Expert Recommendation: Complete Prevention And Treatment Plan Of TCM Formula For New Coronavirus Pneumonia

　　 Traditional Chinese Medicine Prevention and Treatment Plan for New Coronavirus Pneumonia

　 1、 Self prevention at home

（1） Prevention programme

1. Drug prevention

(1) Qi deficiency susceptible type:

Symptoms: fatigue, or sweating, usually easy to feel exogenous or tired, pale tongue, thin white fur, weak pulse.

Prescription: astragalus 10g, stir fried atractylodes macrocephala 10g, parsnip 10g, honeysuckle 10g, forsythia suspensa 10g, reed root 10g, tangerine peel 10g.

Functions and Indications: tonifying qi, consolidating exterior, clearing heat and detoxifying. It is suitable for people with lung qi deficiency syndrome prone to upper respiratory tract infection.

Usage and dosage: decoction or boiled water, children may choose to reduce. 5 days is a course of treatment.

Recommended Chinese patent medicine: Yupingfeng Granules.

Recommended clinical preparations: Yiqi Chuwen Granule (hospital preparation of Shanxi Provincial Hospital of Traditional Chinese Medicine), Xiaoer Qishen Kangfugan Granule, Yiqi Gubiao Formula (hospital preparation of Shanxi University of Traditional Chinese Medicine).

　　 (2) Jin deficiency dryness heat type:

Symptoms: dry throat, dry mouth, or sore throat, or dry cough. The tongue is red, the fur is yellow, there is little fluid, and the pulse is thin.

Prescription: honeysuckle 10g, forsythia 10g, reed root 20g, ginseng 10g, scrophularia 15g.

Indications: promoting fluid production, moistening dryness, clearing heat and promoting pharynx. It is applicable to the people who are prone to upper respiratory tract infection due to the syndrome of fluid deficiency and dry heat.

Usage and dosage: decoction or boiled water, children may choose to reduce. 5 days is a course of treatment.

　　 (3) Damp heat intrinsic type:

Symptoms: heavy body sleepiness, stupor, sticky or weak mouth, loose stools, red tongue and white or yellow fur, and smooth or smooth pulse.

Prescription: Agastache rugosa 10g, cardamom nutmeg 6g, raw coix seed 15g, atractylodes macrocephala 10g, scutellaria baicalensis 10g.

Functions and Indications: Xuanchang triple energizer, clearing heat and removing dampness. It is suitable for people with damp heat syndrome which is easily complicated with upper respiratory tract infection.

Usage and dosage: decoction or boiled water, children may choose to reduce. 5 days is a course of treatment.

　 (4) Children's food accumulation heat type:

Symptoms: stupidity, nausea, abdominal distention or pain, belching, swallowing, uncomfortable stool or constipation, red tongue and white or yellow coating, slippery or slippery pulse.

Prescription: Forsythia suspensa 6g, stir fried malt 10g, stir fried koji 10g, fructus aurantii 6g, stir fried radish 10g, stir fried hawthorn 6g.

Functions and indications: digestion and stagnation, clearing away heat and eliminating plague. It is suitable for children with food accumulation and heat syndrome, who are prone to upper respiratory tract infection.

Usage and dosage: decoction or boiled water, one dose per day or as per the doctor's advice, 5 days as a course of treatment.

Recommended Chinese patent medicines: Jianer Qingjie Liquid, Xiaoer Baiqiao Qingre Granule, Xiaoer Qingyan Granule, Xiaoer Xiaoji Zhike Oral Liquid, Fangfeng Tongsheng Pill (Granule), Xingpi Yanger Granule.

　　 2. Recommendation of substitute tea drinks

(1) Honeysuckle 10g, mulberry leaf 10g, reed root 10g, tangerine peel 10g, rose 10g.

Applicable crowd: It is suitable for yang heat constitution such as easy to catch fire, dry throat and sore throat.

Usage: Take it with boiled water, 200 ml each time, twice a day, 400 ml in total. Rock sugar can be added.

(2) Astragalus 10g, Atractylodes macrocephala 10g, Saposhnikovia divaricata 10g, Honeysuckle 10g, Hawthorn 10g.

Applicable crowd: It is applicable to the constitution of qi deficiency such as fatigue and colds.

Usage: Take it with boiled water, 200 ml each time, twice a day, 400 ml in total. Rock sugar can be added.

(3) Radix Pseudostellariae 10g, Radix Ophiopogonis 10g, Fructus Schisandrae 10g, Flos Lonicerae 10g, Radix Scrophulariae 10g.

Applicable crowd: suitable for yin deficiency constitution such as dry mouth, dry throat, etc.

Usage: Take it with boiled water, 200 ml each time, twice a day, 400 ml in total. Rock sugar can be added.

(4) Agastache rugosa 10g, Pangdahai 10g, Fangfeng 10g, Daidaihua 10g, fried malt 10g.

Applicable crowd: It is applicable to cold and wet physique such as cold and fat.

Usage: Take it with boiled water, 200 ml each time, twice a day, 400 ml in total. Rock sugar can be added.

(5) Chrysanthemum 10g, mulberry leaf 10g, rose 10g, substitute flower 10g, raw hawthorn 10g.

Applicable crowd: It is applicable to the constitution of liver depression such as poor mood.

Usage: Take it with boiled water, 200 ml each time, twice a day, 400 ml in total. Rock sugar can be added.

　　 3. Acupoint massage

(1) Dazhui: On the posterior midline, there is a high protrusion on the vertebra at the neck back junction (that is, the 7th cervical spine spinous process), and a depression under the 7th cervical spine spinous process.

(2) Zusanli: the four transverse fingers and the edge of the tibia of the outer knee.

(3) Zhongwan: upper abdomen, on the front midline, 4 inches above the navel.

(4) Hegu: Open the thumb and forefinger, place the horizontal lines between the thumb fingers of one hand on the edge of the web between the thumb and forefinger of the other hand, bend the finger, and press at the place where the thumb tip is pointed, with obvious soreness.

(5) Shenque: in the middle of abdomen, in the center of navel.

Massage method: press each acupoint until there is a sense of swelling, 2-3 minutes each time,

2-3 times a day.

　　 4. Living adjustment

　 (1) Calm mind: Keep your spirit happy, don't be impatient and don't panic; Actively associate happy scenes and improve mentality; Relax your mind; When there are bad emotions, vent them through effective communication between relatives and friends.

　　 (2) Diet adjustment : Eating light and regular food, and avoiding cold, spicy and greasy food; Regular work and rest to ensure adequate sleep; Exercise properly to avoid excessive fatigue.

　 (3) Air circulation : Avoid gathering and ventilate the room frequently to cut off the source of infection; Pay attention to hand hygiene.

　　 (4) Sachet to remove dirt:

Medications: Herba Agastache, Honeysuckle, Forsythia suspensa, Perrin, Mulberry Leaf, Chrysanthemum, Saposhnikovia divaricata, Schizonepeta tenuifolia, Mint, Caoguo, Borneol, etc.

Methods: Grind the fine powder, put it in a cloth bag, hang it indoors, or wear it with you.

Precautions: It is not recommended for pregnant women and those with allergic diseases (such as bronchial asthma, rhinitis, etc.).

　 (5) Aromatic turbid medicine wormwood smoke:

Drugs: Artemisia argyi, Platycladus orientalis, Angelica dahurica, etc.

Methods: Ignite the medicinal wormwood for 5 to 10 minutes in a room over 10 square meters, with no cough.

Precautions: Those with serious cough should not use it if they are allergic to smoke.

　　 5. Health exercises

Traditional Chinese medicine health preserving techniques such as Baduanjin, Taijiquan, lung care exercises, etc

The body is healthy.

　　 （2） Treatment plan

1. Symptoms include fever, aversion to wind and cold, muscle soreness, dry throat and sore throat, nasal congestion and runny nose. Chinese patent medicines are recommended: Lianhua Qingwen Capsule (granules), Jinhua Qinggan Granule, Shufeng Jiedu Capsule (granules), Ganmao Qingre Capsule (granules), Zhengchaihu Drink Granule, Jiuwei Qianghuwan (granules), Siji Ganmao Tablet, Ganmao Shufeng Capsule (tablets, granules), Yinqiao Jiedu Granule, Lanqin Oral Liquid Qingyan Dropping Pill, Houyanqing Granule, Jinye Baidu Granule, Compound Qinlan Oral Liquid, Chaiqin Qingning Capsule, Antiviral Oral Liquid, Jingfang Granule, Sanhan Huashi Granule, Reyanning Mixture, Yinhuang Qingfei Capsule, Liushen Pill (capsule); Recommended clinical preparations (the agreement party): Jinqiquwen Granule (the hospital preparation of Shanxi Provincial Hospital of Traditional Chinese Medicine), Shufeng Jiedu Decoction (the agreement party of Shanxi Provincial Hospital of Integrated Traditional and Western Medicine). For those with severe fever, Shuanghuanglian oral liquid, Ganmao antipyretic granule, anti-inflammatory antipyretic granule, Qingkailing granule and Xiaochaihu granule are recommended. If the nasal congestion is serious, it is recommended to take Nasosinusitis Oral Liquid and Sanfeng Tongqiao Dropping Pill.

Children with fever and sore throat are recommended to take Xiaoer Chaigui Antipyretic Granules.

2. Symptoms are cough and excessive phlegm. Chinese patent medicines are recommended: Sangju Ganmao Tablets, Xia Sangju Granules, Tanreqing Capsules, Jizhi Syrup, Kejiting Syrup, Xuanfei Zhisou Mixture, Tongxuan Lifei Pills (granules, oral liquid), Xingsu Zhike Granules, Lianhua Qingke

Tablets, Xingbei Zhike Granules, Juhong Phlegm Cough Solution, Ganmao Zhike Granules.

For children with cough, we recommend Jinzhen Oral Liquid, Xiaoer Fengreqing Oral Liquid, Xiaoer Qingfei Oral Liquid, Xiaoer Huatan Powder, Qingxuan Zhike Granule, and Xiaoer Zhike

Cough Syrup, Xiaoer Qingfei Zhike Tablets, Kaihoujian Spray (Children's).

3. Symptoms include gastrointestinal discomfort, vomiting or diarrhea, etc. Chinese patent medicine is recommended: Huoxiang Zhengqi Capsule (pills, water, oral liquid).

　　 （3） Rehabilitation plan 1. Chinese patent medicine rehabilitation

(1) Those with symptoms of shortness of breath, sweating, chest tightness, palpitations, and dry cough are recommended to take Chinese patent medicines with the effect of tonifying the lung and kidney, such as Shengmaiyin, Jinshuibao capsule, Gejie Dingchuan capsule, etc.

(2) Those with symptoms of fatigue, anorexia, abdominal distention, and loose stool are recommended to take Chinese patent medicines with spleen and stomach strengthening effects, such as Buzhong Yiqi Pill, Shenqi Oral Liquid, Ludangshen Oral Liquid, Xiangsha Liujun Pill, Yiqi Qudu Granule (in Shanxi Provincial Hospital of Traditional Chinese Medicine

Preparations), etc.

(3) For those whose symptoms are insomnia, anxiety and depression, it is recommended to take Chinese patent medicines with the effect of nourishing the heart and calming the nerves, such as Jiawei Xiaoyao Pill, Bailemian, Shugan Jieyu Capsule, etc.

　　 2. TCM non drug therapy rehabilitation

(1) Moxibustion therapy

Common acupoints: Dazhui, Feishu, Shangwan, Zhongwan, Geshu, Zusanli

Kong Zui, Shenshu, etc.

Methods: Dazhui, Feishu and Geshu (or Zhongwan and Shangwan): Moxibustion with warm moxibustion box for 30 minutes; Zusanli or Kongzhi or Shenshu: Moxibustion with clear moxa sticks for 15 minutes at each point. Frequency: once a day. When selecting moxibustion therapy, moxibustion is generally applied once every 2 days, 10 to 15 minutes for each point, lasting for 2 weeks; For obvious symptoms, moxibustion can be applied at different acupoints alternately every day, and rest for 1 to 2 days after 5 times, then continue to apply moxibustion for 5 times. 10 times is a course of treatment.

　 (2) Acupoint Massage

① Acupoint massage: Taiyuan, Tanzhong, Zhongfu, Feishu, Shenshu, Dachangshu, Lieque, Zhongwan, Zusanli, etc. For cough, pharyngeal itch, and dry cough, Shaoshang and Chize can be added.

Method: Place the thumb on the acupoint, touch the skin with the thumb pulp and press it slightly, press the acupoint in a small circle to produce a sensation of acid swelling and warmth, 1 to 3 minutes each time.

② Meridian Massage: Lung Meridian of Hand Taiyin, Large Intestine Meridian of Hand Yangming, Stomach Meridian of Foot Yangming

Spleen Meridian of Foot Taiyin, Ren Meridian, Du Meridian, etc.

Methods: Take sitting or lying position and breathe evenly. Use the thenar of one hand to cling to the skin along the direction of meridian circulation and apply force for straight back and forth quick friction. The two hands can be used alternately, 100~120 times/minute (50~60 times/minute for each hand). It is appropriate to rub each meridian for 1 minute.

　 (3) Ear point pressing bean

Common auricular points: bronchial, lung, kidney, endocrine, Shenmen, pillow, spleen

Stomach, large intestine, sympathetic, etc.

Method: Ear point pressing bean is to apply the ear bean with semen vaccariae seeds on the corresponding

Ear points should be pressed slightly to produce a sense of numbness, swelling or fever. After application, press it several times every day for 3-4 minutes. After each application, keep it for 1-2 days. After removal, let the auricular points relax for one night. The next day, apply the same method for 5 to 6 times as a course of treatment.

　　 (4) Cupping

Back shu points are the main points, such as Feishu, Gaoguan, Spleen shu, Shenshu, Dazhui, etc.

Function: Cupping is a simple means of rehabilitation in traditional Chinese medicine, which has good effects in regulating sub-health status and treating various diseases.

Precautions: Attention shall be paid to prevent scalding and igniting combustibles when cupping, and the time for cupping shall not be too long. In case of cold limbs, nausea and vomiting, palpitations, pale face, cold sweat, dizziness, etc. during cupping, the patient shall stop immediately and lie down flat for rest.

(5) Acupoint application therapy -- Lv's umbilical medicinal moxibustion (the agreement party of Shanxi Provincial Acupuncture and Moxibustion Hospital)

Drugs: Astragalus, Angelica, Angelica dahurica, Ligusticum chuanxiong, Perilla leaf, Scutellaria baicalensis, peppermint, etc., finely prepared. Acupoint: Shenjue (navel eye)

Methods: Take a proper amount of drug powder, mix it into a paste with white wine or honey, apply it around the navel about 5 * 5cm, 0.3cm thick, fix it with plastic wrap, heat it with a hot water bag, or bake it with a magic lamp to keep it warm for 40 degrees, lasting for 40 minutes, once a day, 5-6 days as a course of treatment.

Precautions: For patients with skin allergy, try for 10 minutes first, and continue if there is no reaction; Stop immediately in case of allergic reaction. The temperature shall be moderate, and burn shall be avoided.

　　 (6) Other methods

You can use Baduanjin, Taijiquan and other traditional Chinese medicine skills to exercise properly.

Precautions: During the period of self prevention at home, if the symptoms are not relieved or aggravated,

Please go to a regular medical institution in time.

　　 2、 TCM diagnosis and treatment plan

（1） Qingfei Paidu Decoction, Qingfei Paidu Granule

Scope of application: combined with clinical observation of doctors in many places, it is applicable to light, ordinary and heavy patients, and can be reasonably used in the treatment of critical and heavy patients in combination with the actual situation of patients.

Basic prescription: ephedra 9g, roasted liquorice 6g, almond 9g, gypsum 15-30g (first decocted), cinnamon branch 9g, alisma 9g, polyporus umbellatus 9g, atractylodes macrocephala 9g, poria 15g, bupleurum 16g, scutellaria baicalensis 6g, ginger pinellia 9g, ginger 9g, aster 9g, winter flower 9g, belamcanda 9g, asarum 6g, yam 12g, fructus aurantii aurantii 6g, dried tangerine 6g, and agastache rugosa 9g.

Administration: decoction pieces of traditional Chinese medicine, decocted in water. One dose a day, one dose in the morning and one dose in the evening (40 minutes after meals), take warm, three doses as a course of treatment.

If conditions permit, half a bowl of rice soup can be added after taking the medicine each time, and one more bowl can be taken for those with dry tongue and body fluid deficiency. (Note: If the patient does not have fever, the amount of gypsum should be small. If the patient has fever or strong fever, the amount of gypsum can be increased). If the symptoms are improved but not cured, take the second course of treatment. If the patient has special circumstances or other basic diseases, the prescription can be modified according to the actual situation in the second course of treatment. If the symptoms disappear, stop taking the medicine.

Source of prescription: Notice on Recommending the Use of "Qingfei Paidu Decoction" in the Treatment of Pneumonia with New Coronavirus Infection by Integrated Traditional Chinese and Western Medicine (GZYB YZH [2022] No. 22) issued by the General Office of the National Health Commission and the Office of the State Administration of Traditional Chinese Medicine.

　 （2） Normal

1. Dampness obstructing lung type

Symptoms: low fever or no fever, cough with little sputum, dry throat or sore throat, fatigue, poor appetite, diarrhea, red tongue, white or yellow greasy fur, slippery pulse.

Prescription: Coix seed 18g, cardamom seed 9g, almond 9g, ephedra 6g, agastache rugosa 9g, Pinellia ternata 9g, Poria cocos 12g, Atractylodes Atractylodes 12g, Forsythia suspensa 12g, Scutellaria baicalensis 9g, Glycyrrhiza uralensis 6g.

Functions and Indications: promoting dampness and removing turbidity, promoting lung circulation and detoxification. It is suitable for the common type of COVID-19 with dampness obstructing the lung.

Usage and dosage: Take it by decoction above the head, one dose a day, take it separately in the morning and evening, preferably on an empty stomach, 150ml each time, and 5 days as a course of treatment.

Recommended clinical preparations: Chushi Qingfei Granule (hospital preparation of Shanxi Provincial Hospital of Traditional Chinese Medicine), Puren Chushi Granule (hospital preparation of Affiliated Hospital of Shanxi University of Traditional Chinese Medicine).

2. Damp heat accumulating in lung type

Symptoms: fever, cough, shortness of breath, little or yellow or white sputum, thirst, no desire to drink, fatigue, fatigue, anorexia, or abdominal distention, dark red or purple tongue, thick and greasy yellow fur, slippery pulse.

Prescription: 30g winter melon seeds, 12g scutellaria baicalensis, 20g forsythia suspensa, 10g tarragon seed, 30g peony, 10g agastache, 10g amomum seed, 20g coix seed, 30g reed root, 10g fritillaria thunbergii.

High heat is mainly added with 30g of gypsum. Cough and asthma plus ephedra 10g.

Main functions: clearing away heat and dampness, cooling blood and detoxifying. It is suitable for the common type of COVID-19, which is damp heat accumulated in the lung.

Usage and dosage: take it by decoction above the head, one dose a day, take it separately in the morning and evening, preferably on an empty stomach, 150ml each time, and 5 days as a course of treatment.

3. Dampness toxin obstructing the lung type

Symptoms: fever, cough, little sputum, or sticky sputum, shortness of breath, fatigue, chest tightness, dry throat, sore throat, poor appetite, red tongue, yellow and dirty fur, and heavy pulse.

Indications: detoxification, diuresis, purging lung and relieving cough. It is suitable for the common type of COVID-19 with dampness toxin obstructing the lung.

Prescription: 10g Caoguo, 20g Tinglizi, 15g Sangbaibai, 20g Forsythia suspensa, 15g Scutellaria baicalensis Georgi, 10g Areca catechu, 15g Verbena officinalis, 10g Citrus aurantii, 12g Belamcanda chinensis, 30g raw malt, 6g Glycyrrhiza uralensis.

Usage and dosage: take it by decoction above the head, one dose a day, take it separately in the morning and evening, preferably on an empty stomach, 150ml each time, and 5 days as a course of treatment

Recommended clinical preparation: Jiedu Hufei Granule (hospital preparation of Shanxi Traditional Chinese Medicine Hospital)

Recommended Chinese patent medicine: Xuanfei Baidu Granule.

　　 （3） Severe

Symptoms: shortness of breath, tightness of breath, chest tightness, cough, fatigue, anorexia, even vomiting

Can't eat when vomiting, thin and fat tongue, yellowish and dirty fur, heavy and thin pulse.

Prescription: Semen Dracae Tingli 30g, Cortex Mori 20g, Rhizoma Typhae 30g, Cortex Moutan 30g, Almond 10g, Flos Spiralis 20g, Fructus Caesalpiniae 15g, Semen Coix Coix 20g, Poria 30g, Scutellaria baicalensis 10g, Verbena officinalis 20g.

Indications: purging the lung and promoting diuresis, cooling the blood and clearing away heat. It is suitable for severe COVID-19 due to water dampness in the lung.

Usage and dosage: take it by decoction above the head, one dose a day, take it separately in the morning and evening, preferably on an empty stomach, 150ml each time, and 5 days as a course of treatment.

Recommended Chinese patent medicine: Huashi Baidu Granule.

Recommended clinical preparation: Tinglixiefei Granule (hospital preparation of Shanxi Traditional Chinese Medicine Hospital).

　　 （4） Critical illness

Symptoms: dyspnea, frequent wheezing or need for mechanical ventilation, with dizziness, irritability, cold sweating, purple and dark tongue, thick and greasy fur or burr, large and rootless pulse.

Prescription: ginseng 15g, Heishun tablet 10g (decocted first), cornus officinalis 15g, take Suhexiang pills, Angong Niuhuang pills or musk Niuhuang pills.

In case of mechanical ventilation with abdominal distention, constipation or poor stool, 5-10g raw rhubarb can be used. In case of man-machine asynchrony, 5-10g rhubarb and 5-10g mirabilite can be used under the condition of sedation and muscle relaxant.

Functions and Indications: invigorate qi and remove impurities. It is suitable for severe cases of neocoronapneumonia, which are closed and detached.

Usage and dosage: decoct it with water on the top, one dose a day, take it separately frequently, and 3 days is a course of treatment.

Recommended Chinese patent medicines: Xiyanping injection, Xuebijing injection, Reduning injection, Tanreqing injection, Xingnaojing injection, Shenfu injection, Shengmai injection, Shenmai injection. One drug with similar efficacy can be selected according to individual conditions, or two drugs can be used together according to clinical symptoms. Traditional Chinese medicine injection can be used in combination with traditional Chinese medicine decoction.

　　 （5） Recovery period

Symptoms: shortness of breath, fatigue, poor appetite, thin fat tongue, white fur, weak pulse.

Indications: invigorate the lung and spleen, replenish qi and promote fluid production. Applicable to cure of COVID-19

The later recovery period belongs to both lung and spleen deficiency.

Prescription: raw astragalus 30g, codonopsis 15g, cortex digitalis 10g, ophiopogon japonicus 15g, schisandra chinensis 10g, amomum villosum 6g (lower back), fried rhizoma atractylodis macrocephalae 10g, burnt malt 15g.

Usage and dosage: Take it by decoction above the head, one dose a day, take it separately in the morning and evening, preferably on an empty stomach, 150ml each time, and 5 days as a course of treatment.

Recommended clinical preparation: Bufei Jianpi Granule (hospital preparation of Shanxi Traditional Chinese Medicine Hospital).

Recipe source:

Shanxi Provincial Leading Group Office for the Prevention and Control of COVID-19

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1_ Notice on Printing and Distributing the Traditional Chinese Medicine Prevention and Treatment Plan for New Coronavirus Pneumonia in Shanxi Province.pdf