主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2020, Vol. 43 ›› Issue (7): 539-543.doi: 10.3969/j.issn.1006-2157.2020.07.002

• COVID20 • Previous Articles     Next Articles

Understanding COVID-19 from the perspective of traditional Chinese medicine

Wang Xihong1, Han Zhenyun2, Xu Mengbai3, Zhang Kaiwen4, Chen Jiaxu4#   

  1. 1 Dongfang Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100078, China;
    2 Shenzhen Hospital of Beijing University of Chinese Medicine, Shenzhen 518172, China;
    3 Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China;
    4 School of Traditional Chinese medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2020-02-20 Published:2020-08-11
  • Contact: Prof. Chen Jiaxu, 11 Beisanhuan Donglu, Chaoyang District, School of Chinese medicine,Beijing University of Chinese Medicine, Beijing 100029, China. E-mail:chenjx@bucm.edu.cn

Abstract: Based on analysis of clinical manifestations of corona virus disease 2019 (COVID-19), statements from ancient books and published literature on pestilential diseases have been reviewed in this paper to sort out how traditional Chinese medicine interprets the pathogenic characteristics of COVID-19.This paper mainly expounds from five aspects: the concept and characteristics of pestilence, etiology and pathogenesis, pattern differentiation combined with tongue diagnosis, analysis of critical and severe cases, and considerations for treatment. From the perspective of traditional Chinese medicine, COVID-19 falls into the category of pestilential diseases. The basic pathogenesis of the disease is invasion of external pathogens leading to damage to the lung and spleen, and deficiency of the healthy qi. Most patients with underlying diseases tend to progress to critical and severe stages, which are related to the depletion of lung's source supply,the blockage of heart and spirit, ending up with internal blockage and external collapse.In addition, in the diagnosis and treatment of pestilence, tongue diagnosis should be highlighted as it can reflect the real-time progression of the disease. Pathogenic qi should be expelled in time, but purgation method should be applied based on pattern differentiation, and tonifying methods should be used with caution.

Key words: SARS-Cov-2, On Plague, treatment according to pattern differentiation

CLC Number: 

  • R254.3