Exploring the pathogenesis and clinical thinking of COVID-19 based on “toxin impairing pulmonary collaterals”

XUE Yan; ZHANG Wei; ZHANG Xing; XU Guihua; ZHANG Yile; XU Jiahui

doi:10.16305/j.1007-1334.2020.05.088

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Exploring the pathogenesis and clinical thinking of COVID-19 based on “toxin impairing pulmonary collaterals”

更新时间：2022-08-31

- Exploring the pathogenesis and clinical thinking of COVID-19 based on “toxin impairing pulmonary collaterals”
- Shanghai Journal of Traditional Chinese Medicine Vol. 54, Issue 5, Pages: 19-23(2020)
- 作者机构：
  
  1. 上海中医药大学附属曙光医院肺病科,上海,201203
  2. 上海中医药大学附属曙光医院内分泌科,上海,201203
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2020.05.088
  CLC：
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XUE Yan, ZHANG Wei, ZHANG Xing, et al. Exploring the pathogenesis and clinical thinking of COVID-19 based on “toxin impairing pulmonary collaterals”. [J]. Shanghai Journal of Traditional Chinese Medicine 54(5):19-23(2020)
DOI：

XUE Yan, ZHANG Wei, ZHANG Xing, et al. Exploring the pathogenesis and clinical thinking of COVID-19 based on “toxin impairing pulmonary collaterals”. [J]. Shanghai Journal of Traditional Chinese Medicine 54(5):19-23(2020) DOI： 10.16305/j.1007-1334.2020.05.088.

摘要

基于新型冠状病毒肺炎的发病及临床表现特点,认为其病位主要在肺络,核心病机为毒损肺络；治当尽早化湿毒、解热毒、祛瘀毒以通肺络；危重期应芳香开窍通络,注意开闭固脱、化瘀通络；恢复期应通补肺络、清彻余邪；围绕“解毒通络”综合辨证施治,能有效减轻临床症状,避免病情向危重症进展,改善患者预后。

Abstract

Based on the characteristics of the pathogenesis and clinical manifestations, locations of COVID-19 are mainly in the pulmonary collaterals,and the core pathogenesis is “toxin impairing pulmonary collaterals”. Treatments of dispelling damp toxin, clearing away heat toxin and resolving stasis toxin should be applied as early as possible to clear the lung. The methods of aromatic resuscitation and clearing collaterals should be used in severe and critical periods. We should pay enough attention to open-close treatments on the depletion syndromes and resolving blood stasis to clear collaterals.During the convalescence, tonifying and activating the pulmonary collaterals,clearing away residual pathogens should be used. Based on “removing toxicity and dredging channels”, differentiation treatments of comprehensive syndromes could effectively relieve clinical symptoms,prevent progression and improve prognosis.

关键词

新型冠状病毒肺炎新型冠状病毒毒损肺络肺络解毒通络中医药疗法

Keywords

COVID-19SARS-CoV-2toxin impairing pulmonary collateralspulmonary collateralsremoving toxicity and dredging channelstraditional Chinese medicine therapy

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Related Institution

Department of Traditional Chinese Medicine， Fudan University of Children’s Hospital

Department of Intensive Care Unit， Fudan University of Children’s Hospital

Department of Infectious Disease， Fudan University of Children’s Hospital

Department of Respiratory， Fudan University of Children’s Hospital

Department of Pediatrics， Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

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