64例新型冠状病毒肺炎普通型患者中医临床特征分析

doi:10.3969/j.issn.2095-9400.2020.03.004

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Abstract Objective: To investigate the general features and distribution of Chinese medical syndrome of common type COVID-19 patients. Methods: A total of 64 common type COVID-19 patients from the Second Affiliated Hospital of Wenzhou Medical University during February 5 to February 20 2020 were enrolled. The epidemiological date, including blood routine, C-reactive protein, initial symptom and tongue image were collected on the first day of admission, and analyzed and differentiated according to traditional Chinese medicine diagnosis and treatment of COVID-19. Results: The average age of common type COVID-19 patients was (48.8±12.9), the ratio of male to female was 1.56:1. Of all patients, 14 cases (21.88%) had the history of visiting or living in Wuhan/Hubei, 38 cases (59.38%) had the history of close contact with the confirmed patients, 15 cases (23.44%) had decreased count of leukocyte, 17 cases (26.56%) had decreased lymphocyte count and 35 cases (54.69%) had increased C reactive protein. Most of the initial symptoms were fever (42 cases, 65.63%) and cough (9 cases, 14.06%), but 6 cases (9.38%) had no symptoms. The main tongue features were red tongue with yellow greasy coat (14 cases, 21.88%), light red with white thin and greasy coat (8 cases, 12.50%), red tongue with white greasy coat (8 cases, 12.50%). The Chinese medical syndrome were present in 6 cases with dampness-cod pestilence attack lung (9.38%), and dampness-heat pestilence accumulate lung in 58 cases (90.62%). Dampness-heat pestilence accumulate lung included 20 cases (34.48%) of heat predominating over dampness and 38 cases (65.52%) of dampness predominating over heat. Conclusion: The main type of the Chinese medical syndrome of COVID-19 is dampness-heat pestilence accumulate lung with the pathological factors all related to cold, heat, dampness, toxicity and deficiency, and “damp-toxicity” is the its critical pathology.

Key words： COVID-19 common type clinical characteristics Chinese medical syndrome

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2020.03.004 OR https://xb.wmu.edu.cn/EN/Y2020/V50/I3/187

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