中藥減毒藥方（淨冠方）用於新冠肺炎確診家族追蹤分析

The Using of Chinese Medicine Decoction, Jing-Guan-Fang, in Confirmed Cases and Their Exposed Family of COVID-19 Infection

戴毓萱(Yu-Hsuan, Tai) ； 魏任宣(Renn-Shiuan, Wei) ； 陳建宏(Chien-Hung, Chen) ； 許中華(Chung-Hua, Hsu)

《中醫內科醫學雜誌》 19卷2期 (2021/12) Pp. 13-24

https://doi.org/10.7102/JTCIM.202112_19(2).0002

摘要

新型冠狀病毒，即吳又可《溫疫論．原序》提及：「夫瘟疫之為病，非風非寒非暑非濕，乃天地間別有一種異氣所感。」此疾病與古書記載之溫病相似，其症狀高熱、咳嗽、喘促、缺氧、腹瀉等，可對應「衛氣營血」病程傳變。據研究，不少案例為家戶群聚感染，故此文探討本院中藥減毒藥方－淨冠方，對於一個家族內確診者、隔離者、高危接觸者、一般接觸者之效果展現。除記錄該家族成員服藥狀況，亦深入討論其中一例併用瑞德西韋與淨冠方之確診者。治療成果顯示，該患者經合併治療後，症狀迅速減輕且比預期時間提早出院。本院院內製劑淨冠方，目的為清宣上焦與解肌之熱邪，達淨化與弱化癘氣之效，即時阻絕傳變，減緩病程發展。對於高危接觸者與隔離者，提供可能的預防效果。面臨家族成員感染時，無論確診、隔離、或（高危）接觸者，淨冠方的盡速使用是一個良好的選擇。

關鍵字

新冠肺炎 ； 衛氣營血證型 ； 淨冠方 ； 中藥

並列摘要

COVID-19, as one kind of pandemic diseases, conforms to the concept of plaque proposed by Wu's academic work ＂On Warm Epidemics＂ that patients were infected with a certain substance in air, neither extreme climate nor changes in nature. This disease also fit to the description of warm disease recorded in ancient books. Its symptoms, such as high fever, cough, dyspnea, hypoxia, diarrhea, and etc., also correspond to the transmission and transmutation of ＂ defense, qi, nutrient and blood pattern ＂. According to domestic and foreign studies, household contacts is an important route of transmission of COVID-19. In this article we present the effects of the Chinese medicine decoction, Jing-Guan-Fang (JGF), in the treatment of confirmed cases and associated household contacts: in one confirmed case who underwent combined treatment with Remdesivir and JGF, the symptoms improved quickly and the patient was discharged earlier than expected; and in high risk contacts none developed COVID-19 infection. The results indicated that JFG can drain the heat of upper fire, release the flesh, and make pathogen declined. JFG instantly stop transmission and transmutation, reduce the progress of the disease. For high-risk contacts and quarantined people, it can also provide possible preventive effects. The JKF can provide a good treatment choice for many clinical situations.

並列關鍵字

COVID-19 ； ＂defense, qi, nutrient and blood pattern＂ identification ； Jing-Guan-Fang(JFG) ； Chinese herbal medicine

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