Coronavirus disease 2019(COVID-19) belongs to the category of "pestilence" of traditional Chinese medicine(TCM). According to the information of TCM diagnosis and treatment experience in 52 confirmed cases including 32 cases in the initial stage
16 cases in the advanced stage
2 cases in the extreme stage
and 2 cases in the recovery period
it is believed that the pestilence is related to dampness toxin invading the lungs and spleen. TCM treatment should be based on the combination of disease identification and syndrome differentiation in stages: firstly
initial stage: with heavy dampness and light wind heat
dampness toxin attacks lung and spleen
and obstructing normal physiological functioning; the treatment should be to remove dirt and to resolve toxin
elimination of pathogens through purgation and diuresis
scattering wind and clearing heat. The prescription is modified Yinqiao Powder and Ganlu Xiaodu Pills(银翘散合甘露消毒丹). Secondly
progressive stage: dampness toxin blocking the lung
toxin injuring meridians
Fu Qi being obstructed; the treatment should be to remove dirt and detoxification
to eliminate pathogens through purgation and diuresis
and to diffuse the lung to expel phlegm. The prescription is modified Qianjin Weijing Decoction Heshengjiang Powder(千金苇茎汤合升降散). 3) Extreme period: internal block and external collapse;the treatment should be removing dirt and dissolve toxin
opening the block and collasping
and restoring yang to save from collapse. The prescription is modified Sini Decoction or the three treasures of warm disease Angong Niuhuang Pills(安宫牛黄丸)
Zixue Pills(紫雪丹) and Zhibao Pills(至宝丹) or Suhexiang Pills(苏合香丸). 4) Recovery period: Deficiency of lung and spleen qi
retaining of damp-turbidity; the treatment should be remove the dirt and detoxification
clear away remaining pathogen; the prescription is modified Wuye Lugen Decoction. The treatment of all phases is based on removing the dirt and detoxification
with Rhizoma Cimicifugae and Radix Angelicae Sinensis as the basic drugs. It respectively expels evils
dissipating diarrhea
dissipating the qi movement and diarrhea
and removing blood stasis and unlocking the collateral.