Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering <italic style="font-style: italic">Ying</italic> （营）” Theory： A Case Report

BAO Tingting; LI Xiuyang; WANG Fan; WEN Jie; YAO Chensi; ZHAO Xuefei; KANG Zezheng; GAO Jiaqi; WANG Qiang; XUE Chongxiang; YANG Yingying; XU Dan

doi:10.13288/j.11-2166/r.2023.23.015

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Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report

更新时间：2023-11-24

- Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report
  增强出版
- Journal of Traditional Chinese Medicine Vol. 64, Issue 23, Pages: 2461-2465(2023)
- 作者机构：
  
  1.中国中医科学院广安门医院，北京市西城区北线阁5号，100053
  2.新疆医科大学附属中医医院
  3.长春中医药大学附属医院
  4.东北国际医院
  5.北京中医药大学
  6.中日友好医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.23.015
  CLC：
- Received：27 March 2023，
  
  Revised：2023-08-28，
  
  Published：02 December 2023
- 稿件说明：
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鲍婷婷,李修洋,王凡等.从“寒湿入营”论治危重型新型冠状病毒感染合并多器官功能障碍1例[J].中医杂志,2023,64(23):2461-2465.

BAO Tingting,LI Xiuyang,WANG Fan,et al.Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report[J].Journal of Traditional Chinese Medicine,2023,64(23):2461-2465.
鲍婷婷,李修洋,王凡等.从“寒湿入营”论治危重型新型冠状病毒感染合并多器官功能障碍1例[J].中医杂志,2023,64(23):2461-2465. DOI： 10.13288/j.11-2166/r.2023.23.015.

BAO Tingting,LI Xiuyang,WANG Fan,et al.Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report[J].Journal of Traditional Chinese Medicine,2023,64(23):2461-2465. DOI： 10.13288/j.11-2166/r.2023.23.015.

摘要

“寒湿入营”是寒湿疫病情转重的关键，多见于老年染疫或寒湿疫危重症邪盛正虚者。报告1例以“寒湿入营”理论为指导、采用中西医结合治疗的危重型新型冠状病毒感染合并多器官功能障碍患者的治疗过程。患者新型冠状病毒感染后无大热，但D-二聚体持续升高且出现全身多发血栓形成以及肺栓塞、水肿、少尿、休克等多器官功能障碍，舌脉表现为舌胖大晦暗、舌苔黄厚腻、舌底暗瘀，脉细数且涩，此为“寒湿入营”的特征性表现，整体辨证为寒湿瘀之态，在改善心功能、抗感染、平喘止咳化痰等西医对症支持治疗的基础上，中医药治以开郁闭、救逆回阳、益气固脱、活血利水，予破格子龙宣白承气汤加减，药中病机，故获良效。

Abstract

“Cold-dampness entering

ying

（营）” is the key to the worsening of cold-dampness epidemic， and is more common in the elderly or critically ill cases of cold-dampness epidemic with pathogen exuberance and healthy

deficiency. This paper reported a case of critically ill COVID-19 combined with multiple organ dysfunction treated by integrative traditional Chinese and western medicine based on “cold-dampness entering

ying

” theory. The patient did not have high fever after being infected with SARS-Cov-2， but D-dimer continued to increase， and she developed multiple thrombosis throughout the body and multiple organ dysfunctions such as pulmonary embolism， edema， oliguria， and shock. The patient were with enlarged and dusky tongue， with yellow， thick and greasy coating， and sublingual blood stasis， and thready， rapid and rough pulse. All these were characteristic manifestations of “cold-dampness entering

ying

”， and was differentiated as cold-dampness stasis. For the treatment， symptomatic and supportive western medicine of improving heart function， anti-infection， relieving asthma， stopping cough and reducing phlegm was given as the basic therapy， and additionally， traditional Chinese medicine to open the constraint and the blocked， save from collapse and restore yang， boost

and relieve collapse， invigorate blood and drain water was used， usually with Modified

Poge Zilong Xuanbai Chengqi Decoction

（破格子龙宣白承气汤加减）， which was in accordance with the pathogenesis and thus achieving good effect.

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Keywords

references

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何莉莎，宋攀，赵林华，等 . 方药量效关系临床研究概况［J］. 中医杂志， 2019 ， 60 （ 1 ）： 80 - 84 .

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Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report

DOI：10.13288/j.11-2166/r.2023.23.015

摘要

Abstract

关键词

Keywords

references