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COVID-19 and Traditional Chinese Medicine Treatment
Since 2020, a global outbreak of coronavirus disease 2019 (COVID-19) has caused great concern worldwide and has been classified as a category B infectious disease managed as a category A infectious disease in China. Despite the fact that vaccination against the SARS-CoV-2 and the development of new drugs are being carried out worldwide, the SARS-CoV-2 has undergone several rounds of mutations and its infectiousness has further increased, which is still bringing negative effects to countries around the world in various aspects. Both traditional Chinese and modern medicine are actively searching for effective treatment options. In the field of traditional Chinese medicine, COVID-19 can be classified as a “plague”, and the role of TCM therapy in the fight against COVID-19 is gaining more and more attention and trust. In the same year, Shanghai J Tradit Chin Med launched a publication plan focusing on the special topic of “COVID-19 and Traditional Chinese Medicine Treatment”, in which research results and clinical experience related to the fight against COVID-19 from major epidemic areas in China were published, and some articles have been included in the WHO COVID-19 Research Database.
- The Paper
- Keywords：SARS-CoV-2;COVID-19;Omicron variant;traditional Chinese medicine therapy;sequela;rehabilitation;expert consensus
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Published：2022-08-12 - Keywords：SARS-CoV-2;COVID-19;Omicron variant;children;traditional Chinese medicine therapy;expert consensus
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Published：2022-08-12 - Abstract：ObjectiveTo explore the implementation pattern of “three zones and two passages” alteration and localized transformation， organization and coordination management required for nosocomial infection prevention and control during the emergency transformation of a tertiary general hospital into a designated hospital for COVID-19.MethodsWith the system methodology of “Wuli⁃Shili⁃Renli （WSR）” and the goal of “zero infection among medical and nursing staff”， the characteristics of current hospital zone division were carefully studied， and the scheme of real-time data dynamic management and effective allocation of emergency resources was constructed from the aspects of reasonable zone division and passage planning， clear signs of nosocomial infection prevention and control， establishment of nosocomial infection prevention and control process， and three-zone linkage team-building for nosocomial infection prevention and control.ResultsWith the intervention of a series of nosocomial infection prevention and control measures， the prevention and control effect was satisfactory and zero nosocomial infection was achieved.ConclusionThe practice and exploration of WSR approach for nosocomial infection prevention and control in a tertiary general hospital converted to a designated hospital for COVID-19 can be used as a reference and a paradigm for dealing with public health emergencies such as sudden unexpected infectious diseases.Keywords：SARS-CoV-2;COVID-19;Omicron variant;designated hospital;nosocomial infection;infection prevention and control
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Published：2022-08-12 - Abstract：In order to improve the efficacy of treatment for elderly COVID-19 patients in Shanghai， a team of experts analyzed the characteristics of Omicron variant and clinical characteristics of elderly COVID-19 patients， drew on experience of current treatment， revised the treatment protocol based on Diagnosis and Treatment Protocol for COVID-19 Patients （Tentative 9th Edition） and formed Expert Consensus on Traditional Chinese Medicine Treatment for Elderly COVID-19 Patients in Shanghai （2nd Edition） to guide clinical practice. The 2nd edition of expert consensus highlighted the following points： ①Pay attention to elderly patients with underlying diseases， choose priority from the newly contracted COVID-19 infection and the underlying diseases， and implement a timely multidisciplinary approach to diagnosis and treatment； ②Due to the insidious and nonspecific onset of symptoms in elderly patients， prognostic indicators of both clinical symptoms and laboratory tests should be refined to facilitate early detection of disease progression； ③Supplement TCM treatment principles and basic herbal prescriptions for moderate， severe and critical cases of elderly COVID-19 patients， as well as recommend the use of TCM emergency injections； ④Revise the TCM therapeutic scheme for high fever that does not subside in elderly COVID-19 patients； ⑤Supplement a TCM therapeutic scheme for unconsciousness in elderly COVID-19 patients； ⑥Supplement a TCM therapeutic scheme for constipation of “deficiency syndrome” in elderly COVID-19 patients； ⑦Update a TCM therapeutic scheme for filthy and greasy tongue coating caused by pathogen hidden in interpleuro-diaphramatic space in elderly COVID-19 patients； ⑧Update prescriptions of TCM injection for exacerbated infiltrating on pulmonary radiography in elderly COVID-19 patients； ⑨Recommend a TCM therapeutic scheme for sticky phlegm hard to be expectorated in elderly COVID-19 patients； ⑩Recommend different TCM treatment regimens for elderly patients with different deficiency conditions； ⑪Separate TCM treatment protocols for elderly COVID-19 patients with cardiovascular， neurological or renal complications.Keywords：SARS-CoV-2;Omicron variant;COVID-19;elderly;traditional Chinese medicine therapy;expert consensus
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Published：2022-08-12 - Abstract：In this article we analyzed the pathogenic characteristics and treatment strategies of COVID-19 infection complicated with underlying diseases in the elderly by introducing 2 proved cases. Elderly patients with COVID-19 are identified with pathogenesis of dampness， heat， toxicity， stasis and deficiency， and the pathogenesis of deficiency and stasis is the most prominent. The deficiency of vital qi exists throughout the disease course. Traditional Chinese medicine （TCM） treatment principles for elderly patients with COVID-19 include： early intervention， integration of pathogen-eliminating and vital-qi strengthening， and application of treatment methods to guide pathogens out， for instance， the method of dispersing lungs and unblocking bowels， the method of clearing heat and resolving dampness， and the method of supplementing and strengthening vital qi， etc. Additionally， attention should be paid to the treatment of underlying diseases. Treat both the newly contracted infection and persistent diseases， but one need to distinguish the priorities， and treat accordingly and flexibly.Keywords：COVID-19;SARS-CoV-2;Omicron variant;epidemic;elderly;eliminating pathogen and strengthening vital qi;clinical experience
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Published：2022-08-12 - Abstract：Omicron variant of SARS-CoV-2 has the characteristics of rapid transmission， insidiousness， and relatively decreased virulence. Most infected patients have relatively mild clinical symptoms， but a certain proportion of elderly people with underlying diseases still turn into severe or critical cases. Since the spring of 2022， community and cluster transmission of COVID-19 have coexisted in Shanghai， and a high proportion of severe cases are those elderly with underlying diseases. Therefore， the key to reducing the mortality rate of COVID-19 lies in the effective treatment of severe cases. To treat and cure severe cases， Shanghai has established a “multidisciplinary joint diagnosis and treatment” model， insisting on the integrated application of traditional Chinese and western medicine， and emphasizing early intervention， syndrome differentiation-based treatment， one-person-one-policy， one-person-one-prescription， and preemptive treatment for disease interception， for the purpose of effective disease progression control and decrease in mortality rate. The article summarizes Shanghai’s diagnosis and treatment model and experience in treating severe COVID-19 patients and tries to improve the technical system of traditional Chinese medicine in treating severe COVID-19 cases.Keywords：SARS-CoV-2;Omicron variant;COVID-19;severe case;Shanghai;traditional Chinese medicine therapy;integrated traditional Chinese and western medicine
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Published：2022-10-09 - Keywords：SARS-CoV-2;COVID-19;Omicron variant;traditional Chinese medicine therapy;expert consensus
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Published：2022-10-09 - Abstract：ObjectiveTo investigate Shanghai residents’ acceptance of traditional Chinese medicine （TCM） for combating novel coronavirus disease （“COVID-19”） pandemic.MethodsConvenience and volunteer sampling methods were used to investigate the acceptance of TCM to combat the COVID-19 among medical personnel， community volunteers and residents in Shanghai.Results①A total of 662 valid questionnaires were collected. Among the 662 respondents， 41.1% were male， the age ranged from 20 to 60 years， and 29.2% were engaged in the medical profession. The results of univariate analysis showed that gender， age， occupation， education level， and personal monthly income had no significant effect on the acceptance of TCM. ②In this survey， 639 respondents believed in TCM treatment， accounting for 96.5% of the total. Among them， 584 respondents had used TCM before， accounting for 91.4%； 600 respondents showed their willingness to recommend others to use TCM for the pandemic prevention and control， accounting for 93.9%； and 500 respondents recommended TCM prescriptions alone to fight against the COVID-19， accounting for 78.2%. ③Compared with respondents who had never used TCM， those who had used TCM before were more likely to recommend others to use TCM for the pandemic prevention and control （P=0.004）； those who had used TCM before were more concerned about the flavor and other issues of TCM （P=0.054， P=0.003）， and those who had not used TCM before were more concerned about effectiveness and safety of TCM （P=0.005，P=0.045）. ④Residents in Shanghai showed a wide range of demands for TCM， and the strongest ones were ranked in descending order： TCM treatment， TCM prevention and TCM science popularization， with a frequency of 452， 443， and 424， respectively.ConclusionsShanghai residents have a high level of acceptance of TCM and its use in the prevention and treatment of COVID-19 pandemic. Therefore， it is recommended to further the application of TCM in the pandemic prevention and control in response to the realistic demands.Keywords：coronavirus disease （COVID-19）;SARS-CoV-2;Omicron variants;pandemic prevention and control;traditional Chinese medicine therapy;sampling survey
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Published：2022-10-09 - Keywords：COVID-19;SARS-CoV-2;Omicron variant;elderly;traditional Chinese medicine therapy;expert consensus
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Published：2022-07-13 - Abstract：Cases of cold damage diseases recorded in TCM classic book-On Cold Damage introduced the general scope and identification methods of epidemic diseases. TCM doctors in Ming and Qing dynasties paid more attention to the induction and summary of therapeutic methods and formulas and pursued clinical practicality. With in-depth thinking from different angles such as the name and nature of the disease, the rules of treatment and clinical thinking mode, etc., it is believed that the ancient experience of syndrome differentiation and treatment of epidemic diseases can still guide our clinical practice today.Keywords：COVID-19;epidemic disease;On Cold Damage;case of cold damage diseases
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Published：2022-08-31
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