Yuh-Chia Chang1* Chien-Jung Huang2 I-Hua Cheng3
1Yueh-Tsan TCM Clinic, Taipei, Taiwan
2Taipei Chinese Medical Association, Taipei, Taiwan
3Xidan Outpatient Department, Guang’anmen Hospital of Chinese Academy of traditional
Chinese medicine, Beijing, China
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The symptoms of COVID-19 are miscellaneous in different stages and are difficult to target. With the goal of developing effective strategies of treating infectious patients, we here conclude three main features of COVID-19 according to the clinical observation and literature review. Firstly, the entry of SARS-CoV2 into the cells down-regulates ACE2 receptors, which amplify the imbalance between the AT1 and AT2 receptors. It then causes detrimental effects such as inflammation and thrombosis. In the viewpoint of Traditional Chinese medicine, we need to take the circulation of the qi, blood and water into consideration. The pathological environment shows signs of lung dryness and spleen dampness.
Secondly, the injury and inflammation of endothelial cells results in damage in not only lung and gut epithelia but also vascular endothelia. The status of “blood stasis” may be caused by pathogenic heat, congealing cold, qi stagnation, qideficiency or dryness and fluid depletion, which need further care and attention.
Thirdly, Patients with long-term history of stress disorders are prone to poor prognosis, which could be related to the functional disturbances of the liver, the liver fire in turn insults the lung. With these three features in mind, we present a case report. Therefore, we could have bigger picture when confronting COVID-19 pandemic, from prevention to infectious to recovery stage. Traditional Chinese medicine can surely play a significant role in shortening the course of the disease.
【Keywords】COVID-19; TCM; fluid imbalance; thrombosis; stress disorders
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