Sponsor(s): Shanghai University of Traditional Chinese Medicine;Shanghai Academy of Traditional Chinese Medicine
6 issues per year
Current Issue: Issue 02, 2020
"Journal of Shanghai University of Traditional Chinese Medicine" is characterized by strong academic nature, high quality, and standardized format. It focuses on carefully compiling and compiling publications from the perspective of frontier development of Chinese medicine disciplines and multidisciplinary comprehensive research. The column focuses on the needs of higher education and academic research of Chinese medicine, to cultivate high-level talents who are connected in the arts and sciences, and combine medical work and science, broaden their horizons, increase knowledge, improve the level of speculation and understanding, and promote the depth and breadth of academic research on Chinese medicine.
Editor-in-Chief: Chen Kaixian
Analysis of clinical characteristics of 50 patients with COVID-19 from perspective of traditional Chinese medicine
Academic Journal of Shanghai University of Traditional Chinese Medicine,2020,Vol 34,No. 02
Objective To investigate the clinical and traditional Chinese medicine (TCM) syndrome characteristics of coronavirus disease (COVID-19) patients in Shanghai. Methods Fifty COVID-19 patients from Shanghai Public Health Clinical Center were enrolled in this analysis. The epidemiological data, blood routine, chest CT, TCM syndrome characteristics, as well as tongue and pulse manifestations were collected on the first day of their admission, followed by analysis and differentiation according to TCM Diagnosis and Treatment Protocol for COVID-19 in Shanghai (Trial). Results The average age of COVID-19 patients was about 50 years old, and most of them were males, with the ratio of males to females being 1.27:1. The 74% of them had a history of traveling or living in Wuhan/Hubei, and 20% of them had a history of close contact with the confirmed cases. The chest CT images mainly showed multilobular lesions. No obvious abnormality was found in white blood cells, and the decreased lymphocytes and elevated C-reactive protein were also identified. More than half of the patients presented with fever (84%), cough (62%), fatigue (62%), poor appetite (58%), dry mouth (56%), diarrhea (56%), spontaneous sweating (54%), light red tongue or red tongue with greasy coating (68%) and white coating (74%). The primary syndrome was confirmed to be dampness-toxin stagnation in lung (82%), and a few cases were differentiated into the syndrome of heat-toxin blocking lung (18%). The average age of the patients with the syndrome of dampness-toxin stagnation in lung was significantly lower than that of the patients with the syndrome of heat-toxin blocking lung ( P = 0.002). The constituent ratio of the male patients with the syndrome of dampness-toxin stagnation in lung was obviously higher than that with the syndrome of heat-toxin blocking lung ( P = 0.024). Conclusion The main TCM syndrome type of COVID-19 patients is dampness-toxin stagnation in lung, which is in line with the characteristics of dampness pestilence in TCM.