Justin Kung Yi Lin1*Chien-Jung Huang2Hung-Tsu Cheng3Wen-Jung Chen4
Hsiao-Chun Chen5Yi-Chui Wang1Shi-Yi Wu 6Ching-Yu Lu1Tzu-Yu Liu7
1Singing Praises TCM Clinic, Taipei, Taiwan
2Taipei Chinese Medical Association, Taipei, Taiwan
3National Tsing Hua University, Hsinchu, Taipei
4Han-Lin TCM Clinic, Taipei, Taiwan
5Yueh-Tsan TCM Clinic, Taipei, Taiwan
6Yuan-Fu-Yuan TCM Clinic, Taichung, Taiwan
7Taipei Medical University, Taipei, Taiwan
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Introduction: The severe pneumonia with novel pathogens, COVID-19, was rampant globally. However, the TCM was so fully clinical evidence-based for supportive treatment and symptom care. The purpose of this study was to establish an interim clinical guideline in scientific base by the systematic literature review of the empirical basis of TCM data.
Methods: We systematically searched for traditional Chinese medicine in the medical literature of COVID-19, and analyzed all data through auxiliary software with mixed method of content and text analysis to reconstruct the architecture to form main contexture.
Results: The content of the guideline was divided into five categories as clinical manifestations, progression of disease, clinical and diagnosis, clinical treatment and care, and finally experimental treatment. The progress of the course of disease was subdivided into five domains with disease severity, clinical course, severe risk factors, drug information, and reinfection during recovery. The clinical treatment and care of TCM were divided into asymptomatic or pre-clinical, mild, moderate, severe, critical, and infection recovery.
Conclusions: The first version of the Interim Guidelines for Integrated Clinical Treatment of New Coronavirus (SARS-CoV-2) Infection in TCM was divided into six major symptoms. Taking marine Treatise on Febrile and Miscellaneous Disease as a classic, the scientific course of disease was used to classify six types of asymptomatic and preclinical, mild, moderate, severe, critical and infection recovery syndromes. Therefore, in the treatment of SARS CoV-2 infection cases, all recommendations should be included infection control, inpatient isolation and protective isolation care, supportive care for intensive critical care and integrated Chinese medicine.
【Keywords】SARS-CoV-2, covid-19, TCM, interim traditional medicine clinical
guideline, treatise on cold damage (Shang-han-lun)
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