Clinical Retrospective Study On Novel Coronavirus Pneumonia Recovery Period(Lung And Spleen Qi Deficiency Syndrome) Treated With Fuzheng And Tongluo Method

Objective To retrospectively analyze and discuss the clinical effect,feasibility and safety influence of the method of strengthening the body and dredging the collaterals in the treatment of lung-spleen-qi deficiency syndrome during the recovery period of COVID-19.Summarize the clinical characteristics of the new type of coronavirus pneumonia during the recovery period,and analyze the theoretical basis of the method of strengthening the body and dredging the collaterals,and provide more objective basis for the dialectical treatment of the new coronary recovery period by Chinese medicine,so as to broaden the advantages of Chinese medicine in the treatment of this disease.Methods A total of 48 patients in the New Crown Rehabilitation Clinic of Hubei Provincial Hospital of Traditional Chinese Medicine from March 2020 to September 2020 were retrospectively selected.All cases met the clinical diagnosis and discharge criteria for new coronavirus pneumonia.According to the new coronavirus pneumonia discharge diagnosis is ordinary Type,severe,Chinese medicine dialectically diagnosed as the syndrome of deficiency of lung and spleen qi during the recovery period of new coronary disease.All48 patients received TCM decoction treatment based on the principle of strengthening the body and dredging collaterals.The course of treatment was 2 months.The general data of the patients were collected,and the TCM symptoms,clinical efficacy,lung function indicators,and exercise were counted before and after the treatment of the included cases.The changes in tolerance and imaging(chest CT)were collected and compared,and adverse events during the treatment period were recorded.Through statistical analysis and observation of TCM symptom quantitative score,clinical efficacy index,lung function index,exercise tolerance,imaging(chest CT)data,analyze the therapeutic effect of strengthening the body and dredging collaterals in the treatment of new coronavirus pneumonia during the recovery period.Result By analyzing the basic information data of the included patients,it is shown that the main group of patients in the recovery period of the new crown is the middle-aged and elderly people(70.83%)over the age of 40.There are more men than women.The body mass index BMI is generally higher than normal,and the most common combination of underlying diseases is high.Blood pressure(20.83%),diabetes(14.58%),and chronic gastritis(12.50%)are the most common.The main symptoms of patients include fatigue(87.50%),shortness of breath(81.25%),chest tightness(77.08%),anorexia(75.00%),cough(77.08%),expectoration(58.33%),uncomfortable defecation(62.50%),Spontaneous sweating(66.67%),fear of wind and cold(31.25%),TCM tongue analysis showed that the tongue quality is mainly light red tongue(60.42%),dark red tongue(22.92%),and tongue coating is white coating(89.58%).Mainly greasy moss(43.75%).Among the 48 patients,29 patients(60.42%)had diffuse pulmonary dysfunction,and had decreased exercise tolerance and pulmonary CT fibrosis.After a two-month treatment with Chinese medicine decoction of Fuzheng Tongluo method,the total effective rate of treatment was 93.75%.The scores of all TCM symptoms decreased after treatment,and the total scores dropped from 13.54± 6.47 before treatment to 2.88 ± 1.12.Significant difference(P<0.01);after treatment,the patients’ dark red tongue and purple and dark tongue were significantly improved,and the thick greasy coating was mostly converted into thin white coating;after treatment,the average DLCO% of patients rose to70.32±12.52,and the six-minute walk test distance increased To548.15±26.31,the dynamic blood oxygen saturation increased to96.28%,P<0.05,which was improved compared with before treatment;After treatment,the degree of chest CT fibrosis did not change significantly,P>0.05;There were no safety indicators during the study.abnormal.Conclusion Based on the method of strengthening the body and dredging the collaterals,the use of traditional Chinese medicine in the treatment of pulmonary spleen qi deficiency syndrome during the recovery of new coronavirus pneumonia has significant clinical effects and good clinical practical value,which is specifically manifested in the relief of clinical symptoms and lung function in patients with lung spleen qi deficiency during recovery It is safe to improve and improve exercise tolerance,which is in line with the dialectical thinking and medication rules of the recovery period of new coronary pneumonia.