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Covid-19 Chinese medicine treatment

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Mar 8th, 2020
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  1. This disease belongs to the category of "epidemic disease" of traditional Chinese medicine. The disease is felt by the "epidemic disease". According to the disease condition, local climatic characteristics, and different physical conditions, dialectical treatment can be performed with reference to the following schemes. Involving over-pharmacopoeia dosage, it should be used under the guidance of a physician .
  2.  
  3. Period of Medical Observation
  4.  
  5. Clinical manifestation 1: fatigue and gastrointestinal discomfortRecommended Chinese medicine: Huoxiangzhengqi capsule (pills, water, oral liquid)
  6.  
  7. Clinical Manifestation 2: Fatigue with Fever
  8.  
  9. Recommended Chinese patent medicines: Jinhua Qinggan Granules, Lianhua Qingwen Capsules (granules), Shufeng Jiedu Capsules (granules)
  10.  
  11. Clinical treatment period (confirmed cases)
  12.  
  13. 2.1 Qingfei Detox Soup
  14.  
  15. Scope of application: Combined with the clinical observation of multiple doctors, it is suitable for light, ordinary and heavy patients. It can be used reasonably in combination with the actual situation of patients in the treatment of critically ill patients.
  16.  
  17. Basic prescription: Ephedra 9g, Zhigancao 6g, Almond 9g, Gypsum 15-30g (fried first), Guizhi 9g, Alisma 9g, Zhuling 9g, Baizhu 9g, Poria 15g, Bupleurum 16g, Scutellaria baicalensis 6g, Pinellia 9g, 9 g of ginger, 9 g of aster, 9 g of winter flower, 9 g of dried shoots, 6 g of asarum, 12 g of yam, 6 g of cilantro, 6 g of tangerine peel, 9 g of citron.
  18.  
  19. How to take: Traditional Chinese medicine decoction pieces, decoction. Pay once a day, once in the morning and evening (forty minutes after a meal).
  20.  
  21. If conditions permit, you can take half a bowl of rice soup each time you take the medicine, and you can take up to one bowl if you have a dry tongue and fluid. (Note: If the patient does not have a fever, the amount of gypsum should be small. Fever or strong heat can increase the amount of gypsum). If the symptoms improve but do not heal, then take the second course of treatment. If the patient has special conditions or other underlying diseases, the prescription can be modified according to the actual situation. If the symptoms disappear, the drug should be discontinued.
  22.  
  23. Source of prescription: Office of the State Administration of Traditional Chinese Medicine, Office of the State Administration of Traditional Chinese Medicine, "Notice on Recommending the Use of" Qingfei Detox Decoction "in Treating Pneumonia Infected with New Coronavirus by Integrated Traditional Chinese and Western Medicine" ) number 22).
  24.  
  25. 2.2 Mild Form
  26.  
  27. (1) cold and dampness lung syndrome
  28.  
  29. Clinical manifestations: fever, fatigue, sore body, cough, expectoration, tightness of the chest, gasping, nausea, vomiting, sticky stools. The tongue is pale, with red teeth, pale, thick, greasy, or greasy, and the pulse is slippery or slippery.
  30.  
  31. Recommended prescription: raw ephedra 6g, raw gypsum 15g, almond 9g, Zhihuo 15g, Zunlaozi 15g, Guanzhong 9g, Dilong 15g, Xu Changqing 15g, Huoxiang 15g, Pei Lan 9g, Cangzhu 15g, Yunling 45g, Baizhu 30g, 9g each of Jiaosanxian, 15g of Magnolia officinalis, 9g of betel nut, 9g of grass-fed fruit and 15g of ginger.
  32.  
  33. Dosage: 1 dose daily, 600ml decoction, divided into 3 times, once in the morning, midnight and evening, before meals.
  34.  
  35. (2) Damp heat syndrome
  36.  
  37. Clinical manifestations: low or no fever, slight chills, fatigue, heavy head and body, muscle soreness, dry sputum, less sore throat, dry mouth, do not want to drink more, or accompanied by chest tightness, no sweat or sweating , Or see nausea, dull, sticky beach or stool. The tongue is reddish, the moss is white and thick or thin yellow, and the pulse is slippery.
  38.  
  39. Recommended prescriptions: betel nut 10g, grass fruit 10g, Magnolia 10g, Zhimu 10g, Huangmeng 10g, Bupleurum 10g, red peony 10g, forsythia 15g, artemisia annua 10g (back), atractylodes 10g, big green leaf 10g, 5g of raw licorice.
  40.  
  41. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night.
  42.  
  43. 2.3 Ordinary Form
  44.  
  45. (1) damp toxin and lung syndrome
  46.  
  47. Clinical manifestations: fever, low cough and sputum, or yellow sputum, suffocation, shortness of breath, bloating, and constipation. The tongue is dark red, the tongue is fat, the fur is yellow or greasy, and the pulse is slippery or stringy.
  48.  
  49. Recommended prescription: raw ephedra 6g, bitter almond 15g, raw gypsum 30g, raw coix seed 30g, grass root 10g, patchouli 15g, artemisia annua grass 12g, Polygonum cuspidatum 20g, verbena 30g, dried reed root 30g, barberry 15g, 15g of orange red, 10g of raw licorice.
  50.  
  51. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night.
  52.  
  53. (2) cold dampness lung syndrome
  54.  
  55. Clinical manifestations: low fever, body heat is not hot, or not hot, dry cough, less sputum, tiredness, chest tightness, nausea, or vomiting, diarrhea. The tongue is pale or red, the fur is white or greasy, and the veins are sloppy.
  56.  
  57. Recommended prescriptions: 15g of Atractylodes rhizome, 10g of Chenpi, 10g of Magnolia officinalis, 10g of Alder incense, 6g of grass fruit, 6g of ephedra, 10g of ginger, 10g of ginger, 10g of betel nut.
  58.  
  59. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night.
  60.  
  61. 2.4 Severe Form
  62.  
  63. (1) Epidemic Lung Closure Certificate
  64.  
  65. Clinical manifestations: fever, flushing, cough, yellow phlegm, or blood in sputum, wheezing, shortness of breath, tiredness, tiredness, dry mouth, and sticky mouth, nausea, lack of food, poor stool, and short urine Red tongue, yellow greasy fur, slippery pulses.
  66.  
  67. Recommended prescription: Huashi Baidu Recipe | Basic formulas: raw ephedra 6g, almond 9g, raw gypsum 15g, licorice 3g, Dongxiang 10g (below), Magnolia 10g, Cangzhu 15g, grass fruit 10g, French pinellia 9g, Ling Ling 15g, raw rhubarb 5g (after the lower), raw astragalus 10g, Zunzi 10g, red scallion 10g.
  68.  
  69. Dosage: 1 ~ 2 doses daily, decoction, 100ml ~ 200ml each time, 2 ~ 4 times a day, orally or nasally.
  70.  
  71. (2) Two symptoms of Qi camp: clinical manifestations: fever, thirst, shortness of breath, shortness of breath, stunned vision, or spotted rash, or vomiting blood, bleeding, or convulsions in the limbs. The tongue has few or no moss, the pulse sinks down, or the number is large.
  72.  
  73. Recommended prescription: 30 ~ 60g gypsum (fried first), 30g of Zhimu, 30 ~ 60g of raw ground, 30g of buffalo horn (fried first), 30g of red peony, 30g of black ginseng, 15g of forsythia, 15g of paeonia, 6g of peony 12g, pavilion 15g, raw licorice 6g.
  74.  
  75. Dosage: 1 dose daily, decoction, decoction of gypsum, buffalo horn first and then medicines, 100ml ~ 200ml each time, 2 or 4 times daily, orally or nasally.
  76.  
  77. Recommended Chinese patent medicines: Xiyanping injection, Xuebijing injection, Reduning injection, Tanreqing injection, Xingnaojing injection. Drugs with similar efficacy can be selected according to individual conditions, or can be used in combination according to clinical symptoms. Traditional Chinese medicine injection can be used in combination with traditional Chinese medicine decoction.
  78.  
  79. 2.5 Critical Form
  80.  
  81. Closed-out
  82.  
  83. Clinical manifestations: dyspnea, dyspnea, or mechanical ventilation, fainting, irritability, cold sweating limbs, dark purple tongue, thick or dry fur, and floating pulses without roots.
  84.  
  85. Recommended prescription: 15g of ginseng, 10g of Heishun tablets (fried first), 15g of dogwood, delivered with Suhexiang Pill or Angong Niuhuang Pill.
  86.  
  87. "People who have mechanical ventilation with abdominal distension, constipation or poor stools can use raw rhubarb 5-10g. In the case of man-machine synchronization, in the case of sedation and muscle relaxant use, raw rhubarb 5-10g and thenardite 5-10g. p
  88.  
  89. Recommended Chinese patent medicines: Xuebijing injection, Reduning injection, Tanreqing injection, Xingnaojing injection, Shenfu injection, Shengmai injection, Shenmai injection.
  90.  
  91. Drugs with similar efficacy can be selected according to individual conditions, or can be used in combination according to clinical symptoms. Traditional Chinese medicine injection is used in combination with traditional Chinese medicine decoction.
  92.  
  93. Note: Recommended usage of heavy and critical Chinese medicine injectionsThe use of traditional Chinese medicine injections follows the principle of gradual dialectical adjustment starting from small doses according to the drug instructions.The recommended usage is as follows:
  94.  
  95. Viral infection or combined mild bacterial infection: 0.9% sodium chloride injection 250ml plus Xiyanping injection 100mg bid, or 0.9% sodium chloride injection 250ml heating-duning injection 20ml, or 0.9% sodium chloride injection Liquid 250ml plus Tanreqing injection 40ml bid. High fever with conscious disturbance: 250% 0.9% sodium chloride injection plus Xingnaojing injection 20ml bid.
  96.  
  97. Systemic inflammatory response syndrome or / and multiple organ failure: 0.9% sodium chloride injection 250ml plus Xuebijing injection 100ml bid.
  98.  
  99. Immunosuppression: Glucose injection 250ml plus Shenmai injection 100ml or Shengmai injection 20 ~ 60ml bid.
  100.  
  101. 2.6 Recovery Period
  102.  
  103. (1) Lung and Spleen Qi Deficiency Syndrome
  104.  
  105. Clinical manifestations: shortness of breath, fatigue, fatigue, anorexia, nausea, fullness, weak stools, and uneasiness. The tongue is pale and greasy.
  106.  
  107. Recommended prescriptions: French Pinellia oleifera, Chenpi 10g, Codonopsis 15g, Astragalus 30g, Stir-fried Atractylodes 10g, Poria 15g, Huoxiang 10g, Amomum villosum 6g (lower), and 6g licorice root.
  108.  
  109. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night.
  110.  
  111. (2) Qi and Yin deficiency syndromes Clinical manifestations: fatigue, shortness of breath, dry mouth, thirst, palpitations, excessive sweating, poor appetite, low or no heat, dry cough and low sputum. Dry tongue, little pulse, thin pulse or weakness.
  112.  
  113. Recommended prescriptions: 10g each of North and South American ginseng, 15g of Ophiopogon japonicum, 6g of American ginseng, 6g of Schisandra chinensis, 15g of gypsum, 10g of light bamboo leaf, 10g of mulberry leaf, 15g of reed root, 15g of salvia, 6g of raw licorice.
  114.  
  115. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night. This disease belongs to the category of "epidemic disease" in Chinese medicine. Local climate characteristics and different physical conditions, etc., refer to the following schemes for dialectical treatment. Involving over-pharmacopoeia doses should be used under the guidance of a physician.
  116.  
  117. Period of Medical Observation
  118.  
  119. Clinical manifestation 1: fatigue and gastrointestinal discomfortRecommended Chinese medicine: Huoxiangzhengqi capsule (pills, water, oral liquid)
  120.  
  121. Clinical Manifestation 2: Fatigue with Fever
  122.  
  123. Recommended Chinese patent medicines: Jinhua Qinggan Granules, Lianhua Qingwen Capsules (granules), Shufeng Jiedu Capsules (granules)
  124.  
  125. Clinical treatment period (confirmed cases)
  126.  
  127. 2.1 Qingfei Detox Soup
  128.  
  129. Scope of application: Combined with the clinical observation of multiple doctors, it is suitable for light, ordinary and heavy patients. It can be used reasonably in combination with the actual situation of patients in the treatment of critically ill patients.
  130.  
  131. Basic prescription: Ephedra 9g, Zhigancao 6g, Almond 9g, Gypsum 15-30g (fried first), Guizhi 9g, Alisma 9g, Zhuling 9g, Baizhu 9g, Poria 15g, Bupleurum 16g, Scutellaria baicalensis 6g, Pinellia 9g, 9 g of ginger, 9 g of aster, 9 g of winter flower, 9 g of dried shoots, 6 g of asarum, 12 g of yam, 6 g of cilantro, 6 g of tangerine peel, 9 g of citron.
  132.  
  133. How to take: Traditional Chinese medicine decoction pieces, decoction. Pay once a day, once in the morning and evening (forty minutes after a meal).
  134.  
  135. If conditions permit, you can take half a bowl of rice soup each time you take the medicine, and you can take up to one bowl if you have a dry tongue and fluid. (Note: If the patient does not have a fever, the amount of gypsum should be small. Fever or strong heat can increase the amount of gypsum). If the symptoms improve but do not heal, then take the second course of treatment. If the patient has special conditions or other underlying diseases, the prescription can be modified according to the actual situation. If the symptoms disappear, the drug should be discontinued.
  136.  
  137. Source of prescription: Office of the State Administration of Traditional Chinese Medicine, Office of the State Administration of Traditional Chinese Medicine, "Notice on Recommending the Use of" Qingfei Detox Decoction "in Treating Pneumonia Infected with New Coronavirus by Integrated Traditional Chinese and Western Medicine" ) number 22).
  138.  
  139. 2.2 Mild Form
  140.  
  141. (1) cold and dampness lung syndrome
  142.  
  143. Clinical manifestations: fever, fatigue, sore body, cough, expectoration, tightness of the chest, gasping, nausea, vomiting, sticky stools. The tongue is pale, with red teeth, pale, thick, greasy, or greasy, and the pulse is slippery or slippery.
  144.  
  145. Recommended prescription: raw ephedra 6g, raw gypsum 15g, almond 9g, Zhihuo 15g, Zunlaozi 15g, Guanzhong 9g, Dilong 15g, Xu Changqing 15g, Huoxiang 15g, Pei Lan 9g, Cangzhu 15g, Yunling 45g, Baizhu 30g, 9g each of Jiaosanxian, 15g of Magnolia officinalis, 9g of betel nut, 9g of grass-fed fruit and 15g of ginger.
  146.  
  147. Dosage: 1 dose daily, 600ml decoction, divided into 3 times, once in the morning, midnight and evening, before meals.
  148.  
  149. (2) Damp heat syndrome
  150.  
  151. Clinical manifestations: low or no fever, slight chills, fatigue, heavy head and body, muscle soreness, dry sputum, less sore throat, dry mouth, do not want to drink more, or accompanied by chest tightness, no sweat or sweating , Or see nausea, dull, sticky beach or stool. The tongue is reddish, the moss is white and thick or thin yellow, and the pulse is slippery.
  152.  
  153. Recommended prescriptions: betel nut 10g, grass fruit 10g, Magnolia 10g, Zhimu 10g, Huangmeng 10g, Bupleurum 10g, red peony 10g, forsythia 15g, artemisia annua 10g (back), atractylodes 10g, big green leaf 10g, 5g of raw licorice.
  154.  
  155. Instructions for usage: 1 dose every day, boil in 400ml of water, take twice, once in the morning and once at night.
  156.  
  157. 2.3 Ordinary Form
  158.  
  159. (1) damp toxin and lung syndrome
  160.  
  161. Clinical manifestations: fever, low cough and sputum, or yellow sputum, suffocation and shortness of breath
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