陕西发布新版新冠病毒感染中医药防治方案富平网富平县领先生活信息门户

富平头条 发表于 2022-12-14 08:39:07

陕西发布新版新冠病毒感染中医药防治方案

<p style="box-sizing: border-box; margin-bottom: 20px; padding: 0px; border: 0px; color: rgb(34, 34, 34); font-family: PingFang SC, Hiragino Sans GB, Microsoft YaHei, WenQuanYi Micro Hei, Helvetica Neue, Arial, sans-serif; font-size: 18px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); margin-top: 0px !important;">12月13日，陕西省卫健委、省中医药管理局联合印发陕西省新冠病毒感染中医药预防方案第三版及治疗方案第四版。<p style="box-sizing: border-box; margin-top: 20px; margin-bottom: 20px; padding: 0px; border: 0px; color: rgb(34, 34, 34); font-family: PingFang SC, Hiragino Sans GB, Microsoft YaHei, WenQuanYi Micro Hei, Helvetica Neue, Arial, sans-serif; font-size: 18px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255);">该方案为充分发挥中医药在疫情防治中的作用，结合当前全省疫情防控救治工作情况，由全省新冠肺炎中医药防治专家组，根据新冠病毒感染性疾病特点及我省地域气候特征，对原有方案进行修订而成。整个方案分为成人及儿童两个类别，包括预防和治疗两个方面。预防方案既包括中药内服、中医外治等预防方药，也包括食疗方法及饮食、起居、运动等生活调摄，为普通人群、脆弱人群、密接人群提供中药汤剂、中成药等多种预防方案。<p style="box-sizing: border-box; margin-top: 20px; margin-bottom: 20px; padding: 0px; border: 0px; color: rgb(34, 34, 34); font-family: PingFang SC, Hiragino Sans GB, Microsoft YaHei, WenQuanYi Micro Hei, Helvetica Neue, Arial, sans-serif; font-size: 18px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255);">第四版的治疗方案对第三版方案进行了优化，分别提出了成人及儿童无症状感染者、轻型、普通型及恢复期感染者的中医辨证论治方案，提供了临床相关症状的常用中成药参考目录，方便广大临床一线医生及感染者参考使用。以下为方案详情： <h1 class="xx-tit xx-tit1" style="box-sizing: border-box; margin: 0px; padding: 0px; font-size: 26px; color: rgb(51, 51, 51); text-align: center; font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223);">关于印发陕西省新冠病毒感染中医药预防方案（第三版）和治疗方案（试行第四版）的通知</h1><p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 32px; line-height: 2em; text-align: center;">陕卫中医发〔2022〕53号<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">各设区市、杨凌示范区卫生健康委（局）、中医药管理局，韩城市、神木市、府谷县卫生健康局，各委直委管医院：<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">为贯彻落实国家及省委省政府关于新型冠状病毒肺炎疫情防控工作部署要求，充分发挥中医药在疫情防治中的作用，结合当前疫情防控救治工作情况，我委组织专家对原有方案进行修订，形成了陕西省新冠病毒感染中医药预防方案（第三版）及治疗方案（试行第四版），现印发给你们，请参照执行。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附件：<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.陕西省成人新冠病毒感染中医药预防方案（第三版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.陕西省儿童新冠病毒感染中医药预防方案（第三版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">3.陕西省成人新冠病毒感染中医药治疗方案（试行第四版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">4.陕西省儿童新冠病毒感染中医药治疗方案（试行第四版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">陕西省卫生健康委陕西省中医药管理局<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2022年12月13 日<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（信息公开形式：主动公开）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附件1<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em; text-align: center;">陕西省成人新冠病毒感染中医药预防方案（第三版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">一、预防方药<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（一）中药内服<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.适用对象：普通人群、脆弱人群。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药: 生黄芪30g、党参15g、炒白术10g、防风10g、茯苓10g、广藿香10g(后下)、贯众15g、芦根30g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。每天一剂，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意事项：服药期间应清淡饮食，宜少食辛辣刺激、生冷及其他不易消化的食物；服药期间不宜饮浓茶、酒、咖啡等，以免降低药效；孕妇慎用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">中成药：可选用玉屏风颗粒、补中益气丸（颗粒）、生血宝合剂、金水宝胶囊（片）等，请按药品说明书或在医生指导下使用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.适用对象：密接人群。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药: 黄芪15g、炒白术10g、防风10g、苏叶10g、金银花15g、连翘10g、蒲公英15g、大青叶15g、桔梗10g、芦根15g、炒山药15g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。每天一剂，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意事项：服药期间应清淡饮食，宜少食辛辣刺激、生冷及其他不易消化的食物；服药期间不宜饮浓茶、酒、咖啡等，以免降低药效；孕妇慎用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">中成药：可选用玉屏风颗粒、补中益气丸（颗粒）、生血宝合剂、金水宝胶囊等，请按药品说明书或在医生指导下使用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（二）中医外治<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.佩戴香囊<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：藿香8g、佩兰8g、丁香6g、艾叶8g、苍术8g、九节菖蒲8g、细辛6g、吴茱萸6g、草果仁8g、高良姜8g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：药物打粉，装香囊佩戴或置于衣袋、枕下等处；亦可取上述少量药粉，制作熏香，焚香驱邪。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">备注：对上述药物或其成份过敏者禁用；妊娠期妇女慎用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.艾灸<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">穴位：关元、神阙、足三里等。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方法：每次10-15分钟，局部发红即可，每日一次，以5天为一疗程。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：请在医师指导下使用；妊娠期妇女慎用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">二、食疗方法<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">可适量食用荸荠、百合、莲藕、雪梨、银耳、山药、鱼腥草等；咽喉不适者，可适量饮用金银花茶、菊花茶等，或饮用代茶饮（金银花3克、菊花3克、荷叶3克、胖大海3克、佩兰3克，开水冲泡频服）。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">三、生活调摄<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（一）个人防护<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">加强新冠疫苗接种；戴口罩、勤洗手；保持良好的个人及环境卫生，提高健康素养。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（二）饮食<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">均衡营养，合理膳食；避免暴饮暴食，忌食生冷油腻食物；忌过食热性食物，如牛羊肉、辛辣等食物。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（三）起居<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">保证充足睡眠；保持平和心态；注意室内通风。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（四）运动<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">适度有氧运动，可选八段锦、太极拳、广播体操等；不宜剧烈运动，避免过汗耗气。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附件2<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em; text-align: center;">陕西省儿童新冠病毒感染中医药预防方案（第三版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">一、中药内服<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：黄芪6g、白术5g、防风3g、北沙参6g、金银花4g、桔梗4g、炒麦芽4g、生甘草3g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下，每日半剂；3岁以上，每日1剂。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：代茶饮，或将药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，分早晚两次服用，连服5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">中成药：玉屏风颗粒，黄芪颗粒，请按药品说明书或在医生指导下使用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">二、中医外治<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.芳香疗法<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：藿香6g、苍术6g、菖蒲6g、草果6g、白芷6g、艾叶6g、苏叶6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：水煎室内熏蒸、研末香炉点燃或香囊佩戴。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：对上述药物成分过敏或患有过敏性鼻炎、哮喘等过敏性疾病禁用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.小儿推拿<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方法：摩腹、按揉足三里、捏脊。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：相关操作需经过中医药专业人员指导或培训。 <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">三、饮食起居<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.饮食<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">均衡营养，合理膳食；温度适宜，定时定量；避免暴饮暴食；可用菊花、金银花代茶饮；也可用荸荠、百合、莲藕、雪梨、银耳、山药等煎水或熬粥食用。忌过食热性食物，如牛羊肉、辛辣等食物。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.预防、起居<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">及时接种新冠病毒疫苗；外出佩戴口罩，减少到人群密集场所活动；勤洗手，不随意抠鼻、揉眼；咳嗽、喷嚏时，注意遮挡口鼻；保证充足睡眠；注意室内通风换气；适度有氧运动。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附件3<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em; text-align: center;">陕西省成人新冠病毒感染中医药治疗方案（试行第四版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">本病属于中医“疫”病范畴，病因为感受“疫戾”之气，病位在肺，基本病机特点为“寒、湿、热、毒”。根据新型冠状病毒感染性疾病特点及我省地域气候特征，制定本方案。相关中成药的使用参见附表。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">一、无症状感染者<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：益气固表，解毒生津。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：益肺解毒汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药:生黄芪15g、炒白术10g、防风6g、金银花10g、连翘15g、藿香15g（后下）、贯众15g、桔梗10g、芦根30g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">二、轻型（风热夹湿）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：发热微恶寒，干咳少痰，咽痒咽痛，身困乏力。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质淡，苔薄白腻，脉浮滑。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：疏风清热，健脾利咽。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：清瘟护肺汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药: 金银花15g、连翘15g、佩兰10g、杏仁10g、浙贝母15g、桔梗10g、防风10g、炒白术15g、茯苓15g、党参15g、竹叶10g、麦冬15g、玄参15g、苏叶10g、茵陈15g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">三、普通型<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.外寒内热，湿毒蕴结<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症:发热或高热，伴见恶寒，全身痠痛，无汗或微汗，咽喉灼热甚或疼痛，烦躁不安，脉浮紧。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质淡红（嫩红、红绛），苔薄黄腻（浊腻）。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：发汗解表，兼清里热。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方:大青龙汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：麻黄8g、桂枝10g、杏仁10g、生石膏30g(先煎)、牛蒡子10 g、桔梗10g、藿香15g（后下）、贯众15g、蒲公英15g、芦根30<a style="box-sizing: border-box; margin-bottom: 15px; line-height: 2em;" name="_Hlk121820154"></a>g、白茅根30g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.风寒袭表，气虚湿滞<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：憎寒壮热，无汗，头项不舒，肢体酸痛，咳嗽有痰，鼻塞声重，胸膈痞闷，身困乏力，纳呆便溏。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌苔白腻，脉浮按之无力。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：散寒祛湿，益气解表。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：人参败毒散加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：羌活10g、独活10g、柴胡16g、前胡10g、川芎10g、枳壳10g、茯苓15g、桔梗10g、党参15g、薄荷12g（后下）、生姜10g、粳米30g、甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">3.寒湿袭表，疫毒伤肺<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症:发热，乏力，身体困重，嗅觉、味觉减退，微咳，纳呆脘痞，大便粘腻不爽。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质淡红，苔薄白腻，脉濡或滑。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：解表化湿，宣肺透热。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方:藿香正气加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：藿香15g（后下）、紫苏叶6g、麸炒白术15g 、茯苓15g、陈皮10g、姜半夏10g、厚朴10g、芦根30g、荷叶10g、桔梗10g、滑石18g（布包煎）、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">4.湿热蕴肺<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症:发热困倦，胸闷腹胀，肢酸，咽痛，口渴，汗出不畅，小便短赤。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌淡红,苔薄白腻或薄黄，脉滑数或濡。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：清热解毒，利湿化浊。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方:甘露消毒丹加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：藿香15g（后下）、黄芩10g、射干10g、九节菖蒲15g（后下）、浙贝母15g、白豆蔻10g（后下）、桔梗15g、薄荷12g（后下）、连翘15g、鱼腥草30g、芦根30g、滑石18g（布包煎）、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">四、重型、危重型<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">重型、危重型，参照国家最新版新型冠状病毒感染诊疗方案进行中西医结合救治。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">五、恢复期<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.余热未清<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：身热多汗，或有微渴，心胸烦热，气逆欲呕，口干喜饮，气短神疲。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌红少苔，脉虚数。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：清热生津，益气和胃。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：竹叶石膏汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：竹叶10g、生石膏30g（先煎）、姜半夏10g、麦冬15g、粳米30g、太子参10g、生甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.肺脾气虚<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症:气短，倦怠乏力，纳差呕恶，痞满，大便无力，便溏不爽。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌淡胖，苔白腻。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：健脾益气，化湿和胃。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方:香砂六君子汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：法半夏9g、陈皮10g、党参15g、炙黄芪30g、炒白术10g、茯苓15g、藿香10g（后下）、砂仁6g（后下）、甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法:药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">3.气阴两虚<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：神倦乏力，气短，咳嗽，痰少，纳差。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌暗或淡红，苔薄腻，脉沉细。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：益气养阴。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：麦味补中益气汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：太子参15g、麦冬30g、五味子6g、生黄芪15g、炒白术10g、陈皮6g、当归10g、北沙参15g、杏仁10g、炙枇杷叶15g、炙百合30g、炙甘草6g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁400ml，早、晚餐后半小时服用。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附表：陕西省成人新冠病毒感染者治疗常用中成药参考<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em; text-align: center;">附表: 陕西省成人新冠病毒感染者治疗常用中成药参考<table class="wcn_c_table" cellspacing="0" cellpadding="0" align="center"><tbody style="box-sizing: border-box;"><tr class="firstRow" style="box-sizing: border-box;"><td width="102" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">症状</td><td width="639" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">常用药物</td></tr><tr style="box-sizing: border-box;"><td width="102" height="112" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">发热咽痛、伴有恶寒、流涕</td><td width="646" height="112" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">清肺排毒颗粒、散寒化湿颗粒、感冒清热胶囊(颗粒)、荆防颗粒、正柴胡饮颗粒、九味羌活丸(颗粒)、四季感冒片、感冒疏风胶囊(片、颗粒)、柴葛解肌颗粒、荆防败毒颗粒、避瘟解毒颗粒、芪防颗粒、虎白祛风化痰膏、热毒平颗粒、复方银花解毒颗粒等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="147" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">发热、伴有明显咽痛</td><td width="646" height="147" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">连花清瘟颗粒（胶囊）、金花清感颗粒、化湿败毒颗粒、宣肺败毒颗粒、热炎宁合剂、四季抗病毒合剂、清瘟护肺颗粒、益肺解毒颗粒、疏风解毒胶囊(颗粒)、银翘解毒颗粒、金叶败毒颗粒、蓝芩口服液、复方芩兰口服液、桑菊感冒片、桑夏菊颗粒、痰热清胶囊、双黄连口服液、柴芩清宁胶囊、抗病毒口服液（颗粒）、感冒退热颗粒、消炎退热颗粒、清开灵颗粒、小柴胡颗粒、芙蓉抗流感胶囊、大卫颗粒、麻杏清瘟颗粒、石草抗感颗粒、蓝花抗病毒颗粒、蓝翘退热合剂、羚羊角粉、紫雪散、柴胡滴丸等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="51" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">咽干咽痛不伴发热</td><td width="646" height="51" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">六神丸、清咽滴丸、喉咽清颗粒、金嗓利咽丸、穿心莲内酯滴丸等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="53" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">咳嗽咳痰</td><td width="646" height="53" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">连花清咳片、急支糖浆、杏贝止咳颗粒、橘红痰咳液、肺力咳合剂、痰咳净滴丸等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">干咳无痰</td><td width="646" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">咳速停糖浆、宣肺止嗽合剂、通宣理肺丸(颗粒、口服液)、苏黄止咳胶囊、强力枇杷露、黄参清热解毒膏、虎黄排毒膏等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">鼻塞流涕</td><td width="646" height="29" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">鼻窦炎口服液、散风通窍滴丸、风寒感冒颗粒等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="6" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">恶心/呕吐</td><td width="646" height="6" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">藿香正气胶囊（丸、滴丸、水、口服液）等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="32" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">焦虑抑郁、失眠</td><td width="646" height="32" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">宣肺达郁颗粒、加味逍遥丸、百乐眠、疏肝解郁胶囊、乌灵胶囊等</td></tr><tr style="box-sizing: border-box;"><td width="102" height="32" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">便干便秘</td><td width="646" height="32" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">双黄益肺通便膏、麻仁软胶囊等</td></tr></tbody></table><p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.上述中成药选择其中一种，须按药品说明书服用或咨询医生，一般3～5天或症状消失即停止用药，如症状无缓解或加重，请及时到正规医疗机构就诊。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.特殊人群，如婴幼儿、哺乳期妇女、孕妇、老年人以及合并基础疾病人群建议在医生指导下服用。　<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"> <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附件4<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em; text-align: center;">陕西省儿童新冠病毒感染中医药治疗方案（试行第四版）<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">本病属于中医“疫病”范畴，病因为疫毒之邪，由口鼻而入，病位在肺卫，也可累及脾、胃等多个脏器。小儿脏腑娇嫩，易虚易实，易寒易热，易于受到疫毒侵袭，出现肺卫受损，甚则心肝受累。疾病过程中有虚、寒、湿、热、毒等病机变化。中医药治疗原则为早防、早诊、早治。相关中成药的使用参见附表。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">一、药物口服<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（一）无症状感染者<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：益气解毒。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：异功散加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：太子参6g、白术6g、茯苓5g、生甘草3g、金银花6g、板蓝根6g、桔梗5g、黄芩5g、陈皮6g、炒麦芽5g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（二）轻型<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.风热证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：发热，有汗或无汗，头痛鼻塞，咽痛，或偶有咳嗽，咽红肿痛。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质红，苔薄黄，脉浮数。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：疏风解表，清热解毒。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：银翘散加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：金银花6g、桑叶6g、连翘4g、桔梗6g、牛蒡子6g、芦根8g、玄参6g、白芍5g、鸡内金5g、荆芥5g、钩藤6g、甘草3g、生石膏8g（先煎）、知母5g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">加减：发热加柴胡6-10g，鼻塞加辛夷4-6g，恶心呕吐加陈皮4-6g、竹茹4-6g；便干结加炒枳实5-10g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;"><a style="box-sizing: border-box; margin-bottom: 15px; line-height: 2em;" name="_Hlk121607409"></a>煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.风寒夹湿，兼有里热证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：恶寒发热，无汗，头痛项强，肢体酸楚疼痛，口苦微渴，可伴有恶心呕吐。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌苔白或微黄，脉浮。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：发汗解表，散寒除湿，兼清里热。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：九味羌活汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：羌活6g、防风6g、苍术6g、细辛1.5g、川芎6g、白芷6g、生地6g、黄芩6g、金银花6g、枳实5g、厚朴4g、柴胡6g、葛根5g、甘草3g。 <p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（三）普通型<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.痰热蕴肺证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：发热，咳嗽痰多，色黄，憋闷气促，大便秘结，咽红。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质红，苔黄腻或黄燥，脉滑数或弦滑。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：宣肺清热，化痰止咳。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：麻杏石甘汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：生麻黄3g、苦杏仁3g、生石膏10g（先煎）、清半夏6g、黄芩9g、陈皮6g、桑白皮9g、蜜紫苑6g、浙贝母5g、芦根10g、全瓜蒌6g、枳实6g、鸡内金6g、生甘草3g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.寒湿阻肺证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：发热，或未热，咳嗽，咯白色泡沫痰，鼻塞，清涕，倦息乏力，或呕恶。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌质淡或淡红，苔白或白腻，脉濡。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：解表蠲饮，宣肺止咳。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：小青龙汤加减。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：生麻黄3g、桂枝4g、炙甘草3g、干姜4g、细辛1.5g、五味子5g、法半夏4g、白芍6g、苍术5g、陈皮5g、瓜蒌6g、浙贝母5g、款冬花5g 、蜜紫苑5g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（四）重型、危重型<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">重型、危重型，参照国家最新版新型冠状病毒感染诊疗方案进行中西医结合救治。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（五）恢复期<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.肺脾气虚证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：气短，倦息乏力，纳差呕恶，痞满，大便无力，便溏不爽。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌淡胖，苔白腻，脉细无力。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：益气健脾。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：香砂六君子汤化裁。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：太子参5g 、炒白术3g、茯苓5g、炙甘草3g、法半夏3g、陈皮5g、木香3g (后下) 、砂仁3g(后下) 、黄芪5g、佩兰3g、鸡内金5g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，5-7天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.气阴两虚证<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">主症：乏力，气短，口干，口渴，心悸，汗多，纳差，低热或不热，干咳少痰。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">舌脉：舌干少津，脉细或虚无力。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">治法：益气养阴，清热生津。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">处方：沙参麦冬汤合生脉散化裁。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">方药：北沙参5g、麦冬6g、西洋参5g 、五味子5g、生石膏6g（先煎）、淡竹叶5g、桑叶5g、芦根6g、丹参6g、玄参5g、川贝1g、生甘草3g。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">煎服法：药物用凉水浸泡30分钟，大火熬开后改为小火15分钟，煎煮两次，共取汁50-100ml，连服5-7天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用法：3月以上服用，3岁以下每日0.5剂，3-6岁每日1剂，6-9岁每日1.5剂，9岁以上每日2剂，均分3次口服。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">二、外治疗法<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（一）推拿疗法<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.症见咳嗽<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">予清肺经、揉肺俞、揉膻中、点揉列缺。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.症见发热<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">予开天门、推坎宫、运太阳、揉风池、清天河水、清肺经。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">3.症见头痛、鼻塞、流涕<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">予开天门、推坎宫、点揉迎香、揉太阳、点揉风池、掐揉耳后高骨。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">4.症见肌肉酸痛、恶风<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">予揉肺俞、清肺经、推膀胱经、点揉风池。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：相关操作需经中医药专业人员指导或培训。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（二）穴位敷贴<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用于咳嗽症状者。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">药物：寒性咳嗽用药（延胡索、炒白芥子、甘遂、细辛）以3：1：1：0.5比例，热性咳嗽用药（延胡索、黄芩、桑白皮、甘遂）以3：3：3：1比例共研为细末，生姜汁调制，放于敷料之上，大约直径2～3cm、做成厚度为0.3cm的敷贴。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">操作：可贴于患儿双侧肺俞、膈俞、大椎、定喘、膻中、天突等穴位，固定。每次敷贴时间为1～4h，连用3-5天。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：穴位贴敷请在医疗机构中进行。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">（三）耳穴疗法<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">用于发热、咳嗽症状者。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">耳穴取肺、咽喉、气管、神门、三焦、内分泌等穴位，以王不留行籽贴压，每3日贴1次，双耳交替贴压。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：耳穴治疗请在医疗机构进行。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附表：陕西省儿童新冠病毒感染治疗常用中成药参考<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">附表: 陕西省儿童新冠病毒感染治疗常用中成药参考<table class="wcn_c_table" cellspacing="0" cellpadding="0" align="center"><tbody style="box-sizing: border-box;"><tr class="firstRow" style="box-sizing: border-box;"><td width="138" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">症状</td><td width="613" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">常用药物</td></tr><tr style="box-sizing: border-box;"><td width="138" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">无症状感染</td><td width="613" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">小柴胡颗粒、表虚感冒颗粒、参苏片等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="51" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">发热、头痛鼻塞、咽痛</td><td width="604" valign="top" height="51" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">连花清瘟胶囊（颗粒）、热炎宁合剂、四季抗病毒合剂、小儿豉翘清热颗粒、儿童清咽解热口服液、小儿宝泰康颗粒、小儿感冒退热糖浆、小儿青翘颗粒等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">咽痛明显</td><td width="613" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">小儿清咽颗粒、开喉剑喷雾剂（儿童型）等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">高热持续不退</td><td width="613" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">羚羊角粉、紫雪散等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">发热恶寒、头痛、肢体疼痛</td><td width="613" height="20" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">小儿柴桂退热颗粒、小儿风热清口服液、九味羌活丸 (颗粒)、荆防颗粒 (合剂)等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">恶心、呕吐</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">藿香正气口服液(无酒精型)等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;"> 发热、咳嗽、咯白黏痰或黄痰、大便秘结</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">清宣止咳颗粒、儿童清肺口服液、小儿清肺止咳片、宣肺败毒颗粒、金振口服液、小儿麻甘颗粒、小儿肺热咳喘口服液（颗粒）等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse; word-break: break-all;">发热、咳嗽咯白稀痰</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">小青龙糖浆（颗粒）、小儿宣肺止咳颗粒等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">咳嗽、积食</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">小儿消积止咳口服液、健儿清解液等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">乏力、纳差腹胀、便溏</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">四君子丸（颗粒）、潞党参口服液等</td></tr><tr style="box-sizing: border-box;"><td width="131" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">气短、多汗干咳、口干</td><td width="613" height="18" style="box-sizing: border-box; margin: 0px; padding-right: 5px; padding-left: 5px; border-collapse: collapse;">生脉口服液、生血宝合剂、蜜炼川贝枇杷膏、养阴清肺膏等</td></tr></tbody></table><p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">注意：<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">1.上述中成药选择其中一种，须按药品说明书服用或咨询医生，一般3～5天或症状消失即停止用药。<p style="box-sizing: border-box; margin-top: 0px; margin-bottom: 15px; padding: 0px; color: rgb(51, 51, 51); font-family: Microsoft YaHei; white-space: normal; background-color: rgb(254, 246, 223); text-indent: 2em; line-height: 2em;">2.如出现发热3天不能退热，或持续高热、剧烈咳嗽、呼吸困难、精神差等严重症状，请及时到正规医疗机构就诊。 来源：陕西省中医药管理局<link rel="stylesheet" href="//www.dafuping.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_SkQ" id="wcn_editor_css"/>

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陕西发布新版新冠病毒感染中医药防治方案