从《临证指南医案》初探长新冠症候群中医的系统治疗方法

A preliminary study on the systematic treatment methods of Long COVID Symptoms with Chinese Medicine from Linzheng Zhinan Yi’an: Guide to clinical practice with medical records

萧子瑜1张钧贺1陈安履1,*

1台北市立联合医院仁爱院区中医科，台北，台湾

长新冠症候群（Long COVID）是指某些COVID-19患者在感染後症状持

续数月的情况。本研究旨在探讨中医对长新冠症候群的治疗方式。

方法：通过文献回顾《临证指南医案》，将长新冠症候群与中医证候相对应，

提出一种系统性的中医治疗方案。

结果：根据《临证指南医案》的相关条文，本研究从呼吸困难到腹泻等症状的

病机进行详细分析。针对每个症状，比对出相应的中医治疗方案。讨论部分进

一步深入分析不同症状的病机、病位以及相应的治疗方法。

结论：这种研究方法结合古代中医理论和现代临床实践，为应对後疫情时代中

的後遗症提供新的思路和方法。最後，这种结合古代中医理论和现代临床实践

的方法对应，对後疫情时代中的後遗症具有重要意义，并分享其在临床实践中

的有效性和再现性，希望能够为同道提供叁考。

【关键词】中医治疗、长新冠症候群、临证指南医案、中药治疗

Objectives: Long COVID refers to the situation where some COVID-19 patients experience symptoms persisting for several months after infection. This study aims to explore traditional Chinese medicine (TCM) treatment methods for Long COVID. Through a literature review of the "Clinical Guiding Case Records," Long COVID symptoms were correlated with TCM patterns to propose a systematic TCM treatment plan. Methods: Based on relevant sections of the "Clinical Guiding Case Records," this study conducted a detailed analysis of the pathogenesis of symptoms ranging from respiratory difficulties to diarrhea. Corresponding TCM treatment plans were formulated for each symptom. Results: The discussion section further analyzed the pathogenesis, location of pathology, and corresponding treatment methods for different symptoms. This research approach combines ancient TCM theory with modern clinical practice, offering new insights and methods for addressing the sequelae of the post-pandemic era. Conclusions: In conclusion, the integration of ancient TCM theory with modern clinical practice holds significant importance for addressing the sequelae of the post-pandemic era. The study underscores its effectiveness and reproducibility in clinical practice, aiming to provide valuable insights for fellow practitioners.

【Keywords】Traditional Chinese Medicine (TCM) treatment； Long-COVID Symptoms； Linzheng Zhinan Yi’an； Guide to Clinical Practice with Medical Records； Chinese herbal medicine treatment