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Analysis on traditional Chinese medicine clinical characteristics of 32 patients with common type COVID-19 (Omicron) in Tianjin |
Hits 1280 Download times 697 Received:April 14, 2022 |
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DOI
10.11656/j.issn.1673-9043.2022.03.01 |
Key Words
COVID-19 (Omicron);common type;clinical characteristics;traditional Chinese medicine syndrom |
Author Name | Affiliation | E-mail | LIU Xiaoya | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | | LIU Wei | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | fengshiliuwei@163.com | ZHANG Lei | Tianjin Hospital, Tianjin 300211, China | | SHI Cunzhong | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | | ZHAO Xun | Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China | | CHEN Minghu | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | |
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Abstract
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[Objective] To investigate the general conditions and traditional Chinese medicine (TCM) clinical features of local common type COVID-19(Omicron) patients in Tianjin.[Methods] A total of 32 common type COVID-19 patients treated in the Tianjin Haihe Hospital from January 27th to February 5th, 2022 were enrolled. The epidemiological data, including blood routine, C-reactive protein, Interleukin-6(IL-6), procalcitonin, initial symptoms and tongue manifestations were collected on admission and differentiated according to TCM diagnosis and treatment of COVID-19.[Results] A total of the 32 adult patients with common-type COVID-19 patients included in the study, including 13 males and 19 females, aged 21 to 71 years, mean age (49.34±15.00), and 9 cases (28.13%) had an underlying disease. Epidemiological investigation found that 1 case(3.12%) was from the fever outpatient department. 12 cases (37.5%) were close contacts of confirmed patients, and 19 cases (59.38%) were family cluster cases. 7 cases(21.87%) had a normal value of white blood cell count, lymphocyte count CRP and IL-6, 17 cases(53.12%) had a decreased lymphocyte count, and 6 cases(18.75%) had a decrease of white blood cell count and lymphocyte count. Initial symptoms:one patient (3.12%) was asymptomatic, 31 patients (96.87%) had dry throat, 23 patients (71.88%) had cough, 9 patients (28.13%) had fever, and one patient (3.12%) was accompanied by decreased taste and smell. The appearance of tongue:there were 25 cases (78.12%) with red tongue, seven cases (21.88%) with red tongue, and 2 cases (6.24%) with big and fat tongue with teeth marks. There were 21 cases (65.63%) with yellow fur, including 9 cases (28.13%) with thin yellow fur and 12 cases (37.5%) with yellow greasy fur. There were 10 cases of white fur (31.25%), including 6 cases of thin white fur (18.75%) and 4 cases of white greasy fur (12.5%). TCM syndrome:there were 3 cases with pathogenic dampness attacking body fur, 24 cases (75%) with heat pestilence attacking body fur, 3 cases (9.37%) with heat pestilence attacking lung, and 2 cases (6.24%) with dampness accumulation in the spleen and stomach.[Conclusion] In this study, the main types of TCM syndrome of COVID-19 is heat pestilence attacking body fur, accompanied with pathogenic dampness. The treatment should be mainly to removing dampness with dispersing lung qi and clearing heat for expulsing pathogen. |
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