RESUMEN
Liver transplant patients require lifelong immunotherapy, and if they are infected by SARS-Cov-2, their immune function will face double whammy. This report described the integrated approach of traditional Chinese and western medicine in the treatment of a liver transplant patient with severe COVID-19. The treatment was involved with western medicine such as antiviral, immunosuppressive, focusing on maintaining immune balance. Traditional Chinese medicine was given based on the differentiation of syndromes, targeting at the core pathogenesis and using methods such as promoting qi circulation, clearing heat and resolving dampness, draining lung and relieving panting. Following the treatment, the patient exhibited notable improvement in clinical symptoms and liver function, leading to the effective cessation of disease progression and a shortened recovery period.
RESUMEN
Building on a clear understanding of the diagnosis and treatment patterns for cold-damp epidemics, and incorporating the insights of Academician TONG Xiaolin regarding the differentiation and treatment of such epidemics, this article have distilled the key diagnostic principles. These principles primarily entail observing color and pulse, initially distinguishing between yin and yang, with treatment focusing on dispelling cold and dampness. A comprehensive approach is adopted throughout treatment, with a combination of overall strategies and tailored treatments that evolve in line with the patient's condition. In critical and severe cases, particular attention is given to aspects such as sweating, pulse analysis, and consciousness, preventing the pathogen from penetrating deeply. Efforts are made to open and close organ networks, expelling external pathogens without fixating on resolving constipation. The dosage and efficacy of herbal remedies are adjusted based on individual circumstances and clinical symptoms. The objective is to eliminate pathogens comprehensively, while being vigilant against relapses, ultimately achieving a full recovery. This overview of the thought processes and clinical principles for diagnosing and treating cold-damp epidemics will guide precise clinical practices and provide a theoretical foundation for the involvement of traditional Chinese medicine in epidemic prevention and treatment.