Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID⁃19 infection complicated with underlying diseases

Bidan XIONG; Zhe ZHE; Kehua SHI; Binqing TANG; Yada ZHANG; Yunfei LU; Chu DING

doi:10.16305/j.1007-1334.2022.2205056

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Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID⁃19 infection complicated with underlying diseases

更新时间：2022-08-12

- Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID⁃19 infection complicated with underlying diseases
- Shanghai Journal of Traditional Chinese Medicine Vol. 56, Issue 8, Pages: 15-18(2022)
- 作者机构：
  
  1.上海中医药大学附属市中医医院肺病科（上海 200071）
  2.上海市公共卫生临床中心中医科（上海 201508）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2022.2205056
  CLC：
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熊必丹,折哲,石克华等.中医药辨治老年新型冠状病毒肺炎合并基础疾病验案2则[J].上海中医药杂志,2022,56(08):15-18.

XIONG Bidan,ZHE Zhe,SHI Kehua,et al.Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID⁃19 infection complicated with underlying diseases[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):15-18.
熊必丹,折哲,石克华等.中医药辨治老年新型冠状病毒肺炎合并基础疾病验案2则[J].上海中医药杂志,2022,56(08):15-18. DOI： 10.16305/j.1007-1334.2022.2205056.

XIONG Bidan,ZHE Zhe,SHI Kehua,et al.Two proved cases of TCM syndrome differentiation and treatment for elderly patients with COVID⁃19 infection complicated with underlying diseases[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(08):15-18. DOI： 10.16305/j.1007-1334.2022.2205056.

摘要

结合2则验案，分析老年新型冠状病毒肺炎（新冠肺炎）合并基础疾病患者的病机特点和中医药治疗策略。老年新冠肺炎患者具有在湿、热、毒、瘀、虚的基础上更突出虚、瘀的病机特点，正气不足贯穿疾病始终。中医药治疗老年新冠肺炎应早期干预，祛邪与扶正兼顾，重视运用宣肺通腑、清热化湿、益气扶正诸法，使邪有出路。此外，还应重视基础疾病的治疗，新病宿疾并治，分清主次，灵活变通。

Abstract

In this article we analyzed the pathogenic characteristics and treatment strategies of COVID-19 infection complicated with underlying diseases in the elderly by introducing 2 proved cases. Elderly patients with COVID-19 are identified with pathogenesis of dampness， heat， toxicity， stasis and deficiency， and the pathogenesis of deficiency and stasis is the most prominent. The deficiency of vital qi exists throughout the disease course. Traditional Chinese medicine （TCM） treatment principles for elderly patients with COVID-19 include： early intervention， integration of pathogen-eliminating and vital-qi strengthening， and application of treatment methods to guide pathogens out， for instance， the method of dispersing lungs and unblocking bowels， the method of clearing heat and resolving dampness， and the method of supplementing and strengthening vital qi， etc. Additionally， attention should be paid to the treatment of underlying diseases. Treat both the newly contracted infection and persistent diseases， but one need to distinguish the priorities， and treat accordingly and flexibly.

关键词

新型冠状病毒肺炎新型冠状病毒奥密克戎变异株疫病老年人扶正祛邪临床经验

Keywords

COVID-19SARS-CoV-2Omicron variantepidemicelderlyeliminating pathogen and strengthening vital qiclinical experience

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