Guizhou Province Novel Coronavirus Chinese Medicine Prevention And Control Reference Plan (Third Edition)

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1. Traditional Chinese Medicine Prevention

(1) The principle of personal precaution

Establish the concept of curing disease before it insists that the individual is the first responsible person for health, and strengthen personal awareness of epidemic prevention.

1. Drink to prevent heatstroke. Avoid high-temperature work, go out, prevent heat stroke, and feel the evil heat of dampness; at the same time, avoid drinking cold drinks, and the temperature of the air conditioner is suitable, but take cold drinks.

2. Follow social distancing. Strictly maintain social distance, insist on wearing masks, keep a distance of more than 1 meter from others in public places, try to avoid going in and out of crowded areas, and avoid large-scale meetings and gatherings.

3. Heavy cleaning and hygiene. Wash hands frequently, wash clothes frequently, maintain personal hygiene, and keep the house environment clean.

4. Early diagnosis and isolation. If you have symptoms of cough or fever, seek medical attention in time, wear a mask, avoid others when sneezing, avoid splashing, and actively isolate when you have contact with the epidemic.

5. Protect righteousness and strong immunity. For chronic diseases of various systems of the human body, active treatment, standardized drug use, scientific rehabilitation, and protection of righteousness should be made. Use traditional Chinese medicine to enhance immunity, actively use vaccines, and promote immunity.

6. Adjust mentality and smooth emotions. Encourage the public to understand the epidemic, understand that the epidemic can be prevented and cured, do not believe or spread rumors, actively face the epidemic, and do not panic or suppress anxiety.

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(2) Chinese medicine preventive prescription

According to factors such as epidemic prevention scenarios, seasonal changes, personal constitution, and Guizhou’s geographical characteristics, traditional Chinese medicine preventive prescriptions are formulated into two types: Constitution-based medicines and general epidemic prevention.

1. Physical constitution type and prescription. This type of preventive prescription should be used after completing the identification of the TCM constitution under the guidance of a doctor.

(1) Peaceful quality

Common manifestations: moist complexion, thick and shiny hair, bright eyes, bright nose, clear sense of smell, rosy lips, not easy to fatigue, energetic, tolerance of cold and heat, good sleep, good appetite, normal bowel movements. The tongue is reddish, the fur is thin and white, and the pulse is gentle and strong.

Preventive prescription: Fuzheng and dampness prescription: Codonopsis 10g, Astragalus 10g, Nansha ginseng 9g, White Lentil 12g, Reed Root 15g, Huoxiang 6g, Yinhua 12g.

(2) Qi deficiency

Common manifestations: usually low voice, shortness of breath and lazy words, easy to catch a cold, lack of energy, easy to sweat. Pale red tongue, tooth marks around the tongue, weak pulse.

Preventive prescription: Yiqi and dampness prescription: Codonopsis 12g, Astragalus 15g, White Lentil 12g, Huoxiang 6g, Cardamom 6g, Yinhua 6g.

(3) Yang deficiency

Common manifestations: chills, cold limbs, fatigue, lethargy. The tongue is pale, plump, and tender, with tooth marks on the sides, pale white fur, and weak pulse.

Preventive prescription: Wenyang and cold prescription: white ginseng 6g, cinnamon twig 6g, Fangfeng 9g, Yinhua 12g, Su Ye 12g, white lentil 12g, Qianghuo 12g, Xiangshu 9g.

(4) Yin deficiency

Common manifestations: heat in hands, feet, and heart, dry mouth and throat, slightly dry nose, like cold drinks, and dry stool. Red tongue with little fluid, thin pulse.

Preventive prescription: nourishing yin and anti-toxic prescription: Radix ginseng 10g, Ophiopogon japonicus 10g, Huoxiang 6g, Yinhua 6g, lotus leaf 12g, Reed Root 12g.

(5) Phlegm and dampness

Common manifestations: Facial skin is more oily, sweaty, and sticky, chest tightness, phlegm, sticky or sweet mouth, likes fat and sweet. Greasy fur, slippery pulse.

Preventive prescription: Reducing dampness and resolving phlegm: Chenpi 10g, Poria 10g, Huoxiang 6g, Cardamom 6g, Yinhua 6g, Coix seed 15g.

(6) Depressed temperament

Common manifestations: Depressed expression, emotional vulnerability, boredom. Pale red tongue, thin white fur, stringy pulse.

Preventive prescription: Kaiyu and dampness prescription: Bupleurum 10g, Baishao 9g, Huoxiang 6g, Cardamom 6g, Yinhua 6g.

(7) Damp heat

Common manifestations: oily face, prone to acne, bitter and dry mouth, heavy drowsiness, sticky or dry stools, short and yellow urine, wet scrotum in men, and increased vaginal discharge in women. The tongue is reddish, the coating is yellow and greasy, and the pulse is slippery.

Preventive prescription: Qingre and dampness prescription: Yiren 15g, Poria 15g, Yinhua 9g, Forsythia 9g, Pale Bamboo Leaf 15g.

2. Universal anti-epidemic prescription. Commonly known as the "big pot of soup", it is suitable for communities, units, ports, stations, and other places to carry out large-scale epidemic prevention in the absence of syndrome differentiation and treatment of one person and one party.

(1) Oral administration.

Chai Ge Chang Yuan No. 3

Medicines: Bupleurum 9g, Pueraria Root 15g, Guanzhong 10g, Fangfeng 9g, Qianhu 9g Su Geng 6g Astragalus 9g, Almond 6g, 3 slices of ginger, 10g June Snow, 9g Scutellaria baicalensis, 10g silkworm sand (fried), Huoxiang 9g, honey loquat leaf 9g, reed root 15g, lotus leaf 15g

Function: Reconcile and guide stagnation, nourish qi and yin

Decoction method: decoct in water, one dose a day, in the morning and evening. Children under the age of ten are halved.

Scope of application: It is suitable for epidemic prevention use by regular people, both virtual and physical.

(2) Substitute tea.

Pueraria 12g, Astragalus 6g, Chuanbei 1g, Dendrobium Officinale 3g, Qingpi 2g, Lotus leaf 5g

Usage: Decoction instead of tea.

(3) Other preventive methods.

1. Diet therapy

Guided by the concept of traditional Chinese medicine diet and health care, to achieve the purpose of supporting righteousness and improving one's own disease resistance. Adhere to a comprehensive diet, correct the partiality of food, and maintain the balance of yin and yang; adhere to the five grains for nourishment, the five fruits for the help, the five animals for the benefit, the five vegetables for the supplement, and the correction of the diet partiality. Adhere to a balanced diet, eat regularly, eat quantitatively, eat lightly, and limit alcohol consumption.

2. Chinese medicine fumigation

Medicine: Atractylodes 30g, Coix Seed 30g, Calamus 20g, Peilan 20g, Chuanxiong 20g, Honeysuckle 30g, Forsythia 30g, Guanzhong 20g

Efficacy: dehumidification and defilement

Method: Put the medicine into a cloth bag, and mix it three times according to the conventional Chinese medicine decoction method. The water temperature of the foot bath liquid should be 38-40 ℃, the instep is red and the body is slightly sweating.

3. Champagne Therapy

Medicine: Astragalus 100g, Atractylodes 200g, Perrin 150g, Artemisia argyi 150g, Mint 60g

Efficacy: nourishing qi, solidifying the surface, dehumidifying, and preventing feeling

Method: Grind the medicine into a fine powder, put it into a cloth bag, each bag is 25g, wear it with you, place it in the living room or hang it in the car.

Contraindications: Oral administration is prohibited; pregnant women are prohibited; those with allergies should use it with caution.

4. Fitness exercises

(1) Baduanjin. The practice time is 10-15 minutes. It is recommended to practice 1-2 times a day. According to the physical condition of the individual, it is appropriate to bear it.

(2) Tai Chi. Recommended once a day for 10 minutes each time.

5. Group epidemic prevention

Highlight the simple and inexpensive features of traditional Chinese medicine, implement hospital-community-unit linkage, and build a nationwide epidemic prevention system. Hospitals at all levels have strengthened medical staff's knowledge of traditional Chinese medicine epidemic prevention and control and provided traditional Chinese medicine services such as ointments, traditional Chinese medicine substitutes for tea, and traditional Chinese medicine cauldron soup for the public and patients. The community pays attention to the health status of residents in the district bureau and cooperates with community hospitals and family doctors to provide TCM epidemic prevention knowledge and TCM services. Units and schools can organize personnel to strengthen the training of Chinese medicine epidemic knowledge. In dense office areas, windows and ventilation are required to be opened regularly, and a break of 10-15 minutes can be implemented in different periods. You can use anti-epidemic bags to make tea, traditional Chinese medicine cauldron soup in the tea room, and hang sachets in the office area.

2. Chinese medicine treatment (adults)

The "delta" variant strain of the new coronavirus is more transmissible, has a larger viral load in the respiratory tract, is more virulent, and has a more insidious onset. The new coronavirus pneumonia of the "delta" mutant strain is still in the category of "epidemic diseases" in traditional Chinese medicine. Those who are poisoning the five viscera, turn the source into a rage. The following are the treatment plans for adults, and the treatment plans for children are published separately.

(1) Medical observation period

Clinical manifestation 1: Fatigue with gastrointestinal discomfort and loose stools.

Recommended Chinese patent medicine: Huoxiangzhengqi capsule (pills, water, oral liquid),

Clinical manifestation 2: fatigue with fever.

Recommended Chinese patent medicines: Jinhua Qinggan Granules, Lianhua Qingwen Capsules (granules), Shufeng Jiedu Capsules (granules)

(2) Clinical treatment period (confirmed cases)

1. Generic side

Qingfei Paidu Decoction

Scope of application: It is suitable for asymptomatic infection, mild, common, and severe patients. It can be reasonably used in the treatment of critically ill patients according to the actual situation of the patients.

Basic formula: ephedra 9g, licorice root 6g, almond 9g, gypsum 15-30g (fried first), cassia twig 9g, Alisma 9g, Polyporus 9g, Atractylodes 9g, Poria 15g, Bupleurum 16g, Scutellaria baicalensis 6g, Ginger Pinellia 9g, Ginger 9g, Aster 9g, Winter Flower 9g, Shegan 9g, Asarum 6g, Yam 12g, Citrus aurantium 6g, Chenpi 6g, Huoxiang 9g

Dosage: Decoction pieces of traditional Chinese medicine, decoct with water. One dose per day, once in the morning and once in the evening (forty minutes after meals), warm, three doses for a course of treatment.

If conditions permit, half a bowl of rice soup can be added after taking the medicine each time, and those with a dry tongue and body fluid deficiency can take one more bowl. (Note: If the patient does not have a fever, the dosage of gypsum should be small, and the dosage of gypsum can be increased if the patient has a fever or strong fever). If the symptoms improve but are not cured, take the second course of treatment. If the patient has special conditions or other underlying diseases, the second course of treatment can modify the prescription according to the actual situation, and stop the drug if the symptoms disappear.

Source of prescription: "Notice on recommending the use of "Qingfei Paidu Decoction" in the treatment of pneumonia infected by novel coronavirus with integrated traditional Chinese and Western medicine" by the Office of the State Administration of Traditional Chinese Medicine of the General Office of the National Health and Health Commission (National Traditional Chinese Medicine Office Medical Policy Letter [2020] 〕number 22).

2. Type prescription

(1) Lightweight summer dampness syndrome

Clinical manifestations: sudden onset, fever, sweating, headache, heavy head, cough, body aches, upset and thirst, loose stools or sticky stools. Pale red or red tongue, yellow or greasy coating, fast and fine pulse.

Recommended prescription: Xinjiaxiang Ruyin, Liuyi Powder with Houttuynia cordata, Lucky Grass

Basic formula: Yinhua 20g, Forsythia 20g, Magnolia 15g, White Lentil 15g, Fragrance 15g, Talc 20g (fried), Licorice 6g, Reed Root 30g, Huoxiang 9g, Houttuynia Cordata 30, Lucky Grass 15

Recommended Chinese patent medicine: Jiulong Jiedu Capsule, Yinhuang Granule

Damp Heat Accumulating Lung Syndrome

Clinical manifestations: low fever or no fever, slight aversion to cold, fatigue, heavy head and body, muscle pain, dry expectoration with little phlegm, sore throat, dry mouth and no desire to drink more, or accompanied by chest tightness and epigastric pain, no sweating or poor sweating, or nausea, nausea, loose stools or sticky stools. Pale red tongue, white thick greasy or thin yellow coating, slippery or moist pulse.

Recommended prescription: Betel nut 10g, Caoguo 10g, Magnolia officinalis 10g, Anemarrhena 10g, Scutellaria baicalensis 10g, Bupleurum 10g, Chishao 10g, Forsythia 15g, Artemisia annua 10g (later), Atractylodes 10g, Daqingye 10g, raw Licorice 5g.

Dosage: 1 dose a day, decoct 400ml in water, take in 2 times, once in the morning and once in the evening.

Recommended Chinese patent medicines: Xiao Chai Hu Granules, Yinhuang Soft Capsules, Kesuting Capsules, Strong Loquat Zhike Capsules cold-damp stagnation lung syndrome Clinical manifestations: fever, fatigue, body aches, cough, expectoration, chest tightness and suffocation, anorexia, nausea, vomiting, and sticky stool. The tongue is pale with tooth marks or reddishness, the coating is white and thick, rotten or greasy, and the pulse is moist or slippery. Recommended prescription: cold and damp epidemic prescription

Basic prescription: raw ephedra 6g, raw gypsum 15g, almond 9g, Qiang Huo 15g, tingling 15g, Guanzhong 9g, earthworm 15g, Xu Changqing 15g, Huoxiang 15g, Peilan 9g, Atractylodes 15g, Yunling 45g, Atractylodes 30g, Jiao Sanxian each 9g, Magnolia 15g, coke betel nut 9g, simmered grass fruit 9g, ginger 15g.

Dosage: 1 dose a day, decoct 600ml in water, take in 3 times, 1 time in the morning, 1 time in the evening, before meals.

Recommended Chinese patent medicines: Fenghanmao Granules, Flu Pills, Huoxiangzhengqi Pills for fever, Keke Capsules for coughs, Suhuang Zhike Capsules

(2) Ordinary type

Damp toxin stagnant lung syndrome

Clinical manifestations: fever, cough with little sputum, or yellow sputum, suffocation, shortness of breath, abdominal distension, and constipation. Dark red tongue, fat tongue, yellow greasy or yellow dry coating, slippery pulse or string slippery.

Recommended prescription: Xuanfeibaidu prescription

Basic formula: raw ephedra 6g, bitter almond 15g, raw gypsum 30g, raw coix seed 30g, coix seed 10g, patchouli 15g, wormwood 12g, knotweed 20g, verbena 30g, dried reed root 30g, scorpion 15g, 15g of orange red, 10g of raw licorice.

Dosage: 1 dose a day, decoct 400ml in water, take in 2 times, once in the morning and once in the evening.

cold-dampness obstruction lung syndrome

Clinical manifestations: low-grade fever, body heat is not rising, or not warm, dry cough, less phlegm, fatigue and fatigue, chest tightness, epistaxis, or nausea, loose stools. Pale or reddish tongue, white or greasy coating, moist pulse.

Recommended prescription: Atractylodes 15g, tangerine peel 10g, Magnolia officinalis 10g, Huoxiang 10g, Caoguo 6g, Ephedra 6g, Qiang Huo 10g, Ginger 10g, Betel nut 10g.

Dosage: 1 dose a day, decoct 400ml in water, take in 2 times, once in the morning and once in the evening.

(3) Heavy

Epidemic virus closed lung syndrome

Clinical manifestations: fever, flushing, cough, yellow and sticky sputum, or blood in the sputum, shortness of breath, fatigue, dry mouth, bitter and sticky mouth, nausea, inedible, poor stool, short and red urination. Red tongue, yellow and greasy coating, slippery pulse.

Recommended prescription: Huashibaidu prescription

Basic formula: raw ephedra 6g, almond 9g, raw gypsum 15g, licorice 3g, Huoxiang 10g (after the next), Magnolia 10g, Atractylodes 15g, caoguo 10g, Pinellia 9g, Poria 15g, raw rhubarb 5g (after the next) , Raw Astragalus 10g, Tinglizi 10g, Red Peony 10g.

Dosage: 1-2 doses per day, decocted in water, 100ml-200ml each time, 2-4 times a day, orally or by nasal feeding.

gas camp two burnt certificate

Clinical manifestations: high fever and polydipsia, shortness of breath, delirium, dizziness, vision errors, rash, vomiting blood, epistaxis, or limb convulsions. Dark tongue with little or no moss, and pulse is fine and few, or floating and large.

Recommended prescription: gypsum 30-60g (decorated first), Anemarrhena 30g, raw land 30-60g, buffalo horn 30g (decorated first), red peony 30g, Scrophularia 30g, forsythia 15g, paeonol 15g, coptis 6g, bamboo leaves 12g, Tinglizi 15g, raw licorice 6g.

Dosage: 1 dose a day, decoct in water, first decoct gypsum and buffalo horn, and then apply for various medicines, 100ml-200ml each time, 2-4 times a day, orally or nasally.

Recommended Chinese patent medicines: Angong Niuhuang Pill, Xiyanping Injection, Xuebijing Injection, Reducing Injection, Tanreqing Injection, Xingnaojing Injection. Drugs with similar efficacy can be selected according to individual conditions, or a combination of two can be used according to clinical symptoms. Traditional Chinese medicine injection can be used in combination with traditional Chinese medicine decoction.

(4) Critical type

Internal closure and external decertification Clinical manifestations: dyspnea, wheezing frequently or requiring mechanical ventilation, accompanied by dizziness, irritability, sweating and cold limbs. The tongue is dark purple, the fur is thick and greasy or dry, and the pulse is large and rootless. Recommended prescription: 15g ginseng, 10g Heishun tablets (fried first), 15g dogwood, take Suhexiang Pills or Angong Niuhuang Pills.

For mechanical ventilation accompanied by abdominal distension, constipation or poor stool, 5-10g of raw rhubarb can be used. In the case of man-machine asynchrony, in the case of sedatives and muscle relaxants, 5-10g of raw rhubarb and 5-10g of Glauber's salt can be used.

Recommended Chinese patent medicines: Xuebijing injection, Reducing injection, Tanreqing injection, Xingnaojing injection, Shenfu injection, Shengmai injection, Shenmai injection. Drugs with similar efficacy can be selected according to individual conditions, or a combination of two can be used according to clinical symptoms. Traditional Chinese medicine injection can be used in combination with traditional Chinese medicine decoction.

Note: Recommended usage of heavy and critical Chinese medicine injection

The use of traditional Chinese medicine injections follows the principle of starting with a small dose and gradually adjusting according to the drug instructions. The recommended usage is as follows:

Virus infection or mild bacterial infection: 0.9% sodium chloride injection 250ml plus Xiyanping injection 100mg, bid; or 0.9% sodium chloride injection 250ml Heduning injection 20ml, bid; or 0.9% chloride injection 20ml, bid Sodium injection 250ml plus Tanreqing injection 40ml, bid.

Hyperthermia with disturbance of consciousness: 0.9% sodium chloride injection 250ml plus Xingnaojing injection 20ml, bid; systemic inflammatory response syndrome or/and multiple organ failure: 0.9% sodium chloride injection 250ml plus Xuebijing injection Liquid 100ml, bid.

Immunosuppression: 250ml of glucose injection plus 100ml of Shenmai injection or 20-60ml of Shengmai injection, bid.

(5) Recovery period

Lung spleen deficiency syndrome

Clinical manifestations: shortness of breath, fatigue, anorexia, nausea, fullness, weak stools, and unpleasant stools. Tongue pale, greasy coating.

Recommended prescription: Pinellia 9g, tangerine peel 10g, Codonopsis 15g, Astragalus 30g, fried Atractylodes 10g, Poria 15g, Huoxiang 10g, Amomum 6g (after the next), Licorice 6g.

Dosage: 1 dose a day, decoct 400ml in water, take in 2 times, once in the morning and once in the evening.

Qi and Yin deficiency syndrome

Clinical manifestations: fatigue, shortness of breath, dry mouth, thirst, palpitations, sweating, anorexia, low or no fever, dry cough, and less phlegm. Dry tongue with little fluid, thin or weak pulse.

Recommended prescription: 10g each of northern and southern ginseng, 15g of Ophiopogon japonicus, 6g of American ginseng, 6g of Schisandra, 15g of raw gypsum, 10g of pale bamboo leaves, 10g of mulberry leaves, 15g of reed roots, 15g of Salvia miltiorrhiza, and 6g of raw licorice.

Dosage: 1 dose a day, decoct 400ml in water, take in 2 times, once in the morning and once in the evening.

3. Acupuncture and moxibustion diagnosis and treatment plan

(1) Meridian diagnosis

"Plain Questions: The True Evil of Thorn Festival": "Anyone who uses acupuncture must first observe the emptiness and fullness of the meridians, cut them out and follow them, press them and play them, and then take them out after seeing what they should be moved."

The year 2021 (Xin Chou year) is due to the lack of water transportation, so it is the year of less water. In the first half of the year, the Qi of Titian is the Taiyin Wet Earth, in the second half of the year the Qi of the Spring is the Cold Water of the Sun, and the Five Elements of the Nian Branch are Earth. Since the year of the year belongs to water, the qi of the heavens belongs to the five elements of earth, the qi of the four elements is the moist soil of the Taiyin, the politeness is the fire of the Shaoyang, and the combination of luck means that the earth resists the water, so there will be excess moisture and insufficient cold water. On the basis of abnormal climate change, it is easy to see the increase of spleen and kidney diseases; this year is the year when water transport is insufficient, the aquatic wood is blocked, causing the liver fire to become hyperactive. In addition, the spleen belongs to the earth, the lung belongs to the metal, the spleen earth produces the lung metal, and the spleen is the mother of the lung. Secretary, the source of water and grains is insufficient, and the lungs are not nourished and nourished, causing the lungs to be insufficient, and it is easy to feel the evil of dampness and heat.

(2) Prevention and treatment

1. Push the meridians. In the meridian and acupoints with obvious tenderness or soreness, the meridian is pushed to promote the smooth operation of Qi and blood, improve the self-protection ability of the zang-fu organs, and prevent the virus from invading the zang-fu organs.

2. Acupoint application. Use borneol, white mustard seed, frankincense, myrrh, patchouli, indigo, forsythia, Ophiopogon japonicus, atractylodes, Scutellaria baicalensis, together with ginger juice to reconcile, make a medicine cake with a thickness of 0.5cm and a diameter of 1.5-2cm, and stick it on the acupoints place. The meridian examination found that abnormal phenomena were mainly concentrated in the above-mentioned meridians, so the selection of acupoints was mainly based on the combination of Shumu, and bilateral Feishu, Dachangshu, Ganshu, Danshu, Pishu, Weishu, Shenshu with Tanzhong, Guanyuan, Zhongwan, Juque, Zhongji, and other points are used to cure yang for yin diseases and yin for yang diseases to prevent diseases.