吴芳汀主任医师治疗新型冠状病毒肺炎验案

郑金鹏 林钟滨 吴芳汀

【摘 要】 目的：研究新型冠状病毒肺炎的中医治疗方案，为疫病的防治提供中医治疗思路。方法：回顾性分析1例普通型（重型倾向）新型冠状病毒肺炎患者的发病、发展、治疗及结局，着重分析广东省名中医吴芳汀的中医治疗方案。结果：患者病初表现为咳嗽、自觉发热，胸部CT可见磨玻璃样改变，经专家组西医方案治疗，病情仍反复，且逐步进展加重，后患者接受中医中药治疗，10 d后痊愈出院。结论：在西医常规治疗的同时，根据潮汕地区的气候及人群体质特点，中医辨证用“化痰败毒方”合片仔癀，能提高临床疗效。

【关键词】 新型冠状病毒肺炎;中医;化痰败毒方;片仔癀

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）11-0093-04

Abstract：Objective To study the TCM treatment plan for the novel coronavirus pneumonia and provide TCM treatment ideas for the prevention and treatment of the epidemic. Methods A retrospective analysis of the incidence， development， treatment and outcome of a common （severe tendency） novel coronavirus pneumonia patient， focusing on the analysis of the TCM treatment plan of Wu Fangting， a famous TCM doctor in Guangdong Province. Results At the beginning of the patients illness， the patient presented with cough and conscious fever. The chest CT showed ground glass-like changes. After treatment by the expert groups western medicine program， the condition continued to recur and gradually progressed. Later， the patient was treated with Chinese medicine and was discharged after 10 days. Conclusion In addition to conventional Western medicine treatment， according to the climate and population characteristics of Chaoshan area， the combination of "Hutanbaidu Recipe" and Pien Tze Huang for TCM differentiation can improve the clinical efficacy.

Keywords：New Type of Coronavirus Pneumonia; Traditional Chinese Medicine; Huatan Baidu Prescription; Pien Tze Huang

2019年12月爆發的“新型冠状病毒肺炎”（以下均简称为新冠肺炎）疫情，现已经成为全球性大流行病。随着我国强力、有效的防治措施的施行，及中西医并治方针的确立，目前我国新冠肺炎疫情防控工作已经取得明显的效果。此次抗疫充分显示中医可以有效提高新冠肺炎的治愈率、降低重症发生率、降低病死率等优势[1]。中医治疗以辨证论治为核心，治疗方案注重个体化，因此通过分析个案的诊治过程，有利于总结此次新冠肺炎的中医诊治经验，亦有助于中医师承经验的积累。

吴芳汀主任医师是广东省名中医，从医30余年，有丰富临床经验。在此次疫情中，由于汕头市中心医院是广东省汕头市新冠肺炎定点诊疗机构负责收治本地区的新冠肺炎患者，吴芳汀主任医师参与医院所有确诊患者的中医诊治工作，对该病有较深的认识。……