Traditional Chinese Medicine Diagnosis And Treatment Plan For Coronavirus Pneumonia in Liaoning Province (trial Version 2)
Mar 21, 2022
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This disease belongs to the category of epidemic diseases in traditional Chinese medicine. The disease is caused by feeling the qi of the epidemic, mainly because of dampness. It shows the diversity of cold and heat deficiency and excess according to the difference of the patient's constitution. The pathogenesis changes are relatively complicated. The basic pathogenesis is characterized by "dampness, heat, poison stasis”, combined with the characteristics of the current cold and dry climate in our province, it can be both cold and dry. The disease is located in the lungs and spleen. Depending on the patient's condition, physical condition, etc., various places can refer to the following schemes for syndrome differentiation and treatment.
(1) Medical observation period
Clinical manifestation 1: fatigue with gastrointestinal discomfort
Therapeutic Method: Dispelling the exterior and dispelling cold, aromatizing dampness
Recommended Chinese patent medicine: Huoxiangzhengqi capsule (pills, water, oral liquid), etc.
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Clinical manifestation 2: fatigue with fever
Therapeutic Method: Dispelling the lungs and detoxifying, clearing away heat and detoxifying
Recommended Chinese patent medicines: Jinhua Qinggan Granules, Lianhua Qingwen Capsules (granules), Shufeng Jiedu Capsules (granules), Fangfeng Tongsheng Pills (granules), etc.
Clinical manifestation 3: cough
Treatment method: Xuanfei and cough
Recommended Chinese patent medicine: Sanao Pian, etc.
Clinical manifestation 4: clinical symptoms are not obvious
Treatment method: clearing away heat and detoxifying, nourishing qi and strengthening the body
①Recommended Chinese medicine prescription: Bupleurum 9g, Scutellaria 9g, Pinellia 9g, Guanzhong 9g, Honeysuckle 15g, Forsythia 15g, Taizishen 10g, Astragalus 15g, Fangfeng 9g, Fried Atractylodes 9g, Raw Licorice 6g
1 dose is decocted in water to 200ml, and 100ml is taken orally twice a day for 5 to 7 days. ②Recommended external treatment:
Moxibustion: Select Dazhui, Feishu, Zusanli and other acupoints, moxibustion for 10 to 20 minutes, once every 1 to 2 days to nourish qi and strengthen the body, and fragrant to detoxify.
(2) Clinical treatment period
1. Early stage
cold-damp stagnation lung syndrome
Symptoms: aversion to cold, fever or no fever, dry cough, dry throat, fatigue, chest tightness, epistaxis, or nausea, loose stools. Pale or reddish tongue, white or greasy coating, moist pulse.
Therapeutic Method: Relieve external dampness, disperse lung and remove pathogens
Recommended prescription: Atractylodes 15g, tangerine peel 10g, Magnolia 10g, Huoxiang 10g, Caoguo 6g, Ephedra 6g, Almond 10g, Qiang Huo 10g, Ginger 10g, Betel nut 10g
Modification and subtraction: ① Severe dampness pathogens, symptoms of chest tightness, combined with Weiling Decoction to remove dampness and stomach; ②Dampness from heat, damp-heat accumulation of toxins, symptoms of fever, thirst, chest swelling, abdominal distension, yellow coating For those who are tired, add Ganlu Disinfection Dan to detoxify and remove dampness.
2. Mid-term
Epidemic virus closed lung syndrome
Symptoms: Persistent body heat or alternating cold and heat, cough with little phlegm, or yellow phlegm, abdominal distension, constipation. Chest tightness, shortness of breath, coughing and wheezing, and wheezing when moving. Red tongue, yellow greasy coating or yellow dryness, slippery pulse.
Treatment method: detoxify and remove blood stasis, relieve heat and relieve asthma
Recommended prescription: 10g almonds, 30g raw gypsum, 30g melon, 6g rhubarb, 6g uncooked ephedra, 10g Tinglizi, 10g peach kernel, 6g grass fruit, 10g betel nut, 10g atractylodes
Modification and subtraction: ① strong fever, dizziness, dark complexion, black stasis and swollen lips, add Jiedu Huoxue Decoction and take Angong Niuhuang Pill, Zhibao Dan or Zixue San to remove blood stasis and detoxify, and awaken the mind; ② Epigastric For those with abdominal distention and constipation, add Magnolia officinalis and Glauber's salt to relieve heat.
Recommended Chinese patent medicines: Xiyanping injection, Xuebijing injection, Tanreqing injection, Reducing injection, Qingkailing injection (capsule, granule, oral liquid), Angongniuhuang Pill, Zhibaodan, Zixue Powder (granule, oral liquid, capsule)
3. Severe period
Internal closure and external decertification
Symptoms: dyspnea, frequent shortness of breath or need for assisted ventilation, accompanied by dizziness, irritability, sweating and cold limbs, dark purple tongue, thick greasy or dry coating, floating pulse without root.
Treatment method: replenishing qi and astringing yin, returning yang to solidify detoxification, dispelling turbidity, and opening and closing
Recommended prescription: 15g of ginseng, 10g of Heishun tablets (fried first), 15g of dogwood, take Angong Niuhuang Pill or Zixue Powder (granule, oral liquid, capsule)
Modification and subtraction: ①For those with excessive heat, take Angong Niuhuang Pill, Zhibaodan or Zixue Powder (granules, oral liquid, capsule) to clear heat and open the orifices; ②For those with severe phlegm, add Suhexiang Pill to dissolve phlegm and open the orifices; For those who are juicy, add centipedes, silkworms, and earthworms to relieve wind and stop spasm; ④For those with cold sweat, add calcined keel and calcined oysters to stop sweating and solidify; ⑤For those with cold limbs, add cinnamon sticks, dried ginger, etc. .
Recommended Chinese patent medicines: Xuebijing injection, Shenfu injection, Shengmai injection (capsule, granule, oral liquid), Angong Niuhuang Pill, Zhibao Dan, Zixue Powder (granule, oral liquid, capsule)
4. Recovery period
(1) Lung spleen deficiency syndrome
Symptoms: shortness of breath, shortness of breath, wheezing, fatigue, anorexia, nausea, fullness, weak stools, loose stools, pale and fat tongue, greasy white coating, weak pulse.
Therapeutic method: nourishing Qi and strengthening the spleen
Recommended prescription: Pinellia 9g, tangerine peel 10g, Codonopsis 15g, Sunburn Astragalus 30g, Poria 15g, Huoxiang 10g, Amomum Vulgaris 6g (after the next)
Modification and subtraction: ① Shortness of breath, severe asthma, dark tongue, add Panax notoginseng, Rhodiola, Salvia miltiorrhiza, Schisandra Chinensis, Radix Glycyrrhizae, etc. to activate blood and dredge collaterals, inhale Qi and relieve asthma; ② Body heat has subsided, and the abdomen is slightly stuffy, If the remaining pathogens are not purified, add Xue's Wuwei Lugen Decoction to light, clear and aromatize, and remove the remaining pathogens. For those with white and greasy fur and weak pulse, Shenling Baizhu Powder can be added with Huoxiang, Plan, and lotus leaf to regulate qi and remove dampness, strengthen the spleen and replenish qi.
Recommended Chinese patent medicine: Xiangsha Liujunzi Pill
(2) Qi and Yin injury syndrome
Symptoms: Fatigue and fatigue, conscious fever or low-grade fever, spontaneous sweating or night sweats, irritable heat in the heart, chest tightness, shortness of breath, dry mouth, and throat. The tongue is red or dark, and the pulse is thin or weak.
Therapeutic method: nourishing qi and nourishing yin
Recommended prescription: Astragalus 15g, Taizishen 15g, Bamboo Leaf 15g, Salvia Radix 15g, Ophiopogon japonicus 15g, Reed Root 20g, Trichosanthin 9g, Polygonatum 6g, Rhizoma Imperatae 20g, Raw Licorice 10g
Modification: ① Shortness of breath, severe asthma, dark tongue, add Panax notoginseng, Rhodiola, Salvia miltiorrhiza, Schisandra chinensis, dogwood meat, etc. to activate blood and dredge collaterals, inhale Qi and relieve asthma; ② For those with self-conscious fever or heart vexation, add Artemisia annua , Gardenia, Cortex Moutan, etc. to clear heat and eliminate trouble.
Recommended Chinese patent medicines: Shengmai Yin, Shenmai Injection, Shengmai Injection
Note: 1. For women who are sick during pregnancy, refer to the adult program for treatment, and avoid using pregnancy
Contraindicated drugs, both treatment, and abortion to prevent miscarriage, and should pay attention to the dosage,
The sickness is over.
2. For children's medication, please refer to the adult treatment plan, and adjust the dose according to pediatric regulations.
The amount of Chinese patent medicine without children's indications should not be used.
3. For proprietary Chinese medicines, please refer to the relevant drug instructions for rational use.
