基于中医瘟疫理论浅析新型冠状病毒肺炎病证特点及防治

李杰　李靖　梁腾霄　刘丽婷　吴童　于子洋　黄明明　赵翠云

摘要 2019年12月武汉新型冠状病毒感染疫情的迅速蔓延，已成为威胁人类的健康杀手，面对突发公共卫生问题，本文基于中医瘟疫理论，分析新型冠状病毒肺炎（NCP）病因为“湿毒”，具有超强传染性及隐匿性，存在无症状传染者;人群普遍易感，具有人传人特点，临床症状不典型，病势进展存在预测困难等诸多不利因素。防治方面亦体现了三因制宜、攻补兼施及辨证论治原则。探究如何运用传统中医瘟疫理论，分析新发传染病，以期完善防治方案。这对于今后有效运用中医经典瘟疫理论应对可能再次爆发的其他公共卫生传染病，具有一定的理论及现实意义。

关键词 中医瘟疫理论;新型冠状病毒肺炎;病证特点;防治

Abstract From December 2019，the rapidly spread of Severe Acute Respiratory Syndrome Coronavirus 2 has become a severe threat to human health.In the face of suddenly public health problems，based on the theory of Traditional Chinese Medicine plague theory，this paper analyze and summarize many related findings.The cause of Novel Coronavirus Pneumonia is “wet toxin”，which is extremely contagious and concealed，and there are asymptomatic infectious persons.The population is generally susceptible to it，and also has characteristic of human-to-human infectivity.Besides，clinical symptoms are atypical and it is difficult to predict the disease progression.The aspects of prevention and treatment also reflect the principles of the three-cause measures，reinforcement and elimination in combination，and treatment according to syndrome differentiation.The paper explored how to use the TCM plague theory to analyze emerging infectious diseases with a view to perfecting preventions and control solutions.This is of theoretical and practical significance for the effective use of classical plague theory of traditional Chinese medicine in the future to deal with other public health infectious diseases that may erupt again.

Keywords TCM Plague Theory;Novel coronavirus pneumonia（NCP）;Syndrome Characteristics of Disease;Prevention and Treatment

中图分类号：R254.3;R256.19;R512.99文献标识码：Adoi：10.3969/j.issn.1673-7202.2020.02.010

2019年12月以来，湖北省武汉市陆续发现多例不明原因肺炎，现已证实为2019新型冠状病毒感染引起的急性呼吸道传染病[1]，世界卫生组织（WHO）确认并命名为新型冠状病毒疾病（Coronavirus Disease 2019，COVID-19），国家卫生健康委将其暂命名为新型冠状病毒肺炎（Novel Coronavirus Pneumonia，NCP）[2]。一系列触目惊心的数据[3]显示NCP赫然成为人类的健康杀手。几千年来，我们人类面临亘古不变的三大难题是瘟疫、战争和饥荒，只要人类还存在，瘟疫就存在。关于瘟疫病的记载和论述，上可追溯至《黄帝内经》的《素问篇·刺法论》：“黄帝曰：余闻五疫之至，皆相染易……，如何可得不相移易者？岐伯曰：不相染者，正气存内，邪气可干，避其毒气”。后至隋代巢元方《诸病源后论》明确指出“人感乖戾之气而生病，则病气转相染易……”，提出“疠气”“乖戾之气”的观念。