昆明地区新冠肺炎“邪犯少阳,枢机不利”病机分析
作者:
作者单位:

1. 昆明市第三人民医院,云南 昆明 650041; 2. 云南中医药大学第三附属医院/昆明市中医医院,云南 昆明 650011

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中图分类号:

R259

基金项目:

收稿日期: 2020 - 02- 28
基金项目: 昆明市科技局“新型冠状病毒肺炎科技防治”专项(2020-1-N-048);云南省科技人才和平台计划 (2016HB049)
第一作者简介: 朱江春(1977-) 女,硕士,副主任医师,研究方向:传染病的中西医结合诊治,
△通信作者: 付义,E-mail:13708797909@163.com


Analysis of Pathogenesis of Novel Coronavirus Pneumonia in Kunming Area: “Pathogens Invade the Shaoyang Channel and then Cause Dysfunctions of the Body”
Author:
Affiliation:

1. The Third Peoples Hospital of Kunming,Kunming 650041,China 2. The Third Affiliated Hospital of Yunnan University of Chinese Medicine/Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming 650011,China

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    摘要:

    分析昆明地区新型冠状病毒肺炎的区域性中医病证特点。方法 通过分析32例患者发病情况、中医证候、舌象变化,探讨昆明地区新冠肺炎病因病机。结果 32例确诊患者中轻症4例,普通型23例,重症4例,危重症1例;有发热16例(50%)、咳嗽14例(43.75%)、口苦16例(50%)、咽干14例(43.75%)、纳呆15例(46.88%)、恶心15例(46.88%)、腹泻12例(37.5%)、胸闷5例(15.63%)、呼吸困难2例(6.25%)、鼻塞流涕5例(15.63%)、乏力15例(46.88%)、头身疼痛5例(15.63%);舌质红5例(15.63%)、舌质淡红16例(50%)、边尖红6例(18.75%)、舌质暗淡3例(9.38%)、舌绛2例(6.25%)、舌胖大3例(9.38%)、齿痕舌14例(43.75%)、黄苔4例(12.5%)、黄腻苔5例(15.63%)、白腻苔8例(25%)、薄白苔13例(40.63%)、无苔2例(6.25%)。结论 昆明地区新冠肺炎的病机为邪犯少阳,枢机不利。

    Abstract:

    Objective To analyze the regional syndromes in TCM of the novel coronavirus pneumonia (NCP) in Kunming. Methods Through analyzing the incidence, TCM syndrome and tongue image change of the 32 cases of NCP in Kunming, the etiology and pathogenesis of NCP in Kunming were investigated. Results Among the 32 patients with confirmed NCP in Kunming, 4 were mild, 23 were common, 4 were server and 1 was critical. There were 16 cases of fever (50%), 14 cases of cough (43.75%), 16 cases of bitter taste (50%), 14 cases of dry pharynx (43.75%), 15 cases of anorexia (46.88%), 15 cases of nausea (46.88%), 12 cases of diarrhea (37.5%), 5 cases of chest tightness(15.63%), 2 cases of dyspnea (6.25%), 5 cases of nasal obstruction and rhinorrhea(15.63%), 15 cases of fatigue(46.88%) and 5 cases of head and body pain(15.63%). There were 5 cases of red tongue (15.63%), 16 cases of light red tongue (50%), 6 cases of red edge (18.75%), 3 cases of dim tongue (9.38%), 2 cases of dark red tongue (6.25%), 3 cases of fat tongue (9.38%), 14 cases of tooth-marked tongue(43.75%), 4 cases of yellow tongue(12.5%), 5 cases of yellow greasy coating (15.63%), 8 cases of white greasy coating(25%), 13 cases of thin white fur(40.63%) and 2 cases of no fur(6.25%). Conclusion The cause of novel coronavirus-infected pneumonia in Kunming can be attributed to pathogens invade the Shaoyang channel and then cause dysfunctions of the body.

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