Treatment of Critical COVID-19 Case Complicated with Multiple Organ Dysfunction based on “Cold-dampness Entering Ying （营）” Theory： A Case Report
10.13288/j.11-2166/r.2023.23.015
- VernacularTitle:从“寒湿入营”论治危重型新型冠状病毒感染合并多器官功能障碍1例
- Author:
Tingting BAO
1
;
Xiuyang LI
1
;
Fan WANG
2
;
Jie WEN
2
;
Chensi YAO
1
;
Xuefei ZHAO
1
;
Zezheng KANG
3
;
Jiaqi GAO
1
;
Qiang WANG
4
;
Chongxiang XUE
1
;
Yingying YANG
5
;
Dan XU
4
Author Information
1. Guang'anmen Hospital， China Academy of Chinese Medical Sciences， Beijing， 100053
2. Affiliated Hospital of Traditional Chinese Medicine， Xinjiang Medical University
3. Affiliated Hospital of Changchun University of Traditional Chinese Medicine
4. Northeast International Hospital
5. China-Japan Friendship Hospital
- Publication Type:Journal Article
- Keywords:
COVID-19;
multiple organ dysfunction;
cold-dampness entering ying （营）;
critically ill case;
cold-dampness epidemic
- From:
Journal of Traditional Chinese Medicine
2023;64(23):2461-2465
- CountryChina
- Language:Chinese
-
Abstract:
“Cold-dampness entering ying （营）” is the key to the worsening of cold-dampness epidemic， and is more common in the elderly or critically ill cases of cold-dampness epidemic with pathogen exuberance and healthy qi deficiency. This paper reported a case of critically ill COVID-19 combined with multiple organ dysfunction treated by integrative traditional Chinese and western medicine based on “cold-dampness entering ying” theory. The patient did not have high fever after being infected with SARS-Cov-2， but D-dimer continued to increase， and she developed multiple thrombosis throughout the body and multiple organ dysfunctions such as pulmonary embolism， edema， oliguria， and shock. The patient were with enlarged and dusky tongue， with yellow， thick and greasy coating， and sublingual blood stasis， and thready， rapid and rough pulse. All these were characteristic manifestations of “cold-dampness entering ying”， and was differentiated as cold-dampness stasis. For the treatment， symptomatic and supportive western medicine of improving heart function， anti-infection， relieving asthma， stopping cough and reducing phlegm was given as the basic therapy， and additionally， traditional Chinese medicine to open the constraint and the blocked， save from collapse and restore yang， boost qi and relieve collapse， invigorate blood and drain water was used， usually with Modified Poge Zilong Xuanbai Chengqi Decoction （破格子龙宣白承气汤加减）， which was in accordance with the pathogenesis and thus achieving good effect.
