以宣肺清熱法治療COVID-19染疫患者一例暨COVID-19診治心得分享

Traditional Chinese Medicine Theory of Xuanfei Qingre in Treating Covid Related Symptoms and Signs: A Case Report of Covid-Infected Patient

黃才珊(Tsai-Shan Huang) ； 戴承杰(Chen-Jei Tai)

《中醫藥研究論叢》 25卷特刊 (2022/03) Pp. 33-41

https://doi.org/10.6516/TJTCM.202203/SP_25.0005

摘要

介紹COVID-19輕證驗案一例，症見咳嗽、發燒、鼻涕倒流伴有黏稠痰，食慾不振、腹瀉，以宣肺清熱為主軸治法，麻杏石甘湯為主方，佐以解表藥和清熱解毒藥，並由X光可清楚見得其病程的轉歸。

關鍵字

麻杏石甘湯 ； 宣肺清熱 ； 中醫 ； COVID-19

並列摘要

In this article, we will introduce a case of COVID-19 and share our experience on the diagnosis and therapy in traditional Chinese medicine (TCM). The 40 year-old female suffered from cough for 2 days. Successively, cough with sticky sputum, post-nasal drip, diarrhea, and poor appetite were noted. We prescribed mainly Ma Huang and Apricot Seed Combination (Ma Xing Gan Shi Tang), with the ＂Xuanfei Qingre＂ method and the outcome of her disease course was satisfied. We can approach the COVID-19 cases from both TCM and Western medicine perspectives, and it is quite interesting. Although COVID-19 has been known as a disease that primarily affects the lungs, it can also damage several other organs. Besides, Qi closure, phlegm coagulation and blood stasis seem to be major findings of pathogenesis in the theory of TCM.

並列關鍵字

Ma Huang and Apricot Seed Combination (Ma Xing Gan Shi Tang) ； Xuanfei Qingre method ； Traditional Chinese medicine (TCM) ； COVID-19

參考文獻

Yang Y, Islam M S, Wang J, Li Y, Chen X: Traditional Chinese medicine in the treatment of patients infected with 2019- new coronavirus (SARS-CoV-2): a review and perspective. International journal of biological sciences 2020; 16(10): 1708-1717.

張仲景：傷寒論。台北：台聯國風出版社（1974）。

張哲儒、李威毅、黃頌儼、羅綸謙、柯富揚、孫茂峰、楊仁宏：中醫在 SARS 及 COVID-19 嚴重流行疫病臨床應用之系統性回顧。中醫藥雜誌 2020；31(2)：28-49。

李曉宇、謝立科、郝曉鳳、馬克信、羅金花：從中醫疫病角度淺談對新型冠狀病毒肺炎的認識及其眼部表現和防治。世界中醫藥 2020；2(7)：155-158。

王保山、柯獻欽、鄭高珍：新冠肺炎之流行病學、臨床表現及診斷。內科學誌 2020；31：234-238。