The 8th edition of the new coronary diagnosis and treatment program released fennel positive gas, even flower plague and other Chinese medicine was recommended again.

On August 19th, the National Health And Wellness Commission issued a Notice on the Issue of a New Coronavirus Pneumonia Diagnosis and Treatment Programme (Trial 8th Edition).
The key points of the revision of the New Coronavirus Pneumonia Diagnosis and Treatment Programme (Trial 8th Edition) include: further improvement of the source of infection and transmission routes, increasing the number of "contagious during the incubation period, highly contagious within 5 days after onset" and "contact with items contaminated with the virus can also cause infection".
clinical manifestations, adding "a very small number of children with multiple systemic inflammatory syndrome (MIS-C)" introduced the clinical manifestations of MIS-C.
laboratory tests added "new coronavirus-specific IgM antibodies, low positive rates of IgG antibodies within 1 week of onset" and conditions that could lead to false positives, as well as the circumstances under which antibody testing can be used for diagnosis.
, the diagnostic criteria for the new coronavirus-specific IgM antibody positive as one of the basis for the diagnosis of suspected cases.
, Libawelin, etc. are not recommended for use alone since the National Health Care Commission issued a diagnosis and treatment program, antiviral treatment drugs have been the focus of attention. The eighth edition of
emphasizes that in the course of the emergency clinical trial of antiviral drugs, a number of clinical trials have been carried out, although no antiviral drugs have been found to be effective after strict "randomized, double-blind, placebo-controlled studies", but some drugs may have some therapeutic effect after clinical observation studies have shown.
the current more consistent view that drugs with potential antiviral effects should be used early in the course of the disease, it is recommended to focus on patients with high risk factors and risk of severe illness.
not recommended for lopineve/litonave and libawelin alone, hydroxychloroquine or a combination of azithromycin.
alpha-interferon, libavirin (recommended in combination with interferon or lopinevir/litonave), chloroquine phosphate, Abidor can continue to be tested to further evaluate efficacy and adverse reactions, taboos and interactions with other drugs in clinical applications.
is not recommended to apply more than 3 antiviral drugs at the same time.
addition, the eighth edition supplements the glucodermaloid therapy adaptation certificate (patients with oxygenation index deterioration, rapid progress in imaging, overactivation of the body's inflammatory response), dosage and course of treatment.
four points in the treatment of heavy and critical cases: 1. Respiratory support: according to PaO2/FiO2 classification (200 to 300 mmHg, 150 to 200 mmHg and 150 mmHg) Take different breathing support measures, such as nasal catheter or mask oxygen absorption, high-flow nasal catheter oxygen therapy or non-invasive mechanical ventilation and invasive mechanical ventilation, emphasizing the need to assess respiratory distress and/or hypoxemia in a timely manner, if no improvement, should be replaced in a timely manner respiratory support measures.
patients receiving oxygen therapy, such as no contraindications, it is recommended to implement pitching breathing at the same time, that is, sober pitching position breathing, pitching treatment time should be greater than 12 hours.
2. Add the relevant content of "channel management" and refine the starting time of "ECMO", ECMO fingering and ECMO mode selection, recommended initial settings, etc.
3. Increase the evidence of preventive "anticoagulant therapy" and follow the appropriate guidelines in the event of thromboembolism.
. Increase the treatment principles of "children's multisystress inflammatory syndrome", such as intravenous propylene globulin (IVIG), glucoticoids and oral aspirin.
also increased "early recovery".
emphasizes the importance of "early rehabilitation intervention, for patients with neocyctic pneumonia respiratory function, somatic function and mental dysfunction, and actively carry out rehabilitation training and intervention, as much as possible to restore physical fitness, physical fitness and immunity."
" Fennel positive gas, even flower clear plague, golden flower clear feeling and other Chinese medicine in the column from the "new coronavirus infection of pneumonia diagnosis and treatment program (trial fourth edition)" began, fennel positive gas, even flower clear plague, golden flower clear feeling particles are recommended for use.
In the Chinese medicine treatment section, the eighth edition again recommended the use of fennel positive gas, even flower clear plague, golden flower clear particles and other chinese medicine oral preparations, as well as magpie injection, blood must be net injection, thermotovenine injection, sputum pyrhecation injection, wake-up injection and other Chinese medicine injections.
program involves the use of traditional Chinese medicine as follows: 1, clinical performance during medical observation period 1: fatigue with gastrointestinal discomfort recommended traditional Chinese medicine: fennel positive gas capsules (pills, water, oral solution) clinical performance 2: fatigue with fever recommended traditional Chinese medicine: golden flower clear particles, even flower clear plague capsules (particles), dredging Detox capsules (particles) 2, clinical treatment period (confirmed cases) heavy (1) epidemic closed lung evidence clinical manifestations: fever redness, cough, sputum yellow stick less, or sputum with blood, wheezing, fatigue, dry mouth stick, nausea, stool, urination short red.
tongue red, mossy yellow, pulse slip number.
recommended prescription: wet detox basic prescription: raw ephedrite 6g, almonds 9g, raw gypsum 15g, licorice 3g, fennel 10g (back), thick 10g, heron 1 15g, grass fruit 10g, French half summer 9g, smorgo 15g, raw yellow 5g (back), raw jaundice 10g,son 10g, aching 10g.
(2) gas camp two evidence of clinical manifestations: large heat thirst, wheezing, dizziness, misdiaze, or plaque, or vomiting blood,blood, or limb twitching.
tongue moss or no moss, pulse sink fine number, or floating large and number.
recommended prescriptions: raw gypsum 30 to 60g (frying first), mother-in-law 30g, raw 30 to 60g, buffalo horn 30g (frying first), chia 3 0g, Xuansan 30g, Lianhua 15g, Danpi 15g, HuangLian 6g, bamboo leaves 12g,15g, raw licorice 6g.
recommended Chinese medicine: Magpie flat injection, blood must be net injection, thermotovenin injection, sputum hot clean injection, wake-up injection.
drugs with similar efficacy can be selected according to individual conditions, or can be combined according to clinical symptoms.
Chinese medicine injection can be used in combined with Chinese medicine soup.
Critical heavy-duty internal and external de-exoneration clinical manifestations: breathing difficulties, breathlessness or the need for mechanical breathing, accompanied by dizziness, irritability, sweating limbs cold, tongue purple dark, mossy or dry, the pulse is large and rootless.
recommended prescriptions: ginseng 15g, black shun 10g (fried first), hawthorn 15g, serve sushi or Angong oxen.
appear mechanical breathing accompanied by bloating constipation or stool failure, can be used to make a big yellow 5 to 10g.
the human machine out of step, in the case of sedatives and muscle pine agent use, can be used to make large yellow 5 to 10g and mannitra 5 to 10g.
recommended Chinese medicine: blood must be net injection, thermotovenine injection, sputum heat injection, wake-up static injection, ginseng injection, sepsis injection, raw pulse injection, ginseng injection.
drugs with similar efficacy can be selected according to individual conditions, or can be combined according to clinical symptoms.
Chinese medicine injection can be used in combined with Chinese medicine soup.
Note: The recommended use of heavy-duty and critical-heavy Chinese medicine injections in accordance with the drug instructions from a small dose, the principle of gradual identification and adjustment, the recommended usage is as follows: viral infection or combined mild bacterial infection: 0.9% sodium chloride injection 250 ml plus magpie injection 100mg bid, or 0.9% sodium chloride injection 250ml heated venom injection 20ml.
or 0.9% sodium chloride injection 250 ml plus sputum heat injection 40 ml bid.
high fever accompaniment consciousness disorder: 0.9% sodium chloride injection 250 ml plus wake-up injection 20 ml bid.
systemic inflammatory response syndrome or/and multi-organ failure: 0.9% sodium chloride injection 250 ml plus blood must be net injection 100 ml bid.
immunosuppression: 250 ml glucose injection plus ginseng injection 100 ml or raw pulse injection 20 to 60 ml bid.
, prevention and other related content, it is worth noting that the eighth edition added "care"-related content: according to the patient's condition, clear care priorities and do a good job of basic care.
stressed that patients with severe/critical illness should "closely observe the vital signs and consciousness status of patients, focusing on monitoring oxygen saturation."
" bedridden patients to prevent stress injuries.
in accordance with the nursing norms to do a variety of invasive treatment, invasive operation of nursing.
Discharge standards and post-discharge precautions: for patients with temperature returning to normal for more than 3 days, respiratory symptoms significantly improved and lung imaging showing a significant improvement in acute oozing lesions, such as those with nucleic acids that remained positive for more than 4 weeks, it is recommended that "after a comprehensive assessment of the infectiousness of patients through antibody testing, virus culture separation, etc., it is recommended to determine whether to discharge the patient."
" also increased the "prevention" related content: put forward to maintain good personal and environmental health, improve health literacy, maintain good indoor ventilation, scientific personal protection, timely medical treatment and other prevention and control recommendations.
new coronavirus pneumonia diagnosis and treatment programme (trial 8th edition)