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Application of “five differentiation” thinking in the diagnosis and treatment of traditional Chinese medicine in coronavirus disease 2019
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DOI   10.11656/j.issn.1672-1519.2020.07.03
Key Words   COVID-19;epidemic disease;five differentiation;traditional Chinese medicine prevention and treatment;conjecturing cause of the disease based on the external performance
Author NameAffiliationE-mail
XIA Shujie Research Base of Traditional Chinese Medicine Syndrome, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China  
CHEN Shujiao The Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China  
WU Changwen Health Management Base of China Association of Traditional Chinese Medicine, Fuzhou 350003, China  
LIN Yong People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350000, China  
LI Candong Research Base of Traditional Chinese Medicine Syndrome, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China fjzylcd@126.com 
Abstract
    The outbreak of coronavirus disease 2019 (COVID-19) in December 2019 is a new major disaster for mankind. At present,it is a consensus to combine traditional Chinese and Western medicine to make up for each other's weaknesses and explore together to improve efficacy of treating COVID-19. Traditional Chinese medicine is based on the overall concept,the unique feature of its understanding of diseases lies in "conjecturing cause of the disease based on the external performance" and COVID-19 belongs to the category of "epidemic diseases" of traditional Chinese medicine. Through summarizing and sorting out the front-line case reports and relevant documents in various regions,and applying the thinking of five differentiation,the cognitive process of traditional Chinese medicine to COVID-19 is condensed from different angles of differentiation of symptoms,signs,diseases,people and machines. Around the core cause of "damp toxin",the pathological change process of "dampness,heat,toxin,deficiency and blood stasis" in the disease development stage is taken into account,and the principles of methods of "pathogenic outlet,treatment individualized to patient,season and locality,combination of symptoms and diseases and treatment by stages" are further summarized and followed,so as to provide some theoretical and methodological basis for diagnosis and treatment of traditional Chinese medicine at the critical moment of conquering this epidemic disease.

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