COVID-19 's treatment Scheme of traditional Chinese Medicine

05 Mar 2020 01:39

COVID-19 treatment with traditional Chinese Medicine

As of 24:00 on February 20, a total of 18245 COVID-19 patients had been cured throughout the country. According to doctors, integrated traditional Chinese and western medicine treatment and psychological counseling play a great role in the recovery of patients. Among them, the effect of traditional Chinese medicine treatment is obvious. Since the outbreak of COVID-19, some effective traditional Chinese medicine treatment methods have been put forward all over the country. For the sake of your safety and health, next, Mr. Liu Fengli, coach of President Ping an, introduced the traditional Chinese medicine treatment plan in the latest edition of the sixth edition of the National Health and Health Commission, "novel coronavirus's pneumonia diagnosis and treatment Plan."

According to the sixth edition of the Health and Health Commission "novel coronavirus infection pneumonia diagnosis and treatment plan", this disease belongs to the traditional Chinese medicine "epidemic" category, the disease because of the "epidemic" gas, the local climate characteristics and different physique and other conditions, according to the following schemes for syndrome differentiation and treatment. When it comes to superPharmacopoeia doses, they should be used under the guidance of doctors.

1. Medical observation period

Clinical manifestation 1: fatigue with gastrointestinal discomfort

Recommended Chinese patent medicine: Huoxiang Zhengqi capsule (pill, water, oral liquid)

Clinical manifestation 2: fatigue with fever

Recommended Chinese patent medicine: Jinhua Qinggan granule, Lianhua Qingwen capsule (granule), Shufeng jiedu capsule (granule)

two。 Clinical treatment period (confirmed cases)

2.1 Qingfei Paidu decoction

Scope of application: suitable for mild, ordinary, severe patients, in the treatment of critical patients can be combined with the actual situation of patients reasonable use.

The basic prescription was ephedra 9g, roasted licorice 6g, almond 9g, raw gypsum 15 ~ 30g (first decoction), cinnamon branch 9g, Zexiao 9g, Polyporus umbellatus 9g, Atractylodes macrocephala 9g, Bupleurum chinense 16g, baicalin 6g, ginger Pinellia ternata 9g, ginger 9g, Aster Aster 9g, winter flower 9g, Seigan 9g, Asarum spp 6g, yam 12g, solid 6g, Chen Pei 6g, Huoxiang 9g.

Prescription: traditional Chinese medicine slices, fried in water. Pay once a day, two times in the morning and evening (40 minutes after meals), take warm clothes, pay three times a course of treatment.

If there are conditions, you can take half a bowl of rice soup at a time after taking the medicine, and you can take an extra bowl if your tongue is dry and your body fluid is deficient. (note: if the patient does not have fever, the amount of gypsum should be small, fever or strong heat can increase the amount of gypsum). If the symptoms improve but not cured, take the second course of treatment, if the patient has special circumstances or other basic diseases, the second course of treatment can be modified according to the actual situation, symptoms disappear when the drug is stopped.

Prescription source: circular of the Office of the State Administration of traditional Chinese Medicine of the General Office of the National Health and Health Commission on the recommendation of the use of "Qingfei Paidu decoction" in the treatment of pneumonia infected by novel coronavirus with integrated traditional Chinese and western medicine (letter No. 22 of the Medical Administration of the State Office of traditional Chinese Medicine (2020)).

2.2 Light weight

(1) syndrome of cold dampness and depression of lung

Clinical manifestations: fever, fatigue, soreness around the body, cough, expectoration, chest tightness, stuffiness, nausea, vomiting, stool sticky and uncomfortable. The tongue is light fat tooth mark or light red, moss white thick rot or white, pulse moisturizes or slippery.

The recommended prescriptions were as follows: ephedra 6g, raw gypsum 15g, almond 9g, Qiangliu 15g, Tingbei seed 15g, Guanzhong 9g, Dilong 15g, Xu Changqing 15g, patchouli 15g, Peran 9g, Atractylodes macrocephala 15g, Yunling 45g, Atractylodes macrocephala 30g, Jiaosanxian 9g, Magnolia officinalis 15g, Jiaobetel nut 9g, simmered grass fruit 9g, ginger 15g.

Method: one dose a day, 600 ml fried in three times, one in the morning, one in the middle of the night, and taken before meals.

(2) syndrome of dampness-heat accumulation of lung

Clinical manifestations: low fever or no fever, slight cold, fatigue, heavy head and body, muscle soreness, dry expectoration, pharynx pain, dry mouth do not want to drink more, or accompanied by chest tightness epigastric ruffian, no sweat or sweat is not smooth, or see vomiting and malaise, loose stools or stool sticky and uncomfortable. The tongue is reddish, the moss is white and thick or thin yellow, the pulse is slippery or wet.

The recommended prescriptions were betel nut 10g, Caoguo 10g, Magnolia officinalis 10g, Anemarrhena asphodeloides 10 g, Scutellaria baicalensis Georgi 10g, Bupleurum chinense 10g, Radix Paeoniae Rubra 10g, Forsythia suspensa 15g, Artemisia annua 10g (later), Atractylodes macrocephala 10g, Daqingye 10g,

Method: one dose a day, fried 400ml in two times, one time in the morning and once in the evening.

2.3 General type

(1) dampness toxin stagnation of lung syndrome

Clinical manifestations: fever, cough and phlegm, or yellow sputum, shortness of breath, abdominal distension, constipation is not smooth. The tongue is dark red, the tongue is fat, the moss is yellow or yellow dry, the pulse is slippery or the string is slippery.

The recommended prescriptions were as follows: ephedra 6g, bitter almond 15g, raw gypsum 30g, raw Coix seed 30g, Atractylodes macrocephala 10g, patchouli 15g, Artemisia artemisia 12g, Polygonum cuspidatum 20g, vervain 30g, dry root 30g, Tingli seed 15g, orange red 15g, raw licorice 10g.

Method: one dose a day, fried 400ml in two times, one time in the morning and once in the evening.

(2) syndrome of cold and dampness blocking lung

Clinical manifestations: low fever, warm body, or not hot, dry cough, less phlegm, burnout fatigue, chest tightness, epigastric ruffian, or vomiting, loose stools. The tongue is light or reddish, the moss is white or white, and the pulse is soaked.

The recommended prescriptions were as follows: Atractylodes macrocephala 15g, Chen Pei 10g, Magnolia officinalis 10g, Huoxiang 10g, herbaceous fruit 6g, ephedra 6g, Qiangliu 10g, ginger 10g, betel nut 10g.

Method: one dose a day, fried 400ml in two times, one time in the morning and once in the evening.

2.4 heavy duty

(1) Syndrome of closed lung caused by epidemic toxin.

Clinical manifestations: febrile blush, cough, less phlegm yellow mucus, or sputum with blood, shortness of breath, fatigue and burnout, dry mouth, nausea, stool is not smooth, urination short red. The tongue is red, the coating is yellow and greasy, the pulse is slippery.

The recommended prescriptions were as follows: ephedra 6g, almond 9g, raw gypsum 15g, Glycyrrhiza uralensis Fisch 3G, Huoxiang 10g, Magnolia officinalis 10g, Atractylodes macrocephala 15g, Caoguo 10g, Pinellia ternata 9g, Poria cocos 15g, rhubarb 5g, Astragalus membranaceus 10g, Tingli 10g, Radix Paeoniae Rubra 10g.

Method: 1 ~ 2 doses per day, decoction, 100ml ~ 200ml each time, 2 times a day, oral or nasal feeding.

(2) two burnt certificates of gas camp

Clinical manifestations: severe heat, thirst, shortness of breath, delirium dizziness, visual error, or macula, or vomiting, bleeding, or limb convulsions. The tongue is less moss or moss-free, and the veins are thin, or floating.

The recommended prescription was as follows: raw gypsum 30g, Anemarrhena asphodeloides 30g, place 30g, buffalo horn 30g, Radix Paeoniae Rubra 30g, Panax quinquefolium 30g, Forsythia suspensa 15g, Danpi 15g, Coptis chinensis 6g, bamboo leaf 12g, Tingli seed 15g, raw licorice 6g.

Method: 1 dose per day, water decoction, first frying plaster, buffalo horn and then all kinds of drugs, each time 100ml ~ 200ml, 2 times a day, oral or nasal feeding.

Recommended Chinese patent medicine: Xiyanping injection, Xuebijing injection, Reduning injection, Tanreqing injection, Xingnaojing injection. Drugs with similar efficacy can be selected according to individual conditions, or can be used in combination with clinical symptoms. Traditional Chinese medicine injection can be used in combination with traditional Chinese medicine decoction.

2.5 critical (internal and external detachment syndrome)

Clinical manifestations: dyspnea, prone to asthma or need mechanical ventilation, accompanied by dizziness, irritability, cold sweating limbs, purple tongue, thick fur or dryness, pulse floating without root.

Recommended prescription: ginseng 15g, Heishun tablet 10g (fried first), Cornus officinalis 15g, take Suhe Xiang pills or Angong Niuhuang pills.

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

Note: recommended use of severe and critical traditional Chinese medicine injections

The use of traditional Chinese medicine injection follows the principle of starting with low dose and adjusting syndrome differentiation step by step in accordance with the drug specification. The recommended usage is as follows:

Virus infection or mild bacterial infection: 0.9% sodium chloride injection 250ml plus Xiyanping injection 100 mg bid, or 0.9% sodium chloride injection 250ml heating Wenning injection 20 ml, or 0.9% sodium chloride injection 250ml plus phlegm Reqing injection 40ml bid.

Hyperpyrexia with disturbance of consciousness: 0.9% sodium chloride injection 250 ml plus Xingnaojing injection 20ml bid.

Systemic inflammatory response syndrome or / and multiple organ failure: 0. 9% sodium chloride injection 250 ml plus Xuebijing injection 100ml bid.

Immunosuppression: 0. 9% sodium chloride injection 250ml plus Shenmai injection 100ml bid.

Shock: 0.9% sodium chloride injection 250 ml plus Shenmai injection 100ml bid.

2.6 recovery period

(1) deficiency of lung and spleen qi syndrome

Clinical manifestations: shortness of breath, burnout, anorexia, anorexia, fullness, weakness of stool, loose stools. The tongue is fat and the moss is white and greasy.

The recommended prescriptions were as follows: Pinellia ternata 9g, Chen Pe10 g, Codonopsis pilosula 15g, Radix Astragali 30g, fried Atractylodes macrocephala 10g, Poria cocos 15g, Huoxiang 10g, Amomum villosum 6g (below), Glycyrrhiza uralensis Fisch 6g.

Method: one dose a day, fried 400ml in two times, one time in the morning and once in the evening.

(2) deficiency of both qi and yin

Clinical manifestations: fatigue, shortness of breath, dry mouth, thirst, palpitation, more sweat, poor tolerance, low fever or no heat, dry cough and less phlegm. The tongue is dry and weak, and the veins are thin or weak.

The recommended prescriptions were 10 g each, 15 g of Ophiopogon japonicus, 6 g of Panax quinquefolium, 6 g of Schisandra chinensis, 15 g of raw gypsum, 10 g of light bamboo leaf, 10 g of mulberry leaf, 15 g of Reed root, 15 g of salvia miltiorrhiza and 6 g of raw Glycyrrhiza uralensis Fisch.

Method: one dose a day, fried 400ml in two times, one time in the morning and once in the evening.