Treatment of COVID-19 from the perspective of Jue-Yin Disease caused by cold-damp enveloping constrained fire based on Five-yun Six-qi theory / 国际中医中药杂志

ABSTRACT

Objective:To explore the etiology, pathogenesis and prescription of treatment methods of COVID-19 in traditional Chinese medicine (TCM), and to evaluate the value of integrated Chinese and western medicine for the treatment of the disease.Methods:According to the theory of five Yun and six Qi, regional climate characteristics and clinical evidence, the etiology and pathogenesis of COVID-19 were analyzed, and TCM treatment was established for clinical practices for 30 patients with COVID-19 in Huanggang Central hospital, during December 2019 and Janual 2020. Results:It is considered that COVID-19 belongs to the range of Plague in TCM theory, the etiology and pathogenesis are cold and dampness directly attacking the three yin channels, and internal constraint of deficient fire, so the disease name is called by cold-dampness pestilence. The prescription was Wumeiwan (Mume Pill) combined with Mahuang-Shengma Decoction (Ephedra and Cimicifuga Decoction) and Dayuanyin (Dayuan Beverage), and the treatment was modified according to pattern differentiation. A total of 30 patients were treated with pattern differentiation and treatment of TCM. Among which, one patient was treated only with herbal medicine, and the other 29 were treated based on the routine treatment of Western medicine. After treatment, 25 of the 30 patients had improved symptoms after taking 1 dose of TCM. After taking 7-10 doses, all patients had major symptoms ranging from improvement (8+4 cases) to complete disappearance (18 cases), 13 cases met the discharge criteria, including the one who was treated only with herbal medicine. Among all the patients, 5 of the 6 severe turned to moderate and 1 turned to mild. Conclusions:The pathogenesis of COVID-19 is cold and dampness directly attacking the three yin channels, and internal constraint of deficient fire, and then Jue-Yin Disease, which belongs to the category of cold-damp pestilence. The method of integrated Chinese and Western medicine can rapidly improve the symptoms and the clinical effect is satisfactory.