新型冠狀病毒肺炎中醫護理原則

The principles of Traditional Chinese Medicine Nursing for prevention and control of Novel Coronavirus Pneumonia

莊曜禎(Yao Chen Chuang) ； 莊昆翰(Kun-Han Chuang)

《澳門護理雜誌》 19卷1期 (2020/09) Pp. 12-17

https://doi.org/10.6729/MJN.202009_19(1).005

摘要

新型冠狀病毒（新冠病毒）病疫情自2019年底於中國武漢首度發現後，便迅速蔓延到世界各地，截至2020年3月31日止已累積超過75萬人感染，3萬6千多人死亡。新冠病毒病的感染關鍵是通過第2型嚴重急性呼吸道症候群冠狀病毒與呼吸道上皮細胞膜上血管收縮素轉化酶II跨膜受體交互作用，主要經由呼吸道感染引發新冠病毒肺炎，嚴重者可因肺部組織液浸潤，導致氣體交換困難而致死。中醫可單獨或以中西醫結合的方式應用在新冠病毒肺炎的治療上。根據患者症狀，中醫辨證出新冠病毒肺炎的基本病機為濕與毒，證型主要為濕毒鬱肺證、寒濕阻肺證或疫毒閉肺證。另外，以辨證施護及辨證施膳理論為基礎，本文將對起居、飲食、情志及藥膳等預防與治療的中醫護理原則作一綜述。

關鍵字

新型冠狀病毒肺炎 ； 中醫護理 ； 中醫藥膳

並列摘要

Since the first case of coronavirus disease 2019 (COVID-19) was found in Wuhan, China, at the end of 2019, the outbreak has spread rapidly across the world. Until March 31, 2020, more than 750,000 cases and 36,000 deaths were reported worldwide. The key to infect COVID-19 is the severe acute respiratory syndrome coronavirus 2 binds to angiotensin-converting enzyme 2 receptors (ACE2R), the transmembrane receptors abundantly expressed on the alveolar epithelial cells. The coronavirus induces pneumonia (NCP), mainly through respiratory tract infection, and eventually leads to death due to the impeded gas exchange as a result of bilateral interstitial pulmonary infiltrates that happen in critical patients. Traditional Chinese medicine (TCM) can be applied alone or in combination with Western medicine in the treatment for the NCP. Based on the clinical symptoms in patients with COVID-19, the pathological mechanism of NCP is dampness and toxins. The main pattern types are ＂Stagnation of dampness and toxin in the lung＂, ＂Cold-dampness encumbering the lung＂, and ＂Epidemic pathogen invading the lung＂. On the basis of syndrome differentiation-based nursing and medicated diet theories, the aim of this article is to investigate the TCM Nursing principles about daily life, food, mood, and medicated diet.

並列關鍵字

COVID-19 ； Traditional Chinese Medicine Nursing ； medicated diet