通过对SARS患者临症观察和治疗中存在的棘手问题进行了探讨 ,就SARS的病机提出了热毒、正虚、血瘀、痰浊为主 ,病损在肺 ,同步殃及心、肾、脾胃等主要脏器 ;各期的主要病机为 :发热期以毒与热为主 ,喘憋期以瘀和浊为主 ,恢复期以正虚为主 ;治疗上明确了激素在发热期不用 ,喘憋加重期要足量使用 ,进入恢复期后 ,撤减激素时一定要谨慎 ;对恢复期的治疗、肺纤维化的问题和自限性疾病的认识进行了初步的探讨 Through the discussion of the thorny problems in the observation and treatment of SARS patients, we put forward the hot poison, deficiency syndrome, blood stasis and phlegm-dampness in the pathogenesis of SARS. , Spleen and stomach and other major organs; the main pathogenesis of each period: the main heat and toxic to heat, asthmatic period mainly to stasis and turbidity, the recovery period to the main virtual treatment is clear hormone in the fever period No, wheezing exacerbated to be used in sufficient quantities, into the recovery period, the withdrawal of hormones must be cautious; the treatment of convalescence, pulmonary fibrosis and self-limited disease awareness of a preliminary study