新型冠状病毒(COVID-19)感染性肺炎现代中医诊疗建议方案与探讨(1)
編者按：自2019年12月以来，以我国湖北武汉地区为中心，全国各地新型冠状病毒肺炎病例持续增加，现已纳入《中华人民共和国传染病防治法》规定的乙类传染病，世界卫生组织(WHO)已将新型冠状病毒疫情的全球性暴发列为“国际关注的突发公共卫生事件(PHEIC)，形势严峻。疫情发生以来，全国医疗工作者奋战在防疫一线，在防治过程中，中医药彰显了特色和优势。
全国名老中医药专家学术继承人，河北省中医院中医药特色研究室主任王金榜教授是国医大师李士懋先生的开门弟子，一直秉承“坚持中医思维与核心价值观指导下的现代中医临床，突出中医药特色，提高综合服务能力和救治水平”的理念，从事中医温病学、中医骨伤科教学及临床、科研35年，对温病学多有研究和体会。根据国医大师李士懋先生“平脉辨证”的思辨体系和国医大师李佃贵教授的“浊毒证”理论体系，王教授对武汉疫区及全国各地的疫情及防控、诊疗方案进行了深入的研究与思考，综述如下，以飨同道。
文中观点仅供参考、交流之目的，不代表本杂志社观点。欢迎业界同仁共同讨论，分享体会。
摘要 自2019年12月以来，以我国湖北武汉地区为中心，以人群集散辐射传播为特点，全国各地病例陆续出现增加。疫情发源地罹患患者早期以身热不扬、干咳气促、身楚乏力为主要症状，以脉濡缓、舌苔厚腻、胸部X线检查显示炎性反应性改变为特征的新型冠状病毒(COVID-19)感染性肺炎为主的新型传染病。疫情传入地的患者早期症状由于地域的不同，有所差异。各地传统中医、现代医学先后集体或个人出台了相关诊疗方法和建议方案。作为现代中医，按照习近平主席：“遵循中医发展规律，传承精华，守正创新”和“中西并重”的指示精神。为规范这一新型传染病“瘟疫”的认知和诊疗，综合相关资料，根据疫情演变规律，结合个人经验与体会，特此探讨COVID-19感染性肺炎的诊疗建议方案。
关键词 新型冠状病毒;肺炎;湿浊瘟疫;诊断与辨证;治疗;解表化湿;宣畅气机;清热解毒;开窍醒神;醒脾化湿;新加升降散;宣白承气汤;凉开三宝
Suggestions and Discussion on Diagnosis and Treatment of the Novel Coronavirus(COVID-19)Infectious Pneumonia in Modern Chinese Medicine
WANG Jinbang1，LIANG Baoli2，SUN Shuchun3
(1 Characteristic Research Office of Traditional Chinese Medicine，Hebei Hospital of Traditional Chinese Medicine，Shijiazhuang 050011，China; 2 The Third Hospital of Hebei Medical University，Shijiazhuang 050051，China;3 China Academy of Chinese Medical Sciences，Beijing 100700，China)
Abstract Since December 2019，the number of pneumonia cases caused by the novel coronavirus(COVID-19)has been increasing in China.The center of the novel coronavirus is in Wuhan，Hubei Province，with the characteristics of population distribution and radiation transmission.In the early stage，the main symptoms of the patients in the origin of the epidemic were lack of body heat，dry cough with shortness of breath，and lack of strength in body.At the same time，the main signs of the patients were smooth and slow pulse，thick-greasy tongue coating，and inflammatory changes on chest X-ray examination in this new infectious diseases.The early symptoms of patients in the epidemic area are different due to different regions.Many researchers，including traditional Chinese medicine and modern western medicine，have issued relevant diagnosis and treatment methods and suggestions in the name of collective or individual.Modern Chinese medicine should follow the instructions “Following the law of traditional Chinese medicine development，inheriting the essence and keeping the initiative and innovate” and “Emphasizing both western medicine and traditional Chinese medicine” by chairman Xi Jinping in relevant work.In order to standardize the cognition，diagnosis and treatment of the novel coronavirus(COVID-19)，the writer hereby discussed the suggestions for diagnosis and treatment of the novel coronavirus(COVID-19)according to the relevant data，the law of epidemic evolution and personal experience., 百拇医药(王金榜 梁保丽 孙树椿)
全国名老中医药专家学术继承人，河北省中医院中医药特色研究室主任王金榜教授是国医大师李士懋先生的开门弟子，一直秉承“坚持中医思维与核心价值观指导下的现代中医临床，突出中医药特色，提高综合服务能力和救治水平”的理念，从事中医温病学、中医骨伤科教学及临床、科研35年，对温病学多有研究和体会。根据国医大师李士懋先生“平脉辨证”的思辨体系和国医大师李佃贵教授的“浊毒证”理论体系，王教授对武汉疫区及全国各地的疫情及防控、诊疗方案进行了深入的研究与思考，综述如下，以飨同道。
文中观点仅供参考、交流之目的，不代表本杂志社观点。欢迎业界同仁共同讨论，分享体会。
摘要 自2019年12月以来，以我国湖北武汉地区为中心，以人群集散辐射传播为特点，全国各地病例陆续出现增加。疫情发源地罹患患者早期以身热不扬、干咳气促、身楚乏力为主要症状，以脉濡缓、舌苔厚腻、胸部X线检查显示炎性反应性改变为特征的新型冠状病毒(COVID-19)感染性肺炎为主的新型传染病。疫情传入地的患者早期症状由于地域的不同，有所差异。各地传统中医、现代医学先后集体或个人出台了相关诊疗方法和建议方案。作为现代中医，按照习近平主席：“遵循中医发展规律，传承精华，守正创新”和“中西并重”的指示精神。为规范这一新型传染病“瘟疫”的认知和诊疗，综合相关资料，根据疫情演变规律，结合个人经验与体会，特此探讨COVID-19感染性肺炎的诊疗建议方案。
关键词 新型冠状病毒;肺炎;湿浊瘟疫;诊断与辨证;治疗;解表化湿;宣畅气机;清热解毒;开窍醒神;醒脾化湿;新加升降散;宣白承气汤;凉开三宝
Suggestions and Discussion on Diagnosis and Treatment of the Novel Coronavirus(COVID-19)Infectious Pneumonia in Modern Chinese Medicine
WANG Jinbang1，LIANG Baoli2，SUN Shuchun3
(1 Characteristic Research Office of Traditional Chinese Medicine，Hebei Hospital of Traditional Chinese Medicine，Shijiazhuang 050011，China; 2 The Third Hospital of Hebei Medical University，Shijiazhuang 050051，China;3 China Academy of Chinese Medical Sciences，Beijing 100700，China)
Abstract Since December 2019，the number of pneumonia cases caused by the novel coronavirus(COVID-19)has been increasing in China.The center of the novel coronavirus is in Wuhan，Hubei Province，with the characteristics of population distribution and radiation transmission.In the early stage，the main symptoms of the patients in the origin of the epidemic were lack of body heat，dry cough with shortness of breath，and lack of strength in body.At the same time，the main signs of the patients were smooth and slow pulse，thick-greasy tongue coating，and inflammatory changes on chest X-ray examination in this new infectious diseases.The early symptoms of patients in the epidemic area are different due to different regions.Many researchers，including traditional Chinese medicine and modern western medicine，have issued relevant diagnosis and treatment methods and suggestions in the name of collective or individual.Modern Chinese medicine should follow the instructions “Following the law of traditional Chinese medicine development，inheriting the essence and keeping the initiative and innovate” and “Emphasizing both western medicine and traditional Chinese medicine” by chairman Xi Jinping in relevant work.In order to standardize the cognition，diagnosis and treatment of the novel coronavirus(COVID-19)，the writer hereby discussed the suggestions for diagnosis and treatment of the novel coronavirus(COVID-19)according to the relevant data，the law of epidemic evolution and personal experience., 百拇医药(王金榜 梁保丽 孙树椿)