LI Yu-dong, WEN Bo, GUO Yu-hong, et al. Analysis on TCM clinical characteristics of 105 patients with common type COVID-19. [J]. Beijing Journal of Traditional Chinese Medicine 40(3):221-224(2021)
LI Yu-dong, WEN Bo, GUO Yu-hong, et al. Analysis on TCM clinical characteristics of 105 patients with common type COVID-19. [J]. Beijing Journal of Traditional Chinese Medicine 40(3):221-224(2021) DOI: 10.16025/j.1674-1307.2021.03.002.
Analysis on TCM clinical characteristics of 105 patients with common type COVID-19
Objective To investigate the general conditions and TCM clinical features of local common type COVID-19 patients in Beijing.Methods A total of 105 common type COVID-19 patients treated in the Beijing Ditan Hospital, Capital Medical University from June 16 to June 30,2020 were enrolled.The epidemiological data, including blood routine, C-reactive protein, serum amyloid A,blood oxygen saturation, procalcitonin, initial symptoms and tongue manifestations were collected on admission and differentiated according to traditional Chinese medicine diagnosis and treatment of COVID-19.Results The average age of common type COVID-19 patients was(42.6±15.3),the ratio of male to female was 1.84∶1.Of all patients, 79 cases(59.38%)were from the Xinfadi market; 20 had a history of exposure to the Xinfadi market, and 6 were close contacts of confirmed patients.24 patients(22.86%)had a decrease of white blood cell count in peripheral blood, 31 patients(29.52%)had a decreased lymphocyte count, 59(56.19%)had elevated C-reactive protein, and 43(40.95%)had increased SAA,7(6.67%)had a blood oxygen saturation lower than 95%,6(5.71%)had elevated procalcitonin; the initial symptom was fever found in 101 cases(96.19%),and cough in 1 case(0.95%),3 of patients(2.86%)were asymptomatic; more commonly seen tongue signs were red tongue(72 cases, accounting for 68.57%),and tongue with yellow coating(62 cases, accounting for 59.05%),and tongue with greasy coating(58 cases, accounting for 55.24%).TCM syndromes were present in 12 cases with dampness-cold pestilence attacking lung(11.43%),and dampness-heat pestilence accumulation in the lung in 93 cases(88.57%).Of them, predominated dampness over heat was seen in 54 cases(51.43%),predominated heat over dampness was seen in 39 cases(37.14%).Conclusion The main types of TCM syndrome of COVID-19 is dampness-heat pestilence accumulation in the lung, accompanied with summer heat, and excessive heat for a long time may cause both qi and yin deficiency.The disease mainly involves the lung, heart, spleen, large intestine, stomach and other organs, and the involved pathological factors, including dampness, heat, summer-heat, cold, deficiency and toxicity, and damp-toxicity and damp-heat are the critical pathology.
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