最新版診療方案發布，發揮中醫藥作用

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仙閣養生

最新版診療方案發布，發揮中醫藥作用

時間 : 2020-01-30 09:36:00 點擊量：2331

國家衛健委、國家中醫藥管理局在通知中要求，各有關醫療機構要在醫療救治工作中積極發揮中醫藥作用，加強中西醫結合，建立中西醫聯合會診制度，促進醫療救治取得良好效果。

1月27日，在接受《健康報》采訪時，仝小林院士曾表示，與黃璐琦院士、張忠德副院長、苗青主任、王玉光主任等專家一起，向顧問組的院士、國醫大師們匯報武漢疫區患者的中醫治療情況，在他們的指導下進一步優化中醫診療方案，不久將把新版中醫治療方案對外發布。

據人民日報報道，一位新型肺炎患者1月13日轉入北京地壇醫院接受中醫藥治療，日前已經痊愈出院——這是北京新型冠狀病毒感染肺炎首例痊愈患者，也是主要采用中醫藥治療的患者，中醫藥辨證論治，縮短病程、減少并發癥的優勢得以充分發揮。相關專家表示，針對患者的病情，中醫專家辨證為熱在衛氣，疫毒傷肺，予以清熱宣肺方法治療，癥狀逐漸好轉，體溫很快恢復正常，連續監測呼吸道分泌物病毒核酸陰性，符合國家制定的出院標準。

診療方案新增多個中成藥

國家衛健委、國家中醫藥管理局表示，隨著對疾病認識的深入和診療經驗的積累，相關部門對《新型冠狀病毒感染的肺炎診療方案(試行第三版)》進行了修訂。

最新版診療方案給出了修訂后的治療方案，其中中醫治療部分如下，可以看到相比于前一版，多個中成藥被首次推薦使用。

本病屬于中醫疫病范疇，病因為感受疫戾之氣，各地可根據病情、當地氣候特點以及不同體質等情況，參照下列方案進行辨證論治。

1. 醫學觀察期臨床表現

（1）乏力伴胃腸不適推薦中成藥：藿香正氣膠囊(丸、水、口服液）臨床表現；

（2）乏力伴發熱推薦中成藥：金花清感顆粒、連花清瘟膠囊(顆粒)、疏風解毒膠囊(顆粒)、防風通圣丸(顆粒)

2. 臨床治療期

（1）初期：寒濕郁肺臨床表現：惡寒發熱或無熱，干咳，咽干，倦怠乏力，胸悶，脘痞，或嘔惡，便溏。舌質淡或淡紅，苔白膩，脈濡。推薦處方：蒼術15g、陳皮10g、厚樸10g、藿香10g、草果6g、生麻黃6g、羌活10g、生姜10g、檳郎10g

（2）中期：疫毒閉肺臨床表現：身熱不退或往來寒熱，咳嗽痰少，或有黃痰，腹脹便秘。胸悶氣促，咳嗽喘憋，動則氣喘。舌質紅，苔黃膩或黃燥，脈滑數。推薦處方：杏仁10g、生石膏30g、瓜蔞30g、生大黃6g(后下)、生炙麻黃各6g、葶藶子10g、桃仁10g、草果6g、檳郎10g、蒼術10g推薦中成藥：喜炎平注射劑，血必凈注射劑

（3）重癥期：內閉外脫臨床表現：呼吸困難、動輒氣喘或需要輔助通氣，伴神昏，煩躁，汗出肢冷，舌質紫喑，苔厚膩或燥，脈浮大無根。推薦處方：人參15g、黑順片10g(先煎)、山茱萸15g，送服蘇合香丸或安宮牛黃丸推薦中成藥：血必凈注射液、參附注射液、生脈注射液

（4）恢復期：肺脾氣虛臨床表現：氣短、倦怠乏力、納差嘔惡、痞滿，大便無力，便溏不爽，舌淡胖，苔白膩。推薦處方：法半夏9g、陳皮10g、黨參15g、炙黃芪30g、茯苓15g、藿香10g、砂仁6g(后下)

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