李赛美基于六经辨证治疗长新冠综合征患者自汗症经验
关键词：长新冠综合征；自汗；六经辨证；太阳营卫不和；阳明湿热；太阴寒湿；厥阴血虚；李赛美中图分类号：R249.2 文献标志码：A 文章编号：1007-3213（2025）03-0741-05DOI： 10.13359/j.cnki. gzxbtcm.2025.03.029
Li Saimei's Experience in Treating Spontaneous Sweating Syndrome in Patients with Long COVID Based on Six-Meridian Syndrome Differentiation
LIU Xinyi'，ZENG Jibin²（Advisor：LI Saimei³）
（1.The Seventh ClinicalMedical SchoolofGuangzhou UniversityofChinese Medicine，Shenzhen 518101Guangdong，China; 2.Bao'anHospitalofChinese Medicine Afiliated to Guangzhou UniversityofChinese Medicine，Shenzhen 5181o1Guangdong， China；3.TheFirstAfiliated HospitalofGuangzhouUniversityofChineseMedicine，Guangzhou510405Guangdong，China）
Abstract：Various degrees of post-infection symptoms after novel coronavirus infection are called long COVID or post COVID-19 syndrome.Some of the patients with long COVID syndrome exhibit the symptoms of spontaneous sweating，fatigue and weakness，palpitation and shortness of breath.Following the theory of six-meridian syndrome differentiationand the clinical principle of prescriptionscorresponding to syndromes，ProfessorLi Saimei diferentiated the spontaneous sweating of patientswith long COVID into four main types，namely spontaneous sweating due to disharmony between taiyang nutritive qi and defensive qi ， spontaneous sweating due to Yangming damp-heat，spontaneous sweating dueto taiyin cold-damp，and spontaneous sweating due to jueyin blood deficiency，whichcan be treated with Guizhi Decoction，GegenQinlian Decoction，Fuzi Lizhong Decoction， and Danggui Sini Decoctionplus Erzhi Pils，respectively.IntheviewofProfessorLiSaimei，spontaneoussweating in patients with long COVID may result from disharmony between nutritive qi and defensive qi ，or from damp-heat pathogen，or from cold-damp pathogen， or from deficiency of qi and blood.Therefore，the therapies for spontaneous sweating should be focused on harmonizing nutritive qi and defensive qi ，drying dampness and eliminating pathogens，warming meridians and nourishing blood.Moreover，protecting the heart-yin and heartyang should be taken into acount，and herbal medicines with the actions of activating heart-yang and replenishing heart-yin and herbs for tranquilizing and alleviating palpitation can be selected in clinic.
Keywords：long COVID;spontaneous sweating;six-meridian syndrome differentiation;disharmony between taiyangnutritiveqianddefensiveqi； yangming damp-heat； taiyincold-damp； jueyin blooddeficiency；Li Saimei
新冠后综合征是指在最初的新冠病毒感染3个月后继续存在或新出现的症状，包括疲倦乏力、疼痛、心悸气短、睡眠障碍等，可涉及呼吸系统、血液系统、免疫系统、循环系统、神经系统等，并且这些症状持续至少2个月，故又称之为长新冠综合征[1-2l。（剩余8080字）