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2022年12月9日,广西壮族自治区中医药管理局发布《广西壮族自治区新型冠状病毒肺炎中医药防治方案(试行第四版)》(简称《方案》)。据了解,该《方案》由自治区中医药局组织有关专家结合当前广西实际情况制定,各地可根据病情、当地气候特点以及不同体质等情况,参照《方案》进行辨证论治。详情如下——
广西壮族自治区新型冠状病毒肺炎中医药防治方案(试行第四版)
为进一步加强当前新冠肺炎中医药防治工作的精准性和规范性,自治区中医药局组织有关专家结合当前广西实际情况,制定本方案。各地可根据病情、当地气候特点以及不同体质等情况,参照下列方案进行辨证论治。涉及到超药典剂量,应当在中医医师指导下使用。
一、预防方案
(一)成人预防处方。
适用人群:一般健康人群、易感人群及高危人群、新冠确诊患者的密切接触者。
推荐处方:黄芪15g、五指毛桃15g、羌活6g、板蓝根10g、银花6g、淡豆豉6g、薄荷(后下)6g、芦根15g、郁金10g、甘草6g。
煎服法:水煎服,每日1剂,分2-3次服,亦可代茶饮,可连续服用3-5天。
(二)儿童预防处方。
适用人群:14岁以下儿童。
推荐处方:苍术6g、菊花6g、桑叶6g、桔梗3g、芦根9g、甘草3g。
煎服法:水煎服,每日1剂,分2-3次服,亦可代茶饮,可连续服用3-5天。
(三)预防茶饮方。
罗汉果10g、陈皮6g。
用法:开水泡服。糖尿病患者请在医师指导下使用。
(四)中医外治方案。
防疫香囊方一(处方来源广西国际壮医医院):
处方:肉桂3g、八角3g、沉香2g、石菖蒲6g、艾叶6g、大叶桉6g、苍术3g、青蒿3g、薄荷3g。
防疫香囊方二(处方来源广西中医药大学第一附属医院):
处方:苍术5g、羌活5g、升麻5g、柴胡3g、甘草5g、桑叶10g、银花5g、薄荷3g、荆芥5g、郁金10g、淡豆豉5g。
制作方法:将药物研成极细末,混匀,装入小布袋内,制成香囊,挂于胸前,5-7天换药1次。
二、治疗方案
(一)中医病因病机。
本病属于中医疫病范畴,为疫邪侵袭,邪郁肺卫,主要病位在肺,亦可累及脾、胃、肝、大肠、心等多个脏腑。临床主要表现为咽痛、咳嗽、发热、头身痛,或伴有腹胀腹泻、食欲不振等。
(二)成人治疗处方。
适用人群:无症状、轻型、普通型新冠患者。
推荐处方:郁金15g、射干10g、淡豆豉20g、通草6g、葛根15g、桔梗12g、杏仁10g、藿香10g、法半夏15g、薏苡仁15g、厚朴10g、防己10g、旋覆花(包煎)10g、
炒蒺藜10g、羌活10g、甘草6g。
煎服法:每日1剂,水煎取300ml,分2次服。
(三)儿童治疗处方。
适用人群:14岁以下无症状、轻型、普通型新冠患儿。
推荐处方:蜜麻黄4g、生石膏12g、杏仁6g、甘草6g、郁金6g、芦根10g、岗梅根10g、连翘8g、山楂10g。
煎服法:每日1剂,水煎取150ml,分3次服。
注:岗梅根10g可替换为桔梗3g。
(四)中成药治疗。
适用人群:无症状、轻型、普通型新冠患者。
临床表现1:乏力伴胃肠不适或腹泻。
推荐中成药:藿香正气胶囊(丸、水、口服液)、葛根芩连丸。
临床表现2:发热、咽干、咳嗽、大便干结。推荐中成药:化湿败毒颗粒、连花清瘟胶囊(颗粒)、疏风解毒胶囊(颗粒)、金花清感颗粒、玉叶解毒颗粒、宣肺败毒颗粒、防风通圣丸。小儿可选小儿肺热咳喘颗粒、抗感颗粒、金莲清热泡腾片、清宣止咳颗粒。
用法用量:以上中成药请根据药品说明书或在医师指导下使用,建议服用3-5天。
重型、危重型新冠患者由中医医师辨证施治。(转发分享 功德无量)
来源:广西中医药
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广西壮族自治区新型冠状病毒肺炎中医药防治方案(试行第四版)
为进一步加强当前新冠肺炎中医药防治工作的精准性和规范性,自治区中医药局组织有关专家结合当前广西实际情况,制定本方案。各地可根据病情、当地气候特点以及不同体质等情况,参照下列方案进行辨证论治。涉及到超药典剂量,应当在中医医师指导下使用。
一、预防方案
(一)成人预防处方。
适用人群:一般健康人群、易感人群及高危人群、新冠确诊患者的密切接触者。
推荐处方:黄芪15g、五指毛桃15g、羌活6g、板蓝根10g、银花6g、淡豆豉6g、薄荷(后下)6g、芦根15g、郁金10g、甘草6g。
煎服法:水煎服,每日1剂,分2-3次服,亦可代茶饮,可连续服用3-5天。
(二)儿童预防处方。
适用人群:14岁以下儿童。
推荐处方:苍术6g、菊花6g、桑叶6g、桔梗3g、芦根9g、甘草3g。
煎服法:水煎服,每日1剂,分2-3次服,亦可代茶饮,可连续服用3-5天。
(三)预防茶饮方。
罗汉果10g、陈皮6g。
用法:开水泡服。糖尿病患者请在医师指导下使用。
(四)中医外治方案。
防疫香囊方一(处方来源广西国际壮医医院):
处方:肉桂3g、八角3g、沉香2g、石菖蒲6g、艾叶6g、大叶桉6g、苍术3g、青蒿3g、薄荷3g。
防疫香囊方二(处方来源广西中医药大学第一附属医院):
处方:苍术5g、羌活5g、升麻5g、柴胡3g、甘草5g、桑叶10g、银花5g、薄荷3g、荆芥5g、郁金10g、淡豆豉5g。
制作方法:将药物研成极细末,混匀,装入小布袋内,制成香囊,挂于胸前,5-7天换药1次。
二、治疗方案
(一)中医病因病机。
本病属于中医疫病范畴,为疫邪侵袭,邪郁肺卫,主要病位在肺,亦可累及脾、胃、肝、大肠、心等多个脏腑。临床主要表现为咽痛、咳嗽、发热、头身痛,或伴有腹胀腹泻、食欲不振等。
(二)成人治疗处方。
适用人群:无症状、轻型、普通型新冠患者。
推荐处方:郁金15g、射干10g、淡豆豉20g、通草6g、葛根15g、桔梗12g、杏仁10g、藿香10g、法半夏15g、薏苡仁15g、厚朴10g、防己10g、旋覆花(包煎)10g、
炒蒺藜10g、羌活10g、甘草6g。
煎服法:每日1剂,水煎取300ml,分2次服。
(三)儿童治疗处方。
适用人群:14岁以下无症状、轻型、普通型新冠患儿。
推荐处方:蜜麻黄4g、生石膏12g、杏仁6g、甘草6g、郁金6g、芦根10g、岗梅根10g、连翘8g、山楂10g。
煎服法:每日1剂,水煎取150ml,分3次服。
注:岗梅根10g可替换为桔梗3g。
(四)中成药治疗。
适用人群:无症状、轻型、普通型新冠患者。
临床表现1:乏力伴胃肠不适或腹泻。
推荐中成药:藿香正气胶囊(丸、水、口服液)、葛根芩连丸。
临床表现2:发热、咽干、咳嗽、大便干结。推荐中成药:化湿败毒颗粒、连花清瘟胶囊(颗粒)、疏风解毒胶囊(颗粒)、金花清感颗粒、玉叶解毒颗粒、宣肺败毒颗粒、防风通圣丸。小儿可选小儿肺热咳喘颗粒、抗感颗粒、金莲清热泡腾片、清宣止咳颗粒。
用法用量:以上中成药请根据药品说明书或在医师指导下使用,建议服用3-5天。
重型、危重型新冠患者由中医医师辨证施治。(转发分享 功德无量)
来源:广西中医药
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