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曹洪欣透邪解毒法治疗肺系疫病OA

Cao Hongxin's Treatment of Pulmonary Epidemic Diseases Using the Method of Removing Pathogens and Detoxification

中文摘要英文摘要

肺系疫病以"疫毒"为首要病因,兼夹寒、湿、燥、热等邪气,以"郁、毒、虚"为核心病机,发病急、传染性强.曹洪欣教授针对其"在表之邪犹存,趋里之邪易郁化热"病机特点,提出"透邪解毒法"防治肺系疫病,疗效确切.本文通过梳理中医"引邪外达""解毒"治疗肺系疫病的理论源流,深入解析"透邪解毒法"核心内涵,认为该法以"透"为核心,重视开达腠理、宣畅气机;以"解毒"为关键,意在清解疫毒、截断病势;同时注重祛邪与扶正并举,以求以补助透、固本防变.同时,临床研究证实"透邪解毒"方药在严重急性呼吸综合征(SARS)、甲型 H1N1 流感、新型冠状病毒感染等肺系疫病防治中疗效确切;实验研究亦表明相关方药以绿原酸、黄芩苷为核心物质基础,靶向多条肺功能及炎症相关信号通路发挥抗病毒、抗炎、调节免疫等作用,实现肺系疫病的治疗.本文从理论、临床与实验研究三方面入手,综合阐述"透邪解毒法"治疗肺系疫病的科学性、可靠性,以期为肺系疫病中医药防治提供有效思路与方法,也为其他疫病防治提供借鉴.

Pulmonary epidemic diseases are primarily caused by"epidemic toxins",often in combination with pathogenic factors such as cold,dampness,dryness,and heat.Their core pathogenesis is characterized by"constraint,toxin,and deficiency",with rapid onset and strong transmissibility.Professor Cao Hongxin proposed the method of"removing pathogens and detoxification"for the prevention and treatment of pulmonary epidemic diseases,targeting the pathological features of"pathogens lingering on the exterior and those penetrating inward being prone to constraint and heat transformation",and has achieved definitive therapeutic effects.By tracing the theoretical origins of the traditional Chinese medicine approaches of"guiding pathogens outward"and"detoxification"in the treatment of pulmonary epidemic diseases,this article provides an in-depth interpretation of the core principles of the"removing pathogens and detoxification"method.It suggests that this method centers on"dispersing",emphasizing the opening of the interstices and the free flow of Qi dynamics,with"detoxification"as the key to clearing epidemic toxins and curbing disease progression.It also highlights the concurrent application of pathogen elimination and healthy Qi reinforcement,aiming to support dispersal through supplementation and strengthen the root to prevent disease progression.Clinical studies have confirmed the efficacy of"removing pathogens and detoxification"formulas in preventing and treating pulmonary epidemic diseases such as severe acute respiratory syndrome(SARS),influenza A(H1N1),and coronavirus disease 2019(COVID-19).Experimental studies have further shown that these formulas,with chlorogenic acid and baicalin as their core active components,act on multiple pulmonary function-and inflammation-related signaling pathways,exerting antiviral,anti-inflammatory,and immunomodulatory effects to achieve therapeutic outcomes.This article provides a comprehensive discussion of the scientific basis and reliability of the"removing pathogens and detoxification"method from theoretical,clinical,and experimental perspectives,aiming to offer effective strategies and approaches for the prevention and treatment of pulmonary epidemic diseases with traditional Chinese medicine,as well as to provide insights for the management of other epidemic diseases.

曲嵩霖;刘寨华;韩慧莹;李岩;袁颍超;杨乾方;孙旭升;曹洪欣

中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700黑龙江中医药大学,哈尔滨 150040中国中医科学院中医基础理论研究所,北京 100700黑龙江中医药大学,哈尔滨 150040黑龙江中医药大学,哈尔滨 150040中国中医科学院中医基础理论研究所,北京 100700

医药卫生

疫病肺系疫病透邪解毒

Epidemic diseasesPulmonary epidemic diseasesRemoving pathogens and detoxification

《中国中医基础医学杂志》 2026 (4)

861-865,5

国家重点研发计划项目(2023YFC3503400)中国中医科学院结余课题(2024004)

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