Ho Leonard T F, Chan Karina K H, Chung Vincent C H, Leung Ting Hung
School of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
United Christian Nethersole Community Health Service - The Chinese University of Hong Kong Chinese Medicine Clinic cum Training and Research Centre (Tai Po District), Hong Kong.
Eur J Integr Med. 2020 Jun;36:101116. doi: 10.1016/j.eujim.2020.101116. Epub 2020 Apr 3.
The World Health Organization declared the coronavirus disease (COVID-19) as a pandemic on 11 March 2020, after the number of confirmed cases outside China increased 13-fold. As the epicentre of the initial outbreak, China has been updating the National COVID-19 Diagnostic and Treatment Guideline with up-to-date information about the disease. To facilitate the implementation of integrative Chinese-Western Medicine in COVID-19 management, Traditional Chinese medicine (TCM) has been recommended in recent editions of the national guideline.
The national guideline summarised the opinions and frontline experience of medical experts across the country to provide by far the best management for COVID-19. We extracted the case definition and clinical classifications of COVID-19 in China along with relevant TCM treatments cited in the seventh edition of the guideline, with an intent to disseminate practical information to TCM clinicians and researchers around the world.
We present the most recent case definition, clinical classifications, and relevant TCM treatments of COVID-19 in accordance with the recommendations in the Chinese guideline. TCM treatments are stratified into two groups based on patients' disease status. Four types of Chinese patent medicines are recommended for suspected COVID-19 cases. Several herbal formulae are recommended for confirmed COVID-19 cases according to their clinical classification and TCM pattern diagnoses. Two herbal formulae are also recommended for rehabilitation of recovering cases.
To control the waves of COVID-19 outbreak, countries must ensure the adherence of their citizens to local public health measures. Medical professionals should diagnose and treat patients according to up-to-date guidelines. Future evaluation of the outcomes of implementing TCM recommendations will strengthen the evidence base for COVID-19 management for the sake of public health and the internationalisation of TCM.
2020年3月11日，在中国境外确诊病例数增长了13倍之后，世界卫生组织宣布冠状病毒病（COVID-19）为大流行病。作为最初疫情的中心，中国一直在根据有关该疾病的最新信息更新《新型冠状病毒肺炎诊疗方案》。为促进中西医结合在COVID-19管理中的实施，国家诊疗方案的最新版本推荐了中医药。
国家诊疗方案总结了全国医学专家的意见和一线经验，以提供目前对COVID-19的最佳管理方法。我们提取了中国COVID-19的病例定义和临床分类以及诊疗方案第七版中引用的相关中医治疗方法，旨在向世界各地的中医临床医生和研究人员传播实用信息。
我们根据中国诊疗方案中的建议，介绍了COVID-19最新的病例定义、临床分类和相关中医治疗方法。中医治疗方法根据患者的病情分为两组。对于疑似COVID-19病例，推荐四种中成药。对于确诊的COVID-19病例，根据其临床分类和中医辨证诊断推荐了几种中药方剂。还推荐了两种中药方剂用于康复期病例的恢复。
为控制COVID-19疫情的浪潮，各国必须确保其公民遵守当地的公共卫生措施。医学专业人员应根据最新指南诊断和治疗患者。未来对实施中医建议的结果进行评估，将为了公共卫生和中医国际化加强COVID-19管理的证据基础。
