Prevention Of Novel Coronavirus Pneumonia With Traditional Chinese Medicine in Hainan Province Work Guidance (Trial)

For more information:ali.ma@wecistanche.com

Published: March 25, 2020

In accordance with the spirit of the "Notice on Strengthening the Guidance for the Prevention of New Coronary Pneumonia with Traditional Chinese Medicine" issued by the General Office of the National Health Commission and the Office of the State Administration of Traditional Chinese Medicine (Guozheng Han [2020] No. 52), the previous stage of traditional Chinese medicine was summarized. Based on the experience in the prevention and treatment of new coronary pneumonia, combined with the regional climate and other characteristics of Hainan Province, this "Guide" is formulated. The "Guide" aims to provide suggestions on the prevention and control of traditional Chinese medicine for the prevention and control of the epidemic in our province, for the reference of clinical doctors and public health staff. Choose appropriate self-prevention methods.

Click to Cistanche tubulosa powder for immunity

1. Summary of TCM prevention programs

(1) Preventive oral medication

1. National Health Commission's TCM Prevention Guidance Program

(1) Clinical manifestation 1: fatigue with gastrointestinal discomfort

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

(2) Clinical manifestation 2: fatigue with fever

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

2. Yiqi Jiedu Decoction

Astragalus 15g, Atractylodes 15g, Fangfeng 10g, Forsythia 10g, Chenpi 10g, Huoxiang 10g, Licorice 6g.

Dosage: The above dose is for 1 day for adults, add water to boil and take 400ml of medicinal juice, take 200ml in the morning and evening, 7 days as a course of treatment.

3. Substitute tea

[Main raw materials] Huoxiang 3g, mint 3g, honeysuckle 3g, perilla leaf 3g, Pueraria 3g

[Eating method]: As a substitute for tea, brewed with boiling water; decoction (not suitable for long-term decoction), substitute for tea; the dosage for children should be reduced.

(2) Diet therapy

1. Porridge

(1) Chinese yam and lotus seed porridge

【Main ingredients】Yam (dry) 30g, lotus seed 10g, japonica rice 100g, ginger 3g.

[Preparation method] Wash the above raw materials, put them into a stew pot, and cook porridge over low heat.

【How to eat】Serve with meals. Consume 1 to 3 times a week.

【Main effect】Invigorating the spleen and benefiting the lungs, benefiting qi, and preventing sensation.

[Suitable crowd] It is especially suitable for people who are weak and prone to colds. It can enhance immunity and prevent health care.

(2) Sanren tangerine peel porridge

[Main raw materials] Coix seed 15g, red bean kernel 15g, mung bean kernel 15g, dried tangerine peel 5g, japonica rice 100g.

[Preparation method] Pound coix seed, adzuki bean kernel, and mung bean kernel into coarse slag, and cook together with dried tangerine peel and japonica rice until thoroughly cooked.

【How to eat】Serve with meals. Eat 1-3 times a week

【Main effect】Deliver spleen and remove dampness, clear away heat and heat.

[Suitable crowd] It is eaten by the general population, especially suitable for those with damp and heat internal constitution.

2. Soups

Braised Chicken Soup with Astragalus and Yam

[Main raw materials] 30g of raw astragalus, 15g of yam (dried), 15g of ginger, and 300 to 500g of chicken.

[Preparation method] Wash the chicken breast, astragalus, and yam, put the ginger slices into the stew pot, pour in an appropriate amount of cold water, and simmer until the chicken is thoroughly cooked.

【How to eat】Serve with meals. Consume 1 to 3 times a week.

【Main effect】Invigorating the lungs and nourishing qi, strengthening the spleen and nourishing the stomach.

[Suitable crowd] It is especially suitable for people who are weak and prone to colds. It can enhance immunity and prevent health care. If you have a cold, you should not eat it.

(3) Smoked Chinese herbal medicines

Cang Ai Realgar Formula: Moxa velvet 15g, Realgar 5g, Atractylodes 50g.

[Preparation method]: Put the above medicinal materials in a refractory vessel and ignite them together until all the medicinal materials are burnt out. The above dosage is for use in an indoor environment of 50 square meters. Physical killing methods are used at the same time.

【Preventive effect】: Aroma dehumidifies and purifies the air.

(4) Sachets

Anti-disaster sachet recipe: Qianghuo, Artemisia argyi, Bupleurum, Cangzhu, Asarum, Evodia, and Borneol in equal parts.

【Preparation method】: Grind to fine powder, put into sachets, wear close to the body, or breathe close to the nose. (Refer to the experience of Wu Shangxian, a famous foreign governance expert in the Qing Dynasty, in his "Liu Pianwen").

[Preventive effect]: fragrant to avoid evil, Xuanfei detoxification.

(5) Foot bath recipe

Basic formula: Eucommia 30-45g, Chuan Duan 30-45g, Angelica 15-20g, Sunburn Astragalus 30-45g, Huoxiang 15-30g, Ginger 15-20g.

Usage: add 2000ml of water, simmer in water for 45 minutes, take the juice, and put it into a bucket for a foot bath. Twice a day, 30 minutes each time, with a slight sweat all over the body. —Gansu Health Commission

(6) TCM exercises

Baduanjin, Wuqinxi, Taijiquan, Yijinjing, Liuzijue, etc. can be selected.

(7) Moxibustion

Moxibustion can warm the meridians, avoid toxins and remove dampness; at the same time, moxibustion also supports Yang and nourishes the body, and comprehensively improves the body's ability to resist and heal diseases, so that "the righteousness is stored, and the evil cannot be dried."

Method 1:

Acupoints: Zusanli (on the anterolateral side of the calf, 3 cun below the Dubi nose, one transverse finger from the front edge of the tibia), Hegu (on the back of the hand, between the 1st and 2nd metacarpal bones, at the midpoint of the radial side of the second metacarpal bone), Shenque (in the middle of the navel, the center of the navel);

Operation: gentle moxibustion, moxibustion time is 10 minutes per acupoint, Zusanli and Hegu, take one side at a time, and alternate the left and right sides, once a day, for a total of 14 treatments in 2 weeks.

Functions: Dispel wind and relieve the surface, promote the effect of ventilation and blood, warm the middle tonic, warm the spleen and stomach, regulate qi and soothe the nerves

Applicable people: the general population, can play a role in enhancing immunity, preventive health care.

Method 2:

Acupoint selection: Zusanli (both sides are on the front and outer sides of the calf, 3 cun below the nose of the calf, and a horizontal finger from the front edge of the tibia), Qihai (located in the lower abdomen of the human body, connecting the navel and the upper part of the pubic bone in a straight line, and dividing it into ten points. Divide equally, from the position of 3/10 of the navel), Zhongwan (upper abdomen, on the front midline, when the navel is 4 inches above the middle)

Methods: Zusanli: moxibustion with tools or directly with moxa and moxibustion for 15 minutes (each acupoint); Qihai and Zhongwan: choose one acupoint each time, and use moxibustion tools or moxa sticks for gentle moxibustion for 10 minutes. Moxibustion once a day in the afternoon or before dinner.

Function: regulate immunity, improve symptoms

Applicable people: the general population, can play a role in enhancing immunity, preventive health care.

(8) Massage

1. Yun ba gua 

On the palm surface, take the center of the palm as the center of the circle, and draw a circle from the center of the circle to the junction of the inner 2/3 and the outer 1/3 of the horizontal stripe at the root of the middle finger.

Methods: Shunyun Bagua use the right hand and the middle two fingers to clamp the thumb of the child, and then use the thumb to draw a circle clockwise at the Bagua point for 5 minutes.

Actions: promotes clearness and lowers turbidity, smooth qi, and resolves phlegm

2. Push four horizontal stripes

The four horizontal lines were located at the horizontal lines on the flexor side of the metacarpophalangeal joint of the eclipse, middle, innominate and little finger for 4 minutes.

Method: When pushing the four horizontal lines, the child's four fingers should be close together, and the massager's thumb should be repeatedly pushed along the four fingers and four horizontal lines.

Functions: Regulates the middle and moves qi, dissipates swelling and dissipates knots, clears the heat of the viscera

3. Ping liver

The Liver Meridian is located on the palm surface of the index finger of children, forming a straight line from the fingertip to the base of the finger.

Method: Pinggan is pushed from the base of the finger to the tip of the finger for 4 minutes.

Actions: Calm the liver wind, relieve stagnation and eliminate vexation; clear the lungs, smooth the qi and resolve phlegm, relieve cough and soothe the throat

4. Clear the lungs

The Lung Meridian is located on the palm surface of the ring finger of children, forming a straight line from the fingertip to the base of the finger.

Method: Qingfei pushes from the base of the finger to the tip of the finger for 4 minutes.

Action: Shun Qi and resolve phlegm, relieve cough, and soothe the throat

5. Knead Erma Point

The two horses are located in the depression behind the metacarpophalangeal joint of the ring finger and the little finger on the back of the child's hand

Method: Press and knead the acupoint with the index finger and middle finger of the massager for 3 minutes.

Action: nourishing yin and kidney

Chiropractic: The index finger is half flexed, and the middle part of the index finger of both hands rests on the thumb

2. Recommendations on TCM prevention for different groups of people

In view of the epidemiological and pathogenic characteristics of pneumonia caused by the new coronavirus infection, we are based on the different physical characteristics of the three groups of people with underlying diseases, children and the elderly, and firmly rely on the advantages of traditional Chinese medicine in disease prevention. Prevention is the main priority, and the recommended preventive measures are as follows:

(1) People with underlying diseases

Most of the severely ill patients in this epidemic are new coronaviruses combined with underlying diseases. In prevention, we must take dialectical measures and adapt to individual conditions.

1. Patients with underlying diseases of the respiratory system

If the disease is lingering for a long time, the lung qi is depleted, the function of the lungs to disperse, send, and descend is out of balance, resulting in the imbalance of the qi mechanism and the congestion of phlegm.

2. People with underlying diseases of diabetes

Diabetes belongs to the category of Diabetes in TCM, with yin deficiency and dryness and heat, prolonged yin deficiency and qi, and qi and yin deficiency, the methods of clearing heat and promoting body fluid, nourishing yin and preventing sensation can be used, such as Shengmai San, Liuwei Dihuang Decoction, Shashen Ophiopogon Decoction, etc. Prophylactic use of prescriptions.

3. Patients with underlying diseases of hypertension

Regarding the understanding of the etiology and pathogenesis of hypertension, physicians of the past dynasties and modern Chinese medicine mostly emphasize that "all kinds of wind and dizziness belong to the liver", and the methods of clearing heat and nourishing yin, calming the liver, and preventing infection can be adopted, and prescriptions such as Tianma Gouteng Yin and Sang Ju Yin can be used. Preventive use.

4. Patients with underlying coronary heart disease

Qi deficiency and pulse blockage are common syndromes of coronary heart disease. The method of nourishing qi and dredging the pulse can be used to prevent infection, and the prescriptions such as Buzhong Yiqi Decoction and Gualou Xiebai Banxia Decoction can be used preventively.

(2) Children

Children's constitution is characterized by delicate viscera, lack of body and qi, vigorous vitality, rapid development, easy onset, and rapid change, and targeted prevention can be carried out according to different constitutions.

1. People with qi deficiency constitution: mainly focus on strengthening the body and preventing feeling, and choose jade screen particles;

2. For those with internal heat: mainly to clear away heat, detoxify and prevent infection, choose Xiaoer Qingqiao Granules;

3. People with weak spleen and stomach: mainly to invigorate the spleen, replenish qi and prevent feeling, and use Shenling Baizhu granules;

4. People with food accumulation: mainly to digest food and prevent accumulation, choose Baohe Granules.

(3) The elderly

The elderly are the main group infected with the new coronavirus due to their weak righteousness, mood swings, and physical vulnerability to external evils.

1. Cultivate righteousness

In prevention, medicines such as Codonopsis, Poria, Fried Atractylodes, Astragalus, and Lily can be used to invigorate Qi and spleen, nourish yin and moisten lung.

Use therapeutic recipes, such as carrots, raw astragalus, candied dates, and fresh lily to drink in soup.

Learning traditional Chinese medicine exercises, such as Baduanjin, Taijiquan, and regular exercise can strengthen the body.

2. Adjust your mentality

Due to the seriousness of the epidemic, my country has adopted strict closure measures. The dissemination of some negative news in the society and self-activities are restricted by the environment, and the mentality of the elderly is inevitably suppressed, resulting in sadness, worry, thinking, fear, panic, etc. Negative emotions lead to a decrease in body resistance. Therefore, in prevention, it is necessary to strengthen psychological counseling to relieve emotions.

3. Recommendations on TCM prevention programs in different work scenarios

With the gradual easing of the epidemic, all regions are actively responding to national policies and have begun work related to "resumption of work" and "resumption of school". In order to prevent the recurrence of the epidemic during the process of "resuming work" and "resuming school", we can use the corresponding traditional Chinese medicine prevention plan to prevent the epidemic according to the differences in work scenarios and living environments: try to avoid crowded situations, The network can be used for online communication, and for unavoidable situations, such as dining in sections, seating at intervals, etc.; the working environment is regularly sterilized by incinerating traditional Chinese medicine to avoid pests or disinfecting water that meets the specifications; pay attention to opening windows for ventilation, Physical barriers (paper towels, etc.) can be used to avoid direct contact with public items (elevator buttons, door handles, etc.) that are easily accessible by personnel.

4. Key points of TCM prevention in tropical regions based on local conditions

Hainan Island is a tropical area, and its geographical environment, eating habits, and physical conditions are different from those in inland places. In the process of prevention, we should not stick to the existing formulas. Reasonable adjustments such as "people" and "treatment based on syndrome differentiation".

The tropical region (Hainan Island) is warm and hot all year round, with high air humidity, abundant precipitation, and small temperature difference, suggesting that among the six pathogenic factors, the four pathogenic factors of wind, heat, summer heat, and dampness are relatively more pathogenic, and heat, summer heat, and dampness are the most pathogenic. very. In terms of diet, the abundance of seafood products, which are mostly greasy, will also affect the function of the spleen and stomach. In addition, residents often go out at night and prefer to eat cold drinks, which can also lead to the evil qi of yin and cold.

(1) Righting

1. Nourishes qi and nourishes yin

Symptoms: Fatigue and fatigue, conscious fever or low-grade fever, spontaneous sweating or night sweats, irritability and heat in the heart, chest tightness, shortness of breath, dry mouth, and throat. Red or dark tongue, less fluid, deep and thin pulse, or weak pulse. The specific degree of contact clinical is divided into the following two phases.

Prevention period: If the symptoms are not obvious, you can borrow fruits and other therapeutic methods. Such as unique to tropical regions - coconut milk, Qingbuliang, coconut milk Shengmai drink, etc.

Initial feeling period: At this time, the symptoms are relatively obvious, and the effect of simple diet therapy is no longer obvious, and Chinese patent medicine can be used to intervene. Such as Astragalus Shengmai Drink, Eleven-flavored Shenqin Tablets, Shenmai Drink, etc.

2. Strengthen the spleen and stomach

If there is a problem with the spleen and stomach, it is usually manifested as acid reflux, abdominal pain, loss of appetite, unformed stool, anorexia, vomiting, and other symptoms, and may also lead to insufficient qi and blood. In the new coronary pneumonia, the symptoms are mostly: abdominal distension, constipation or weak stool, Unpleasant stools, nausea, anorexia, etc.

Prevention period: It is necessary to pay attention to diet adjustment, eat less food with strong taste, and take peanuts (stomach bloating, acid regurgitation), black tea (abdominal distention, anorexia), barley tea (spleen-strengthening, regulating the middle and stopping diarrhea, and children’s food accumulation) for diet therapy.

Initial feeling period: At this time, some symptoms are more obvious, and Chinese patent medicine can be used for intervention, such as ginseng Jianpi Pill (invigorating the spleen and nourishing qi, and stomach and relieving diarrhea), Fuzi Lizhong Pill (warming the spleen and dispelling cold, stopping diarrhea and relieving pain), Niuhuang Qingwei Pill (clearing stomach and purging fire, moistening dryness and laxative)

(2) Eliminate the evil

1. Evil of heat and heat

Its pathogenic manifestations are usually: fever, excessive thirst (cold) drinking, upset, dizziness, polyuria, little or no sweating, sores, etc., and even dizziness. Cough, red face and dry mouth, constipation, red tongue, and yellow coating, rapid pulse, etc.

Prevention period: In daily life and work, try to avoid activities during the high-temperature period at noon in combination with the characteristics of the tropical climate. The diet can be used: Qingbuliang, mung bean porridge (soup), lotus leaf soup, lotus leaf porridge, etc.

Initial feeling period: The body shows certain heat syndrome and symptoms of summer heat, and it can be intervened by taking Huoxiangzhengqi Shui, Compound Yinhua Jiedu granules, and other Chinese patent medicines to clear heat and relieve external appearance.

2. Dampness and turbidity

Its pathogenic manifestations are usually: external joint, low back pain, internal dysfunction of the spleen and stomach and other organs, and in the new coronary pneumonia, it is manifested as fatigue, fatigue, unfavorable defecation, epigastric, thick or greasy coating, and wet pulse.

Prevention period: In daily life, you can soak your feet, cupping, etc. to remove moisture in the body. You can also make yam, barley, lotus seeds, jujube porridge, mung bean lotus leaf porridge, etc. in the diet for intervention. In the process of diet therapy, barley is mostly used for dehumidification, but It is more suitable for people with the damp-heat constitution and should be used with caution for those with the deficiency-cold constitution.

The initial feeling stage: At this time, symptoms such as fatigue and soreness are obvious. According to the specific symptoms, Chinese patent medicines such as Muxiangshunqi Pills, Guipi Pills, Compound Berberine Tablets, and Xiangsha Yangwei Pills can be used for treatment.

3. Yin cold evil

Its pathogenic manifestations are usually as follows: fever and aversion to cold, no sweat, cough and asthma, joint contracture and acute pain, unfavorable flexion and extension, body pain, clear and long urination, white coating, etc. The main symptoms are an aversion to cold and fever, sweating → no sweating, cough and asthma, fatigue, and so on.

Prevention period: Pay attention to temperature changes in daily life. You can eliminate cold pathogens in the body by soaking your feet, paying attention to diet regulation, and do not over-eat raw and cold products. You can make ginger sugar sure drink, galangal porridge, etc. to drive cold.

Initial infection stage: At this time, typhoid fever is the main symptom. According to the specific symptoms, Jiuwei Qianghuo Pill (aversion to cold, fever, no sweating, severe headache, and pain in limbs), Xiaoqinglong Mixture (aversion to cold and fever, no sweating) can be used. , Chuanke cough thin phlegm), Guizhi Granules (headache, fever, nasal congestion and retching, sweating, and aversion to wind) and other Chinese patent medicines to intervene.