Retrospective Analysis of 608 Cases of Novel Coronavirus Pneumonia in Outpatient and Emergency Patients/ 608例门诊和急诊新型冠状病毒肺炎患者中医临床回顾性分析

Objective novel coronavirus pneumonia in the early stage of TCM syndrome characteristics and time distribution, and summarize the experience of TCM diagnosis and treatment Methods novel coronavirus pneumonia patients in 608 outpatients and emergency department in Wuhan Hospital of traditional Chinese medicine were collected and analyzed retrospectively Results the main clinical manifestations of 608 patients were fever (77 9%), muscle soreness (64 1%), cough (50 8%), chest tightness (46 9%), fatigue (44 1%), headache (41 6%), aversion to cold (38 7%) and anorexia (36 7%) In December 2019 and January 2020, 83 2% and 54 3% of the patients complained of fever and respiratory symptoms (cough and chest tightness), The proportion of patients with digestive system (nausea, vomiting, diarrhea, anorexia) as the main complaint was 0 9% and 17 3% respectively, while the proportion of patients with both was 15 9% and 28 4% respectively Conclusion at the beginning of the epidemic, it may be a febrile disease, which is mainly caused by wind and temperature The pathogenesis is that the pathogenic factors of warming enter the lung, and the lung fails to spread and cause lung qi stagnation The four methods of "clearing, clearing, harmonizing and dissolving" are used as the treatment principle, and the effect is obvious Later, due to the abnormal changes of local climate and its natural regional characteristics, the combination of temperature and miscellaneous Qi "dampness evil" between heaven and earth formed "dampness toxin and pestilence evil" The pathogenesis evolved into dampness evil trapping spleen, and Lung Qi was confined by dampness pathogen The Qi mechanism was not smooth The treatment should be to release lung detoxification, transport spleen to remove dampness, and timely use the method of "sweat" and "Xiaxia"