题名

淨斯本草飲合科學中藥治療COVID-19重症案例報告

并列篇名

Treatment of Severe COVID-19 with JING SI HERBAL TEA LIQUID PACKETS Plus Herbal Formulae: A Case Report

DOI

10.6516/TJTCM.202203/SP_25.0019

作者

蘇三華(San-Hua Su);俞馨媛(Hsin-Yuan Yu);陳中奎(Jhong-kuei Chen);何宗融(Tsung-Jung Ho);王健豪(Chien-Hao Wang)

关键词

COVID-19 ; 新冠肺炎 ; 淨斯本草飲 ; 中醫藥 ; 中西醫合療 ; COVID-19 ; SARS-CoV-2 ; JING SI HERBAL TEA LIQUID PACKETS ; Traditional Chinese Medicine ; Combined Therapy of Chinese and Western Medicine

期刊名称

中醫藥研究論叢

卷期/出版年月

25卷特刊(2022 / 03 / 05)

页次

169 - 178

内容语文

繁體中文

中文摘要

自新冠肺炎(COVID-19)在全球流行以來,如何治療新冠肺炎及其併發症成為重大議題之一。研究顯示中醫藥可經由多靶點及多途徑對抗嚴重急性呼吸道症候群冠狀病毒2型(SARS-CoV-2),並調節人體免疫、協助病患症狀改善。此案例為一57歲女性,因確診COVID-19及反覆發燒及雙側肺炎浸潤增加,病情轉變為重症後至本院治療。入院後給予淨斯本草飲濃縮液,方中寒熱藥並施,達到抗寒濕病邪之效用,期間因應病患證型及病情傳變,予以科學中藥真武湯合千金葦莖湯、真武湯合甘桔湯及六君子湯合桔甘湯,以祛濕化痰排膿、利咽宣肺,及平補正虛法,改善病患肺部、心臟系統併發症及恢復期氣陰兩虛等症狀,幫助病人成功移除氣管內管及脫離呼吸器,至解除隔離後出院。本文提供在臨床上COVID-19重症病患以中西醫合療方式治癒之案例,期望藉由此報告能有助於中醫藥在治療新冠肺炎之應用。

英文摘要

Since the global pandemic of coronavirus disease 2019 (COVID-19) is ongoing, one of central issues now is how to treat COVID-19 and related complications. Chinese medicine has been proved to fight against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through multiple targets and pathways, regulate human immunity and improve symptoms in patients. This case is a 57-year-old female, diagnosed with COVID-19, suffered from repeated fever and increased bilateral pneumonia infiltration, and was transferred to our hospital due to her severe state. After admission, she was given JING SI HERBAL TEA LIQUID PACKETS which simultaneously contained chinese medicines of cold and heat nature, to dispel the cold-dampness pathogens. And we also prescribed the Zhen Wu Tang plus Wei Jing Tang, Zhen Wu Tang plus Gan Jie Tang, and Liu Jun Zi Tang plus Gan Jie Tang according to the patient's syndrome and condition. These Chinese medicinal formulae can remove phlegm, discharge pus, relieve sore throat, disperse lung qi, and strengthen body resistance, further improve the patient's pulmonary and cardiac system complications. After using combined therapy of Chinese and Western medicine, this patient was successfully removed from the endotracheal tube, weaned from the ventilator, and released from hospital quarantine. This article reports a clinical case of severe COVID-19 patient cured by integrative medicine and provides beneficial applications of Chinese medicine to treat COVID-19.

主题分类 醫藥衛生 > 中醫藥學
醫藥衛生 > 藥理醫學
参考文献
  1. Ang, L,Song, E,Lee, HW,Lee, MS(2020).Herbal Medicine for the Treatment of Coronavirus Disease 2019 (COVID-19): A Systematic Review and Meta-Analysis of Randomized Controlled Trials.J Clin Med,9(5)
  2. Choudhry, N,Zhao, X,Xu, D,Zanin, M,Chen, W,Yang, Z(2020).Chinese Therapeutic Strategy for Fighting COVID-19 and Potential Small-Molecule Inhibitors against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).J Med Chem,63(22),13205-13227.
  3. Dai, YJ,Wan, SY,Gong, SS,Liu, JC,Li, F,Kou, JP(2020).Recent advances of traditional Chinese medicine on the prevention and treatment of COVID-19.Chin J Nat Med,18(12),881-889.
  4. Majumder, J,Minko, T(2021).Recent Developments on Therapeutic and Diagnostic Approaches for COVID-19.Aaps j,23(1),14.
  5. Tong, X,Li, A,Zhang, Z,Duan, J,Chen, X,Hua, C(2004).TCM treatment of infectious atypical pneumonia--a report of 16 cases.J Tradit Chin Med,24(4),266-269.
  6. Tsai, KC,Huang, YC,Liaw, CC,Tsai, CI,Chiou, CT,Lin, CJ(2021).A traditional Chinese medicine formula NRICM101 to target COVID-19 through multiple pathways: A bedside-to-bench study.Biomed Pharmacother,133,111037.
  7. Vakili, K,Fathi, M,Pezeshgi, A,Mohamadkhani, A,Hajiesmaeili, M,Rezaei-Tavirani, M(2020).Critical complications of COVID-19: A descriptive meta-analysis study.Rev Cardiovasc Med,21(3),433-442.
  8. 王樹鵬,鞠寶兆,林大勇,劉書宇,石岩(2020)。基於新型冠狀病毒肺炎探討其病名及因機證治規律的研究。中華中醫藥學刊,38(8),17-20。
  9. 仝小林,李修洋,趙林華,李青偉,楊映映,林軼群,丁齊又,雷燁,王強,宋斌,劉文科,沈仕偉,朱向東,黃飛劍,周毅德(2020)。從“寒濕疫"角度探討新型冠狀病毒肺炎的中醫藥防治策略。Journal of Traditional Chinese Medicine,61(6),465-470。
  10. 伍德軍,朱春紅,劉家朋(2021)。千金葦莖湯輔助治療重症肺炎的臨床療效。內蒙古中醫藥,40(3),35-36。
  11. 李克光(編)(2012).金匱要略精注讀本.台北:知音出版社.
  12. 李培生(編)(2011).傷寒論讀本精選.台北:知音出版社.
  13. 孫思邈(1997).備急千金要方.北京:中醫古籍出版社.
  14. 楊明山(編)(2015).黃帝內經素問新譯.上海:復旦大學出版社.