佟琳 杨洪军 李想 姜芬 杨湘蕃 张华敏

摘要 目的：研究分析国家及各省份发布冠状病毒肺炎诊疗方案或中医药防治方案中新型冠状病毒肺炎治疗期的古代经典名方使用情况。方法：提取诊疗方案中适用人群、分期、证型、主症、舌脉、治法、方剂名称等内容，录入Excel表并进行相关统计分析。结果：17个省、自治区、直辖市31个方案中推荐古代经典名方共计68个，近60%来自于伤寒金匮类、温病类的古医籍，其中10个方剂入选首批经典名方目录，方案中出现数量排在前3位的方剂为麻杏石甘汤、银翘散、升降散、达原饮、宣白承气汤、藿朴夏苓汤，治疗期推荐的古代经典名方主要为解表剂、清热剂、祛湿剂。结论：古代经典名方在新冠肺炎治疗期被广泛认可及应用，使用于该病不同阶段时当辨明病机抓准主症。

关键词 新型冠状病毒肺炎;中医;经典名方;诊疗方案

Abstract Objective：To analyze the use of ancient classic prescriptions during the treatment period of Corona Virus Disease（COVID-19）in the national and provincial guidance for corona virus disease 2019 or traditional Chinese medicine program for prevention and treatment of the COVID-19.Methods：The contents of applicable people，stages，syndrome types，main symptoms，tongue pulse，treatment methods，and prescription etc.were extracted and recorded in the excel sheets for relevant statistical analysis.Results：A total of 68 ancient classic prescriptions were recommended in 31 schemes in 17 provinces（autonomous regions/municipalities），of which nearly 60% came from ancient medical books of typhoid fever，gold deficiency and febrile diseases，of which 10 prescriptions were selected into the first classic classics list.The top 3 prescriptions appearing in these schemes were Maxing Shigan Decoction，Yinqiao Powder，Shengjiang powder，Dayuan Drink，Xuanbai Chengqi Decoction，and Houpu Xialing Decoction.The ancient classic prescriptions recommended during the treatment period were mainly superficies-resolving prescription，heat-clearing prescription，and damp clearing prescription.Conclusion：The ancient classic prescriptions were widely recognized and applied during the treatment period of COVID-19.When using in this disease at different stages，the pathogenesis and the main symptoms should be identified.

Keywords Corona Virus Disease 2019（COVID-19）; Traditional Chinese medicine; Ancient classical prescriptions ; Guidance for corona virus disease 2019

中圖分类号：R241.3;R254.2;R256.1文献标识码：Adoi：10.3969/j.issn.1673-7202.2020.13.030

新型冠状病毒肺炎（以下简称“新冠肺炎”）疫情发生以来，根据现有的临床观察及疫情发展的特点，国家及各省份卫生健康委、中医药管局发布了多个新冠肺炎诊疗方案或中医药防治方案（以下简称方案），方案中明确推荐多个古代经典名方用于新冠肺炎的全程防治中。古代经典名方是中医方剂的精华，它是历代医家在与疾病的斗争过程中的临床经验总结，并至今仍然有效指点临床实践。疫情爆发至今中医药在新冠肺炎防治过程中使用来源于古代的经典名方也备受国医大师及一线医师推崇。……