Analysis of Programs and Guidelines on Traditional Chinese Medicine (TCM) for COVID-19 to Provide Suggestions for Future Development of TCM Clinical Practice Guidelines

Xue FENG; Xiao-jiao DUAN; Bing ZHANG; Sarina; Xiang-fei SU; Si-yuan MA; Yuan LI; Yu-bo GUO

doi:10.13422/j.cnki.syfjx.20200841

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Analysis of Programs and Guidelines on Traditional Chinese Medicine (TCM) for COVID-19 to Provide Suggestions for Future Development of TCM Clinical Practice Guidelines

Topic on Epidemic Resistance (Ⅳ) | 更新时间：2020-09-09

- Analysis of Programs and Guidelines on Traditional Chinese Medicine (TCM) for COVID-19 to Provide Suggestions for Future Development of TCM Clinical Practice Guidelines
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 26, Issue 14, Pages: 20-28(2020)
- 作者机构：
  
  1. 中华中医药学会标准化办公室，北京 100029
  2. 北京中医药大学，北京 100029
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20200841
  CLC： R2-0;R254.3;R373.1;R318.13;R511
- Published Online：28 February 2020，
  
  Published：20 July 2020
- 稿件说明：
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冯雪,段笑娇,张冰等.新型冠状病毒肺炎中医诊疗/防治方案对中医临床指南制定的思考[J].中国实验方剂学杂志,2020,26(14):20-28.

FENG Xue,DUAN Xiao-jiao,ZHANG Bing,et al.Analysis of Programs and Guidelines on Traditional Chinese Medicine (TCM) for COVID-19 to Provide Suggestions for Future Development of TCM Clinical Practice Guidelines[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(14):20-28.
冯雪,段笑娇,张冰等.新型冠状病毒肺炎中医诊疗/防治方案对中医临床指南制定的思考[J].中国实验方剂学杂志,2020,26(14):20-28. DOI： 10.13422/j.cnki.syfjx.20200841.

FENG Xue,DUAN Xiao-jiao,ZHANG Bing,et al.Analysis of Programs and Guidelines on Traditional Chinese Medicine (TCM) for COVID-19 to Provide Suggestions for Future Development of TCM Clinical Practice Guidelines[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(14):20-28. DOI： 10.13422/j.cnki.syfjx.20200841.

摘要

目的

全面分析新型冠状病毒肺炎中医诊疗/防治方案，探讨其对中医临床指南制定的启示。

方法

检索2020年2月19日前发布的新型冠状病毒肺炎中医诊疗方案、防治方案、临床实践指南或专家共识，分析其中医辨证分型、西医疾病分期、中药复方和中成药相关信息。

结果

共纳入23个新型冠状病毒肺炎中医诊疗/防治方案和1个快速建议指南，其中14个方案明确了中医辨证分型同时也描述了西医疾病分期，22个方案明确了中药复方的药物组成，7个方案提到不同情况下对其进行加减，17个方案明确了中药复方的剂量，3个方案明确了煎煮法，6个方案明确了中药复方的用法用量，2个方案明确了疗程，没有方案注明证据来源；快速建议指南中中医治疗内容引用了国家卫健委发布的第四版新型冠状病毒肺炎诊疗方案。23个方案和1个快速建议指南共推荐了41种中成药，其中12种中成药属于超说明书范围推荐。

结论

新型冠状病毒肺炎中医诊疗/防治方案基本上将中医辨证分型与西医疾病分期相结合推荐了中药复方或中成药，且明确了中药复方的剂量，方案中的中成药有超说明书范围推荐的情况，方案的制定重视专家经验，为今后中医指南的制定提供了可借鉴的方法和思路。

Abstract

Objective

To comprehensively analyze the diagnosis and treatment programs and prevention and treatment programs on tratidional Chinese medicine (TCM) for coronavirus disease-2019 (COVID-19)

and to provide suggestions for further development of TCM clinical guidelines.

Method

Diagnosis and treatment programs on TCM for COVID-19 pneumonia

as well as prevention and treatment programs

clinical practice guidelines and expert consensus

were retrieved till Feb 19

2020. The information about TCM syndrome differentiation

state of disease

and TCM treatments (decoction and Chinese patent medicines) were extracted and analyzed.

Result

A total of 24 TCM programs/guidelines were included containing 23 diagnosis and treatment programs or prevention and treatment programs and one rapid advice guideline. Of the 23 TCM programs

14 programs described the classification of TCM syndromes and the stages of disease，22 programs described the composition of the TCM decoction; seven programs described how to add and subtract the herbs according to different TCM syndromes

17 programs described the weight/volume of the herbs of TCM decoctions

three programs described the decoction method，six programs described the usage and dosage of TCM decoction， two programs clarified the course of treatment; none of the 23 programs indicated the source of evidence. The TCM treatment within the rapid advice guideline was in reference to the fourth edition of the COVID-19 pneumonia TCM diagnosis and treatment program issued by the National Health Commission. A total of 41 Chinese patent medicines were recommended in 23 programs

of which 12 Chinese patent medicines were off-label recommended.

Conclusion

In most TCM programs

TCM decoction and Chinese patent medicines are recommended based on TCM syndrome differentiation in combination with the state of disease

and the dosage of the TCM decoctions are clearly described. Some Chinese patent medicines in the TCM programs are off-label recommended. Expert experience and opinions are valued when developing TCM programs/ guidelines. All of these provide reference for developing TCM programs/guidelines in future.

关键词

Keywords

references

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