TONG Guangdong, XIA Zhang, WANG Yuxin, et al. Clinical Characteristics of 258 Cases of Coronavirus Disease 2019 in Shenzhen and Thinking on the Plague Name Attribute of Coronavirus Disease 2019[J]. Journal of Traditional Chinese Medicine2020, 61(19): 1661-1665.
TONG Guangdong, XIA Zhang, WANG Yuxin, et al. Clinical Characteristics of 258 Cases of Coronavirus Disease 2019 in Shenzhen and Thinking on the Plague Name Attribute of Coronavirus Disease 2019[J]. Journal of Traditional Chinese Medicine2020, 61(19): 1661-1665.DOI: 10.13288/j.11-2166/r.2020.19.002.
Clinical Characteristics of 258 Cases of Coronavirus Disease 2019 in Shenzhen and Thinking on the Plague Name Attribute of Coronavirus Disease 2019
Based on the clinical characteristics of 258 patients with coronavirus disease 2019(COVID-19) in Shenzhen
combined with the understanding of the plague in Chinese medical literature such as Theory of Epidemic Disease(《温疫论》)
from the perspective of the infectiousness
epidemic
seasonality and clinical characteristics
it is proposed that the COVID-19 belongs to the "plague". It is believed that the "cold pestilence" and "cold damp pestilence" cannot explain the etiology and pathogenesis of COVID-19. Abnormal climate
warm pestilence mostly mixed with dampness
warm pathogen entering from the nose and mouth
first invading the lung
the characteristics and damp-heat pestilence and its evolution as well as the clinical characteristic of patients can provide evidence for the "damp-heat epidemic" of COVID-19. At the same time
when distinguishing COVID-19 as "damp-heat epidemic"
it is also necessary to pay attention to the following aspects
the damp-heat epidemic being a combination of cold and warm; aversion to cold and body pain being the initial symptoms of the damp-heat epidemic; white tongue coating or slippery tongue coating being the characteristic of tongue coating at the beginning of the damp-heat epidemic
and the symptoms changing after using western medicine.