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Discussion on application of Xiafa in novel coronavirus pneumonia
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DOI   10.11656/j.issn.1672-1519.2020.04.03
Key Words   novel coronavirus pneumonia;COVID-19;Xiafa;traditional Chinese medicine treatment;clinical experience
Author NameAffiliation
ZHU Zhengang First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China 
ZHANG Yuxuan First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China 
LIU Chaowu First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China 
LIU Xiaoyang Huangpi District Traditional Chinese Medicine Hospital of Wuhan, Wuhan 430300, China 
XIONG Wei First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China 
Abstract
    The theory of Xiafa originated from the Inner Canon of the Yellow Emperor,and its prescriptions were discussed in detail in Treatment of Febrile and Miscellaneous Diseases. Later,due to the influence of the medical ideology of the Jin and Yuan Dynasties,it formed a relatively independent system in the Ming and Qing Dynasties.The theories and prescriptions of Xiafa were all in their own way in warm diseases. Based on the current characteristics of novel coronavirus pneumonia,we summarized that the disease is an infectious and poisonous pathogenic qi,mixed with dampness. The pathogenesis is concurrent disease of two Taiyin,including Lung Meridian of Hand-Taiyin and Spleen Meridian of Foot-Taiyin. In addition,Taiyin and Yangming are interlinked,they are also concurrent. And the disease position is in interpleuro-diaphragmaticspace. The turbidpathogenic qi often gathers in intestinal,so it's necessary to let it out by Xiafa. According to the characteristics of the course of the disease and the physical factors of the patient,different methods are required,and selecting the timing is particularly critical. When the damp factor just began to heat up,we should open the interpleuro-diaphragmatic space by Xiafa. When the disease spreads,either heat is greater thandampness,or dampness is greater than heat. When in the late stage of the disease,we should open the inhibited lung-energy and lower pathogenic qi,and stop the medicine as soon as it is effective.

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