Covid-19 Intervention Recommended Prescription Of Chinese Medicine Of Sichuan Province, China (trial Version 1)

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Covid-19 Intervention recommended prescription of Chinese medicine of Sichuan province, China (trial version 1)

Release time: January 29, 2020

In order to give full play to the characteristics and advantages of Chinese medicine in dealing with public health emergencies, according to the document issued by the office of the national health and Health Commission and the office of the State Administration of traditional Chinese medicine on the issuance of a plan for the diagnosis and treatment of pneumonia caused by New Coronavirus infection (trial version third) (National Health Office No. 2020] 66, Formulate the following intervention suggestion prescription, which is the basic prescription based on the current clinical data, with clinical addition and subtraction.

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1、 Acute phase

（1） Wind heat with dampness syndrome

Symptoms: fever, no aversion to cold, thirst, no desire to drink, dry throat, sore throat, dry cough, less phlegm, bland and tasteless mouth, no desire for food, chest tightness, the fullness of epigastric and abdominal ruffians, or nausea, fatigue and fatigue, thin and soft stool, light red tongue, white and greasy moss, and few pulses.

Treatment: cool and soothe the skin, and dissolve dampness with fragrance

Prescription: yinqiao powder, Huopu Xialing Decoction Honeysuckle 30g, forsythia 30g, Schizonepeta tenuifolia 15g, burdock 15g, mint 15g, Platycodon grandiflorum 30g, almond 15g, patchouli 15g, Magnolia officinalis 15g, Poria cocos 30g, Pinellia ternata 15g, cardamom 15g, coix seed 30g, white lentil 30g, burnt Hawthorn 30g, jianqu 15g, reed root 30g

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

（2） Wind cold with dampness syndrome

Symptoms: fever, slight aversion to cold, head and body pain, dry cough, no phlegm, bland and tasteless mouth, no appetite, chest tightness, the fullness of epigastric and abdominal ruffians, fatigue, thin and soft stool, light tongue, white and greasy moss, and wet pulse.

Treatment method: the skin can be dissolved with pungent temperature, and the aroma can turn turbid

Prescription: jingfangbaidu powder and Huopu Xialing Decoction Schizonepeta tenuifolia 15g, Fangfeng 15g, Chuanxiong 15g, Angelica dahurica 15g, mint 15g, Platycodon grandiflorum 30g, patchouli 15g, perilla leaf 15g, Magnolia officinalis 15g, stir-fried Atractylodes rhizome 30g, Pinellia ternata 15g, jianqu 15g, coix seed 30g, Poria cocos 30g, cardamom 15g, almond 15g, charred Hawthorn 30g, white lentil 30g, reed root 30g

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

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（3） Syndrome of dampness evil depressing lung

Clinical manifestations: low fever or no fever, dry cough, less phlegm, dry throat, sore throat, fatigue, chest tightness, epigastric ruff, or vomiting, loose stool. The tongue is light or reddish, the moss is white or greasy, and the pulse is moist.

Treatment: dispelling dampness and detoxification, dispersing lung and penetrating evil

Prescription: maxing Yigan Decoction, Shengsheng powder, and Dayuan drink. Honey ephedra 10g, almond 15g, grass fruit 10-20g, areca 10-15g, cicada molting 5-10g, forsythia 10-30g, Atractylodes 10-15g, Platycodon grandiflorum 20-30g, Scutellaria 15g, burdock 15g, raw licorice 5-10g.

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

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（4） Damp heat-accumulating lung syndrome

Clinical manifestations: fever, thirst, fatigue, head and body sleepiness, sputum is not easy to come out, the mouth is bland and tasteless, do not want to eat, the stool is uncomfortable, the tongue is red, moss is white, yellow or greasy, and pulse is soaked.

Treatment: clearing heat, dispersing lung, aromatizing dampness

Prescription: Qingqi Huatan Decoction Combined with Huopu Xialing Decoction Tangerine peel 10-15g almond 10-15g Scutellaria 10-15g Trichosanthes peel 10-15g Poria cocos 15-30g Huoxiang 15g Magnolia officinalis 10-20g Artemisia annua 20-30g reed root 20-30g honeysuckle 15-30g pseudoginseng 30g raw licorice 5-10g

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

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（5） Syndrome of pathogenic heat blocking the lung

Clinical manifestations: fever, thirst, no desire to drink, chest tightness, dry throat, less phlegm, poor appetite, poor stool or loose stool. The tongue edge is sharp red, the moss is yellow, and the pulse floats.

Treatment method: clearing heat and detoxification, dispersing lung and penetrating evil

Prescription: Maxing Shigan decoction, yinqiao powder. Honey ephedra 10g， almond 10-15g， gypsum 20-30g， mulberry bark 15g， honeysuckle 20-30g， Forsythia 20-30g， Scutellaria 15g， Fritillaria Zhejiang 15g， raw licorice 5-10g

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

（6） Syndrome of the closing lung with evil toxin

Clinical manifestations: high fever, cough, less phlegm, yellow phlegm, chest tightness, shortness of breath, abdominal distension, and constipation. The tongue is red, the coating is yellow and greasy or yellow and dry, and the pulse is slippery.

Treatment: Xuanfei detoxification, Tongfu diarrhea heat.

Prescription: Xuanbai Chengqi Decoction, Huanglian Jiedu Decoction, Jiddu Huoxue Decoction.Almond 15g， raw gypsum 20-30g， Trichosanthes peel 15g， rhubarb 5g， honey ephedra 10g， Tingli 15-20g， peach kernel 10g， red peony 15g， raw licorice 5-10g

Decocting method: after soaking the medicine in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 15 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

（7） Syndrome of internal closure and external detachment

Clinical manifestations: dizziness, irritability, chest, and abdomen burning, cold hands and feet, shortness of breath, or need auxiliary ventilation. The tongue is purplish crimson, the fur is yellowish-brown or dry, the pulse is floating, and there is no root.

Treatment: opening and closing, solid removal, detoxification, and stress relief.

Prescription: Sini jiarenshen decoction, Angong Niuhuang Pill, Zixue powder. 20-30g raw dried ginseng, 30-60g roasted aconite (decoct the hemp first), 15-20g Cornus, and take Angong Niuhuang Pill or Zixue powder. Patients with Yang Qi outbursts can be added with Shenfu Injection by intravenous drip.

Decocting method: decoct the roasted aconite for 1 hour until it is not numb. Add raw sun-dried ginseng and Cornus to continue decocting for 30 minutes. Decoct for 3 times, 100ml each time, once every 3 hours, one dose a day. The treatment of traditional Chinese medicine focuses on early intervention. While typing treatment, we should pay attention to supplementing qi and nourishing yin. We can often take Shenmai drink (60g ginseng, 30g Ophiopogon japonicus, 600ml decoction, one dose a day), supplementing qi and nourishing yin, and improving body immunity. Those who cannot eat can be given a Shenmai injection intravenously.

2、 Recovery period

Syndrome of incomplete remaining evil and deficiency of Qi and Yin

Clinical manifestations: upset and thirsty, less Qi and lazy speech, less phlegm, or retch and cough, or dry nasopharynx, light mouth, less food, red tongue, less moss, thin pulse or count.

Treatment: Supplementing Qi and nourishing Yin, strengthening spleen and dehumidification

Prescription: bamboo leaf gypsum decoction combined with Sijunzi Decoction. Bamboo leaves 15g, gypsum 15-20g, Radix Pseudostellariae 20-30g, Ophiopogon japonicus 10-15g, Pinellia ternata 10g, Atractylodes macrocephala 15-20g, Poria cocos 15-20g, roasted licorice 5-10g

Decocting method: after the medicine is soaked in cold water for 30 minutes, after boiling in high fire, use low fire to continue boiling for 20 minutes, boil it for 3 times continuously, and mix the boiled liquid for 3 times, 150ml each time, once every 4 hours, one dose a day.

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