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河南通许县人民医院使用中医经方治疗新冠肺炎患者疗效...

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发表于 2020-2-1 18:37:36 | 显示全部楼层 |阅读模式
河南开封通许县人民医院接诊了十多名疑似武汉肺炎的病人,坚持以中医方法来救治,目前都已经稳定恢复,化验检查均在正常范围,其中两位被正式确诊为武汉肺炎,也已经好转。

用经方治疗武汉病毒性肺炎,取得了非常喜人的成绩。通许人民医院整理出来的基本参考流程如下:

(1)如果肺部CT无异常阴影,单纯低热、咳嗽、流清鼻涕,给予葛根汤(根据病人临床症状调整用药)

(2)如果肺部CT无异常阴影,高烧,体温38℃以上,无论有没有咳嗽、咳痰等,给予射干麻黄汤加大青龙汤(根据病人临床症状调整用药)

(3)如果肺部CT有异常阴影,肺部有感染情况,给予泽漆汤加茯苓四逆汤,或射干麻黄汤加千金苇茎汤(根据病人临床症状调整用药)

(4)这次两个已经正式确诊的病例,发烧、咳嗽、肺部CT有片状阴影,服用大青龙汤、射干麻黄汤、千金苇茎汤加减两剂后,改服用泽漆汤加茯苓四逆汤加减。病人体温恢复到36.5℃,肺部CT及化验检查均在正常范围。

以上选自网络文章《再談通許人民醫院治療武漢肺炎》。

我尝试着解读以上这段文字:一则,通许县位在河南,这次武汉疫情中,河南省最重视中医治疗疫病,网上我看到这样一段话:
“河南省卫生健康委员会要求,各相关机构要全面落实中西医协同诊疗机制,没有中医医师参与治疗的定点医院要立即安排中医参与治疗,确保每个定点医院至少有一名中医医师参与诊疗,提供中医治疗意见,确保所有确诊病例尽早、及时、全病程使用中医中药!”
河南走到了全国的最前面,不愧是医圣张仲景的故乡。其实省份能否及时学习河南省的经验,也把中医送到疫病治疗的最前线。
我相信,只要中医出手,疫情一定可以迅速控制的。

二则,通许县全部用经方治疗,非常了不起。一方面,经方疗效非常好,完全可以在此病疫情中发挥作用;另一方面,经方擅长治疗大病重病危病,我们每位中医人都要重视经方的学习。

三则,通许县重视用麻黄、附子等辛温药物,说明这些病例多属于寒性。寒则伤阳,非用辛温不可。其中也用到茯苓四逆汤,说明是三阴病证,邪在少阴与阳虚体质兼有寒湿病邪侵袭相关。

四则,早期病人肺部正常,但出现“单纯低热、咳嗽、流清鼻涕,给予葛根汤”,说明这就是一个标准的太阳病,是太阳受寒,病属表实证
而出现高烧时,给予射干麻黄汤加大青龙汤,亦按表证治疗。早期的用药不离麻黄,邪之入路亦即邪之出路。用辛温解表治疗疫病,说明仲景的药方完全可以用来治疗疫病。

五则,网上有病人问我,当肺部CT出现毛玻璃样改变,颜色变白时,应该用何方?我因只有这一个检查结果而无法辨证,也就无法回答。
看了通许县的经验,“给予泽漆汤加茯苓四逆汤,或射干麻黄汤加千金苇茎汤”,这让我知道,这样的检查结果属于少阴病,水饮停滞,阳气不宣。非常好的经验,学习了。

六则,病人是否确诊,在西医看来非常重要。但在中医看来,不管是不是新型冠状病毒感染,只要有这样的症状和体征,就可以辨证用方。未确诊病例可以治愈,确诊了的病例一样可以治愈。
七则,中医能治疫病,可请各地传染病医院马上派人去学习通许县人民医院的经验,赶紧把中医作为治疗疫病的主要手段。因为西医已经明确承认,目前没有特效药物,但中医有方法呀!
疫情紧急,治疗要急,要快,要准,可上中医。
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