庚子岁处理新冠感染肺炎临床难点当注重燥邪病机

The Pathogenesis of Dryness Should Be Paid Attention to in the Clinical Management Difficulties of COVID-19 Pneumonia in Gengzi-Year

摘要: 时值庚子岁初之气即将进入二之气，新冠感染及新冠肺炎重症治疗进入了攻坚阶段。本文在五运六气背景下，结合新冠肺炎死亡患者病理解剖结果以及中西医结合治疗的难点和盲区，针对燥与痰、高凝状态与出血、辛散透邪与伏燥、燥与湿、治肺燥“五相反”数个矛盾进行了运气病机分析，并提出在临床变证、六气杂陈的矛盾处理、瘥后防复的临床难点中抓住燥邪病机主线的不同治则与实践效果较好的方剂，以期共同提高重症处理临床疗效，减少重症率，降低死亡率，彰显中医治疗疫病的独特优势。

Abstract: The treatment of novel coronavirus pneumonia is entering a critical stage in Genzi-year spring. According to the pathological results of the dead patients, we analyzed the causes of the COVID-19 pneumonia. Clinical cases were studied in the context of five movements and Six Qi. In the contra-dictions of dryness and phlegm, hypercoagulable state and hemorrhage, Xin San Tou Xie and Fu Zao, dryness and dampness, and treatment of lung dryness, the pathogenesis and treatment principles were analyzed. Clinical key points and recommended prescriptions for the treatments of pulmonary dryness were put forward. To improve the clinical efficacy of severe cases, to reduce the rate of severe disease and the mortality, to highlight the unique advantages of traditional Chinese medicine in the treatment of epidemic diseases, this paper analyzes the underlying pathogenic factors of new crown infection, the syndrome changes in clinical treatment, the miscellaneous contradictory in treatment, and the clinical difficulties of prevention and recovery after scrofula.