對2019年底于中國武漢發(fā)現(xiàn)并蔓延到全球的新型冠狀病毒肺炎（coronavirus disease 2019，COVID-19）的疾病范疇、病邪性質(zhì)和疾病發(fā)展進行闡述，鑒于中醫(yī)藥在歷年來“瘟疫”中的應(yīng)用，分析了中醫(yī)藥在此次COVID-19疾病中的治療優(yōu)勢，即“扶正祛邪，以不變應(yīng)變”和“辨證施治，以變應(yīng)變”，減少因激素等藥物帶來的后遺癥，降低患者病死率等。并提出應(yīng)用清熱解毒類中藥發(fā)揮其對COVID-19未感染者的預(yù)防優(yōu)勢；早期介入，通過抑制“細(xì)胞因子風(fēng)暴”控制疾病向重癥發(fā)展；根據(jù)“衛(wèi)氣營血辨證”理論指導(dǎo)臨床辨證分型，發(fā)揮中醫(yī)藥防治COVID-19的個體化優(yōu)勢；關(guān)注COVID-19中藥防治中的合理用藥問題；收集臨床真實世界數(shù)據(jù)，中醫(yī)藥為主，中西醫(yī)結(jié)合，獲得中西醫(yī)結(jié)合防治COVID-19數(shù)據(jù)庫等思路。

The etiology and pathogenesis of coronavirus disease 2019 (COVID-19), which was discovered in Wuhan in late 2019 and has spread to the world, were expounded. In view of the application of traditional Chinese medicine (TCM) in the plague over these years, the therapeutic advantages of TCM in different stages of COVID-19 were expounded as "strengthening body resistance and eliminating evil, meeting changes with constancy", "Syndrome differentiation and treatment, meeting change with variance", with aim to reduce the sequelae caused by hormone and other drugs and the mortality. It is suggested that Chinese medicine of clearing heat and removing toxin should be used to prevent the uninfected people from COVID-19, and intervene in the early stage of the disease and control the development of it to be severe by inhibiting the "cytokine storm". In order to refine the dialectical classification according to the theory of "defensing-qi-nutrient-blood syndrome differentiation", to give full play to the individual advantages of TCM in the prevention and treatment of COVID-19. We should pay attention to the rational use of TCM in the prevention and treatment of COVID-19, collect the real world clinical data, and integrate TCM and Western medicine with TCM as the main part. The COVID-19 database of integrated TCM and Western medicine can be used to prepare for the prevention and treatment of COVID-19.

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