中医药研究论丛

23S.2 新型冠状病毒(SARS-CoV-2)感染中医整合临床处置暂行指引第一版

 TJ TCM.23(S) : 5-34, 2020

新型冠状病毒(SARS-CoV-2)感染中医
整合临床处置暂行指引第一版
Interim Traditional Medicine Clinical Guideline for Management of Patients with Confirmed
Coronavirus Disease (COVID-19) 1st edition
林恭仪1* 黄建荣2 郑宏足3 陈文戎4 陈晓钧5
王翊錞1 吴诗仪6 卢景裕1 刘姿妤7
1 颂赞中医诊所,台北,台湾
2 台北市中医师公会,台北,台湾
3 国立清华大学,新竹,台湾
4 翰林中医诊所,台北,台湾
5 悦展中医诊所,台北,台湾
6 圆扶圆中医诊所,台中,台湾
7 台北医学大学,台北,台湾
【摘要】
新型冠状病毒(SARS-CoV-2)肺炎全球大流行,中医临床支持性经验治疗具实证医学基础。本研究目的,在於藉由系统性文献回顾,建立中医实证基础新冠肺炎支持与经验临床准则。
研究方法:系统性搜寻传统中医药在严重特殊传染性肺炎医学文献,以混和内容与文本分析法,经由辅助软体,分析医疗文献资料,依序登录、编码、归档、萃取概念、形成分类、重建架构来形成内容文本。
结果:指引内容,分为临床表现、病程进展、临床与诊断、临床治疗与照护,和试验性治疗等五大类。其中病程进展细分为疾病严重度、临床病程、重症危险因子、药物资讯和恢复期再感染等五项。中医临床治疗与照护分为无症状或临床前期、轻度、中度、严重、危重与感染恢复症候六大型。
结论:新型冠状病毒感染之中医整合临床处置暂行性指引第一版共分六大症候。以伤寒为经,采用科学病程分类无症状与临床前期症型、轻度症型、中度症型、严重症型、危重症型与感染恢复症候等六型。因此,在照护SARSCoV-2 感染个案辨证论治上,建议应包括感控、住院隔离照护、重症加护支持性疗法与中医整合医疗。
【关键词】新型冠状病毒、武汉肺炎、传统医学、暂行临床指引、伤寒论
Justin Kung Yi Lin1*Chien-Jung Huang2Hung-Tsu Cheng3Wen-Jung Chen4
Hsiao-Chun Chen5Yi-Chui Wang1Shi-Yi Wu 6Ching-Yu Lu1Tzu-Yu Liu7
1Singing Praises TCM Clinic, Taipei, Taiwan
2Taipei Chinese Medical Association, Taipei, Taiwan
3National Tsing Hua University, Hsinchu, Taipei
4Han-Lin TCM Clinic, Taipei, Taiwan
5Yueh-Tsan TCM Clinic, Taipei, Taiwan
6Yuan-Fu-Yuan TCM Clinic, Taichung, Taiwan
7Taipei Medical University, Taipei, Taiwan
【Summary】
Introduction: The severe pneumonia with novel pathogens, COVID-19, was rampant globally. However, the TCM was so fully clinical evidence-based for supportive treatment and symptom care. The purpose of this study was to establish an interim clinical guideline in scientific base by the systematic literature review of the empirical basis of TCM data.
Methods: We systematically searched for traditional Chinese medicine in the medical literature of COVID-19, and analyzed all data through auxiliary software with mixed method of content and text analysis to reconstruct the architecture to form main contexture.
Results: The content of the guideline was divided into five categories as clinical manifestations, progression of disease, clinical and diagnosis, clinical treatment and care, and finally experimental treatment. The progress of the course of disease was subdivided into five domains with disease severity, clinical course, severe risk factors, drug information, and reinfection during recovery. The clinical treatment and care of TCM were divided into asymptomatic or pre-clinical, mild, moderate, severe, critical, and infection recovery.
Conclusions: The first version of the Interim Guidelines for Integrated Clinical Treatment of New Coronavirus (SARS-CoV-2) Infection in TCM was divided into six major symptoms. Taking marine Treatise on Febrile and Miscellaneous Disease as a classic, the scientific course of disease was used to classify six types of asymptomatic and preclinical, mild, moderate, severe, critical and infection recovery syndromes. Therefore, in the treatment of SARS CoV-2 infection cases, all recommendations should be included infection control, inpatient isolation and protective isolation care, supportive care for intensive critical care and integrated Chinese medicine.
【Keywords】SARS-CoV-2, covid-19, TCM, interim traditional medicine clinical
guideline, treatise on cold damage (Shang-han-lun)