Progress in the diagnosis and treatment of novel coronavirus pneumonia by traditional Chinese medicine / 西安交通大学学报(医学版)

ABSTRACT

In December 2019, a new type of coronavirus pneumonia emerged and spread rapidly, but there is no specific antiviral vaccine or drug. At present, traditional Chinese Medicine (TCM) prevention and treatment programs have been introduced in many places in China. This paper systematically reviews and summarizes the etiology and pathogenesis of novel coronavirus pneumonia 2019 (COVID-19), the prevention programs for different populations in different regions and the treatment programs by stages. We analyzed the TCM prevention and treatment programs of COVID-19 in various regions and the clinical characteristics of the first-line patients. It is verified that the disease belongs to the category of "wet poison epidemic" according to TCM, and the disease is located in the lung and the spleen. The core pathogenesis of the disease is "dampness, heat, poison, blood stasis and deficiency" because of the rage of the disease. According to the relevant plan, TCM prevention should adopt different prescriptions according to the constitution of different populations and pay attention to comprehensive prevention according to different climates, regions and populations. Treatment should focus on eliminating filth and resolving turbidity, with clearing dampness as the key point. The corresponding treatment plan should be made according to the development of the disease, and the treatment should be divided into five stages (observation stage, initial stage, middle stage, severe stage and convalescence stage) according to the rules of syndrome development. Through the systematic analysis of the progress of TCM applied in various regions during the epidemic period, this paper hopes to provide useful help and guidance for the prevention and control of the epidemic and rational application and further research on the clinical treatment with TCM.