Traditional Chinese Medicine Prevention And Treatment Plan For Novel Coronavirus Pneumonia in Southern Province (Trial Version 3)

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In order to further develop the characteristics and advantages of traditional Chinese medicine in responding to public health emergencies, according to the National Health Commission's "New Coronavirus Infected Pneumonia Diagnosis and Treatment Plan (Trial Fifth Edition Revised Edition)", the General Office of the National Health and Health Commission, State Administration of Traditional Chinese Medicine Office of the State Administration of Traditional Chinese Medicine Office of the State Administration of Traditional Chinese Medicine [2020] No. 22 "Notice on recommending the use of "Qingfei Paidu Decoction" in the treatment of novel coronavirus-infected pneumonia with integrated traditional Chinese and Western medicine" and other relevant documents, combined with the province's medical treatment The institution's experience in participating in the practice of treating new coronary pneumonia has revised the "Hainan Province New Coronary Virus Infection Pneumonia Prevention and Control Plan (Trial Second Edition)", and formed the "Hainan New Coronary Pneumonia Traditional Chinese Medicine Prevention Plan (Trial Second Edition)". three editions)".

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1. Prevention

(1) Medical staff should work in accordance with standard precautionary principles and in strict accordance with relevant operating procedures.

(2) Drug prevention:

1. Use aromatic traditional Chinese medicine to ward off filth and turbidity and purify the air environment. It can be made of agarwood, mugwort leaves, moxa velvet, calamus, and another suitable amount to make sachets to purify the small ambient air of the mouth and nose; it can also be decoction and fumigation to purify the local ambient air such as the room. (Note: People with allergies should use it with caution)

2. Oral Fanggan Decoction, the composition is as follows: Astragalus 20g, Atractylodes 15g, Fangfeng 10g, Chishao 10g, Forsythia 10g, Banlangen 15g, Licorice 10g.

3. Acupoint sticking: To play the role of non-specific immune enhancement and regulation of traditional Chinese medicine, acupoint sticking therapy can be used. (Note: Those with contraindications to acupoint sticking should be used with caution). Traditional Chinese medicine medical institutions in various places should objectively implement it on the basis of identifying the constitution of healthy susceptible people according to the principle of "three causes and measures".

(3) Non-drug prevention:

1. False evil thief wind, avoid it sometimes: pay attention to keep warm and avoid feeling the air of epidemic disease. Avoid crowded places, try to stay away from crowded and closed environments such as supermarkets, shopping malls, fresh markets, etc. Cover your mouth and nose with a tissue or flexed elbow when coughing and sneezing to prevent the spread of droplets. Wash hands before meals and after defecation and after touching contaminated or suspected contaminants.

2. Have a regular life, work and rest on time: ensure adequate sleep, and the living environment is clean and hygienic with good ventilation.

3. Balanced diet, moderate exercise: The diet should be light and nutritious, avoid raw and cold food, eat less spicy and fragrant food; do not eat unquarantine food, pay attention to the use of knives and cutting boards for raw food and cooked food; participate in physical exercise properly, To enhance physical fitness, you can choose Taijiquan, Baduanjin, jogging and other sports according to your physical condition.

4. Take precautions and seek medical treatment in a timely manner: During the epidemic period, those who have been to the epidemic area within two weeks or have a history of close contact with patients with pneumonia confirmed by the new coronavirus infection and have fever, cough and other symptoms, or have any serious symptoms of discomfort Patients who are infected should wear a mask on all occasions, and go to the fever clinic of a medical institution in time for treatment.

2. Staged and Typed Treatment of Traditional Chinese Medicine

(1) Medical observation period

Clinical manifestation 1: Fatigue with gastrointestinal discomfort.

Basic medicines: Huoxiangzhengqi granules (pills, zhen, oral liquid), Fenglian Changweikang mixture

Clinical manifestation 2: fatigue with fever

Basic medicine: Lianhua Qingwen granules (capsule).

(2) Clinical treatment period

(1) Initial stage:

1. Inner dampness and heat

Clinical manifestations: thirst, nausea, pale tongue, tooth marks on the fat side, yellow and greasy fur.

Recommended prescription: Coix Seed 30g, Almond 10g, Cardamom 10g, Magnolia 15g, Pale Bamboo Leaf 5g, Talc 15g, Pinellia 15g, Artemisia annua 10g, Atractylodes Radix 10g, Agaricus 15g, Xiangyi 10g, Caoguo 10g, Poria 15g, Licorice 6g

2. Cold dampness and stagnation of the lungs

Clinical manifestations: aversion to cold, fever or no fever, dry cough, dry throat, fatigue, chest tightness, epistaxis, or nausea, loose stools. Pale or reddish tongue, white and greasy coating, moist pulse.

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

(2) Mid-term: damp toxin obstructs the lung

Clinical manifestations: dry cough with little phlegm, heavy cough, chest tightness, accompanied by fatigue and anorexia, loose stools. Pale red tongue, greasy coating, slippery pulse.

Recommended prescription: ephedra 9g licorice 6g almond 9g gypsum 15-30g (decoction first) cinnamon stick 9g Alisma 9g Polyporus 9g Atractylodes 9g Poria 15g Bupleurum 16g Scutellaria 6g Ginger Pinellia 9g Ginger 9g Aster 9g Winter Flower 9g Shegan 9g Asarum 6g yam 12g citrus Aurantium 6g tangerine peel 6g Huo Xiang 9g

Shuijianbi. One dose a day, twice in the morning and in the evening (forty minutes after meals), warm, three times for a course of treatment. (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.

Recommended Chinese patent medicine: Xiyanping injection, Xuebijing injection

(3) Severe stage: internal closure and external prolapse

Clinical manifestations: dyspnea, frequent wheezing or need for assisted ventilation, accompanied by dizziness, irritability, sweating, cold limbs, dark purple tongue, thick greasy or dry coating, floating pulse without root.

Recommended prescription: 1. Aconite 30g, dried ginger 60g, licorice 60g, Korean ginseng 10~30g (separately fried in thick juice for serving), dogwood 60~120g, raw keel, oyster, magnet each 30g, jujube 15g

2. 15g ginseng, 10g Heishun tablets (fried first), 15g dogwood, take Suhexiang Pills or Angong Niuhuang Pills

Recommended Chinese patent medicines: Xuebijing injection, Shenfu injection, Shengmai injection

(4) Recovery period:

1. Lung spleen deficiency

Clinical manifestations: shortness of breath, fatigue, anorexia, nausea, fullness, weak stool, loose stools, pale and fat tongue, greasy white coating, weak pulse.

Recommended prescription: Pinellia 9g, tangerine peel 10g, Codonopsis 15g, Sunburn Astragalus 30g, Poria 15g, Huoxiang 10g, Amomum 6g (below)

2. Lung and stomach yin deficiency

Clinical manifestations: dry throat and thirst, little or no fever, dry cough with little phlegm, red tongue with little coating, thin and weak pulse.

Recommended prescription: Radix ginseng 15g, Polygonatum 10g, raw licorice 6g, mulberry leaf 10g, Ophiopogon japonicus 15g, raw lentil 10g, pollen 10g