理芳香辟秽法脉络，结合新冠肺炎的临床特点，分析芳香辟秽法防治新冠肺炎的作用。[结果]芳香辟秽法是中医学治疗疫病的一种重要方法，包括宣达上焦、辟秽行气，开化中州、辟秽化浊，芳香开窍、辟秽醒神等。新冠肺炎属于中医学“瘟疫”范畴，感“疫疠之气”“秽浊之气”而发，具有湿邪阻滞、化生秽浊的病机特点。初起病机为风温夹湿，进而湿浊内阻，与痰饮瘀毒互结，形成秽浊毒邪弥漫三焦，蒙闭心窍，致阴阳离绝。根据新冠肺炎的证候传变规律，针对以湿邪为病机特点的急性传染病，总结出运用芳香辟秽法的四个层次治则，即芳香行气、芳香祛湿、芳香化浊、芳香破血。[结论]湿邪秽浊之气的发展变化贯穿新冠肺炎病机变化过程的始终，运用芳香辟秽法在不同阶段以行气、祛湿、化浊、破血之法辨证施治，对解决新冠肺炎重大疫情具有重要的指导意义。 |
| 英文摘要: |
| [Objective] To clarify the theoretical basis and application strategy of Corona Virus Disease 2019(COVID-19) by fragrant herbs to repel foulness method. [Methods] Through sorting out the history of fragrant herbs to repel foulness method， summarizing the historical literatures and practices of traditional Chinese medicine in the treatment of plagues， and combining with the clinical characteristics of COVID-19， the prevention and treatment of fragrant herbs repelling foulness method for COVID-19 were analyzed. [Results]COVID-19 belongs to the category of “plague” in traditional Chinese medicine， it is caused by “epidemic pestilence factor” and “foul turbidity factor”， and it exhibits the pathogenesis characteristics of dampness pathogen block， metaplasia foul turbidity. Fragrant herbs repelling foulness is one of important Chinese medicine methods for treating epidemic diseases， which includes dispersing upper-Jiao and dispelling foulness to promote Qi， transporting and transforming middle-Jiao and dispelling foulness to dissolve turbidity， fragrant inducing resuscitation and dispelling foulness to activate mind， etc. The pathogenesis of COVID-19 is wind and warm with dampness initially， then turns into internal obstruction of dampness turbidity， and then combines with phlegm-fluid-stasis-toxin to form dampness turbidity toxin evil， diffusing the tri-Jiao， confusing heart spirit， and finally separating Yin and Yang. In line with the syndrome transmission pattern of COVID-19， aiming at acute infectious diseases with dampness evil， four levels of therapeutic principles using fragrant herbs method should be summed up， namely promoting Qi with fragrant herbs， dispelling dampness with fragrant herbs， dissolving turbidity with fragrant herbs and blood breaking with fragrant herbs. [Conclusion]The development evolution of dampness foul turbidity Qi runs throughout the pathogenesis evolution of COVID-19， by application of fragrant herbs repeling foulness method， it is able to promote the circulation of Qi， remove dampness， dissolve turbidity and remove blood stasis with drastic drugs in different stages. This method is of great guiding significance in solving the major epidemic disease of COVID-19 that is threatening the whole world. |
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