How does TCM deal with NCP？Mar. 13,2020
According to the “Diagnosis and Treatment Program of 2019 New Coronavirus Pneumonia (trial fourth version)” issued by the National Health Commission of China, the common clinical manifestations of this disease were fever, fatigue, dry cough, and a few patients had concomitant nasal congestion, runny nose, and diarrhea. Most severe cases developed dyspnea after one week, and even quickly developed “acute respiratory distress syndrome, septic shock, irreformable metabolic acidosis, and coagulation disorders”. It is worth noting that severe and critical patients could have moderate to low fever, or even no obvious fever during the course of the disease. Some patients only presented low fever and mild fatigue without pneumonia, and most of them recovered after one week. Most patients had good prognosis, and pediatric cases were relatively mild. Deaths were more common in elderly and chronically ill patients.
How does TCM deal with NCP？
Suggestions and Discussion on Diagnosis and Treatment of the Novel Coronavirus (2019-nCoV) Infectious Pneumonia in Modern Chinese Medicine by WANG Jinbang et al., carried out a retrospective study on the concept and onset, epidemiology and etiology/pathogenesis, diagnosis and syndrome differentiation, and staging and typing for treatment of this disease with TCM. In order to standardize the concept and diagnosis/treatment of this new “plague”, and to allow TCM to play a greater role, discussed and proposed the plan of “Diagnosis and Treatment of Pneumonia 2019 Novel Coronavirus (2019-nCoV)-infected Pneumonia (NCP) with Modern Chinese Medicine”.
Etiology : The 2019-nCoV is a pathogenic “dampness-turbidity”, which is a miscellaneous qi in nature. The “plague” caused by such pathogens belong to the category of warm diseases.Although the epidemic situations had regional characteristics and individual differences, and showed different symptoms, they were all based on the general principle of “dampness-turbidity”.
Diagnosis: Clinical syndrome differentiation should be performed using “triple energizer syndrome differentiation”, “defense, qi, nutrient, and blood syndrome differentiation”, and “visceral syndrome differentiation”, in order to determine disease stage, pathological stage, disease severity, and outcome/prognosis, and to clarify syndrome classification for the guidance of treatment and care.
Treatment: Divided into General treatment and severe and critical cases, in clinical treatment, the imbalance of yin and yang in the body can be corrected with the bias of medicines and the strengths of appropriate treatment technologies. The basic idea is to eliminate pathogenic factors and support healthy qi, discharge excess and tonify deficiency, correct imbalance and reduce damage, in order to achieve harmony and restore the “equilibrium of yin and yang”.
The authors point out that the practice of prevention and treatment of NCP has provided sufficient evidence that TCM can make a great contribution and should play a greater role as a main part of medicine. In thousands of years of Chinese civilization, TCM has accumulated rich clinical experience in the diagnosis and treatment of warm diseases, which should be fully respected and developed.
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