全真一气汤治疗病毒性肺炎恢复期的验案举隅

Clinical Case Observations of Quanzhen Yiqi Decoction in the Convalescent Phase of Viral Pneumonia

摘要: 目的：本文总结了1例全真一气汤治疗病毒性肺炎恢复期的治疗体会。方法：选取1例病毒性肺炎恢复期患者进行辨证论治观察。患者女，45岁，病毒性肺炎反复发作后遗留乏力、低热、干咳、心悸易醒等症。依据其神疲少气、咳声低弱、舌淡红少津、脉细无力，辨证为肺脾气阴两虚、虚阳浮越，治以益气养阴、敛阳潜浮，予全真一气汤加减，随证调整方药，连续治疗并观察症状变化。结果：首诊后乏力、咳嗽及夜汗逐渐减轻，心悸消失；继服后低热退，气短改善；三诊时仅偶有轻咳，体温正常，气力、睡眠及食纳恢复。舌脉由虚象转平，疗效稳定。结论：全真一气汤加减用于病毒性肺炎恢复期肺脾气阴两虚证，可明显改善长期遗留的乏力、低热与咳嗽等症状，促进正气恢复，具有一定的临床参考价值。

Abstract: Objective: To summarize the clinical experience of using Quanzhen Yiqi Decoction in the treatment of a patient during the convalescent stage of viral pneumonia. Methods: A single patient in the recovery phase of viral pneumonia was observed and treated according to syndrome differentiation. The patient was a 45-year-old woman who experienced persistent fatigue, low-grade fever, dry cough, palpitations, and frequent nocturnal awakening following recurrent episodes of viral pneumonia. Based on manifestations including lassitude, shortness of breath, weak cough, pale-red tongue with scanty fluids, and a thready, weak pulse, the condition was diagnosed as deficiency of both qi and yin of the lung and spleen with floating deficient yang. The therapeutic principle was to tonify qi and nourish yin, restrain floating yang, and restore yin-yang balance. A modified Quanzhen Yiqi Decoction was administered, with adjustments according to symptom evolution, and clinical changes were continuously observed. Results: After the initial course of treatment, fatigue, cough, and night sweating gradually improved, and palpitations resolved. Following continued therapy, low-grade fever subsided and dyspnea was alleviated. At the third follow-up, only occasional mild cough remained; body temperature had normalized, and physical strength, sleep quality, and appetite were markedly restored. Tongue and pulse signs returned toward normal, and the therapeutic effect was stable. Conclusion: Modified Quanzhen Yiqi Decoction may effectively alleviate persistent symptoms such as fatigue, low-grade fever, and cough in patients with qi and yin deficiency of the lung and spleen during the convalescent stage of viral pneumonia. This case suggests potential clinical value of the formula in promoting recovery of vital qi during post-infectious rehabilitation.