TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points

XUE Chongxiang; YANG Yingying; LUO Jinli; ZHAO Linhua; LI Xiuyang

doi:10.13288/j.11-2166/r.2023.22.015

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TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points

更新时间：2023-11-10

- TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points
  增强出版
- Journal of Traditional Chinese Medicine Vol. 64, Issue 22, Pages: 2354-2358(2023)
- 作者机构：
  
  1.北京中医药大学，北京市朝阳区北三环东路11号，100029
  2.中国中医科学院广安门医院
  3.中日友好医院/国家中西医结合中心
  4.广东一方制药有限公司
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.22.015
  CLC：
- Received：26 March 2023，
  
  Revised：2023-06-23，
  
  Published：17 November 2023
- 稿件说明：
移动端阅览
薛崇祥,杨映映,罗金丽等.仝小林寒湿疫辨治思想及其诊疗要点[J].中医杂志,2023,64(22):2354-2358.

XUE Chongxiang,YANG Yingying,LUO Jinli,et al.TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points[J].Journal of Traditional Chinese Medicine,2023,64(22):2354-2358.
薛崇祥,杨映映,罗金丽等.仝小林寒湿疫辨治思想及其诊疗要点[J].中医杂志,2023,64(22):2354-2358. DOI： 10.13288/j.11-2166/r.2023.22.015.

XUE Chongxiang,YANG Yingying,LUO Jinli,et al.TONG Xiaolin's Cold-Damp Epidemic Differentiation and Treatment Concepts and Diagnostic and Therapeutic Key Points[J].Journal of Traditional Chinese Medicine,2023,64(22):2354-2358. DOI： 10.13288/j.11-2166/r.2023.22.015.

摘要

在厘清寒湿疫诊治规律的基础上，结合仝小林院士关于寒湿疫辨治的认识阐述，提炼辨证要点。主要包括察色按脉，先别阴阳，治在寒湿；全程论治，态靶结合，随证治之；危急重症，辨汗脉息神，防戾深入；通腑开闭，逐邪外出，勿拘结粪；方药量效，审因据症，以效择量；除邪务尽，谨防疫复，恢复有方。梳理寒湿疫辨治思想脉络及其临床要点，有助于指导疫病临床的精准施治，为指导中医药参与疫病防治提供理论解读。

Abstract

Building on a clear understanding of the diagnosis and treatment patterns for cold-damp epidemics， and incorporating the insights of Academician TONG Xiaolin regarding the differentiation and treatment of such epidemics， this article have distilled the key diagnostic principles. These principles primarily entail observing color and pulse， initially distinguishing between

yin

and

yang

， with treatment focusing on dispelling cold and dampness. A comprehensive approach is adopted throughout treatment， with a combination of overall strategies and tailored treatments that evolve in line with the patient's condition. In critical and severe cases， particular attention is given to aspects such as sweating， pulse analysis， and consciousness， preventing the pathogen from penetrating deeply. Efforts are made to open and close organ networks， expelling external pathogens without fixating on resolving constipation. The dosage and efficacy of herbal remedies are adjusted based on individual circumstances and clinical symptoms. The objective is to eliminate pathogens comprehensively， while being vigilant against relapses， ultimately achieving a full recovery. This overview of the thought processes and clinical principles for diagnosing and treating cold-damp epidemics will guide precise clinical practices and provide a theoretical foundation for the involvement of traditional Chinese medicine in epidemic prevention and treatment.

关键词

Keywords

references

杨满丽，胡紫腾，张钰菁，等 . 整体性视角下中医药应对突发公共卫生事件治理框架的构建：以重大传染病疫情为例［J］. 中国中医基础医学杂志， 2023 ， 29 （ 9 ）： 1482 - 1486 .

WORLD HEALTH ORGANIZATION . WHO Expert Meeting on Evaluation of Traditional Chinese Medicine in the Treatment of COVID-19 ［EB/OL］.（ 2022-03-21 ）［ 2023-10-11 ］. https：//www.who. int/publications/m/item/who-expert-meeting-on-evaluation-oftraditional-chinese-medicine-in-the-treatment-of-covid-19 https://www.who.int/publications/m/item/who-expert-meeting-on-evaluation-oftraditional-chinese-medicine-in-the-treatment-of-covid-19 .

仝小林，李修洋，赵林华，等 . 从“寒湿疫”角度探讨新型冠状病毒肺炎的中医药防治策略［J］. 中医杂志， 2020 ， 61 （ 6 ）： 465 - 470，553 .

杨映映，李青伟，鲍婷婷，等 . 仝小林院士辨治新型冠状病毒肺炎：“寒湿疫”辨治体系的形成、创新与发展［J］. 世界中医药， 2022 ， 17 （ 6 ）： 833 - 837，842 .

仕丽，王檀，方雅坤，等 . “寒湿疫”理论治疗COVID-19的经验与思考［J］. 吉林中医药， 2021 ， 41 （ 7 ）： 880 - 883 .

杨映映，丁齐又，宋斌，等 . 论“戾嗜”在疫病辨治中的价值［J］. 中医杂志， 2022 ， 63 （ 15 ）： 1401 - 1405 .

SAJADI MM ， HABIBZADEH P ， VINTZILEOS A ， et al . Temperature， Humidity， and Latitude Analysis to Estimate Potential Spread and Seasonality of Coronavirus Disease 2019 （COVID-19）［J］. JAMA network open ， 2020 ， 3 （ 6 ）： e2011834 .

鲍婷婷，杨映映，黄飞剑，等 . 论寒湿疫之瘀热入营［J］. 中医杂志， 2021 ， 62 （ 8 ）： 645 - 649 .

仝小林，何莉莎，赵林华 . 论“态靶因果”中医临床辨治方略［J］. 中医杂志， 2015 ， 56 （ 17 ）： 1441 - 1444 .

闵晓俊，肖明中，雷烨，等 . 新型冠状病毒肺炎恢复期的中医证型分析与施治要点［J］. 四川中医， 2020 ， 38 （ 7 ）： 4 - 6 .

李晓东，刘保延，王辉，等 . 从治未病谈“武昌模式”在突发性急性传染病防控中的意义［J］. 南京中医药大学学报， 2021 ， 37 （ 1 ）： 1 - 5 .

仝小林，周仲瑛 . 感染性休克热厥气脱证的研究［J］. 中国医药学报， 1989 （ 4 ）： 7 - 13，79 .

龙瑞敏 . 脱证辨治浅探［J］. 贵阳中医学院学报， 1990 （ 2 ）： 1 - 5 .

陈锐，孙阿茹，陈娟，等 . 920例新型冠状病毒肺炎患者舌象特征与中医证候的关系研究［J］. 长春中医药大学学报， 2022 ， 38 （ 3 ）： 295 - 300 .

陈锐，孙阿茹，陈娟，等 . 基于Lab颜色模型与影像组学的新型冠状病毒肺炎382例患者舌象与西医分型的相关性分析［J］. 中华中医药杂志， 2021 ， 36 （ 12 ）： 7010 - 7014 .

赵妍，李海波，谷松 . 论“逐邪勿拘结粪”对现代疫病治疗的启示［J］. 中华中医药学刊， 2022 ， 40 （ 6 ）： 104 - 106 .

中国中医药网 . 仝小林：立足“寒湿”，知常达变治新冠［EB/OL］. （ 2022-12-29 ）［ 2023-03-24 ］. http：//www.cntcm.com.cn/news.html？aid=214292 http://www.cntcm.com.cn/news.html?aid=214292 .

王涵，张翠青，顾成娟 . 前胡、苏子、葶苈子治疗劲咳、郁咳经验：仝小林三味小方撷萃［J］. 吉林中医药， 2020 ， 40 （ 11 ）： 1420 - 1423 .

潘锋 . “态靶辨治”开启中西医结合创新之路［J］. 中国医药导报， 2023 ， 20 （ 5 ）： 1 - 3 .

中华人民共和国卫生健康委员会 . 关于印发新冠肺炎出院患者主要功能障碍康复治疗方案的通知［EB/OL］. （ 2020-05-14 ）［ 2023-03-24 ］. http：//www.nhc.gov.cn/xcs/zhengcwj/202005/b15d59b5228341129cc8c5126f663b10.shtml http://www.nhc.gov.cn/xcs/zhengcwj/202005/b15d59b5228341129cc8c5126f663b10.shtml .

Yang Y ， Ding L ， Bao T ， et al . Network Pharmacology and Experimental Assessment to Explore the Pharmacological Mechanism of Qimai Feiluoping Decoction Against Pulmonary Fibrosis ［J］. Frontiers in Pharmacology ， 2021 ， 12 ： 770197 .

DING L ， YANG Y ， WANG Z ， et al . Qimai Feiluoping decoction inhibits mitochondrial complex I-mediated oxidative stress to ameliorate bleomycin-induced pulmonary fibrosis ［J］. Phytomedicine： International Journal of Phytotherapy and Phytopharmacology ， 2023 ， 112 ： 154707 .

王宁，杨映映 . 仝小林：疫情三载新冠肺炎核心病机未变［N］. 健康报， 2022-12-13 （008）.

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