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Analysis on traditional Chinese medicine clinical characteristics of 32 patients with common type COVID-19 (Omicron) in Tianjin
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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 NameAffiliationE-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  
Abstract
    [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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