Contribution of Traditional Chinese Medicine Combined with Conventional Medicine Treatment for a Long-Term Survivor of Heart Transplant with Severe COVID-19： A Case Report

Chongxiang Xue; Yanjiao Zhang; Ying Chen; Dannini Zhou; Bing Wang; Jun Sun; Ling Zhou; Chuanxi Tian; Xuefei Zhao; Jinbo Cheng; Xiuyang LI; Dong Xiao

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Contribution of Traditional Chinese Medicine Combined with Conventional Medicine Treatment for a Long-Term Survivor of Heart Transplant with Severe COVID-19： A Case Report

VernacularTitle:中西医结合治疗长期生存心脏移植患者合并新型冠状病毒感染（重型）1例
Author: Chongxiang XUE ¹ ; Yanjiao ZHANG ² ; Ying CHEN ¹ ; Dannini ZHOU ³ ; Bing WANG ⁴ ; Jun SUN ⁵ ; Ling ZHOU ¹ ; Chuanxi TIAN ¹ ; Xuefei ZHAO ² ; Jinbo CHENG ⁶ ; Xiuyang LI ² ; Dong XIAO ⁷
Author Information

1. Guang'anmen Hospital， China Academy of Chinese Medical Sciences， Beijing 100053
2. Beijing University of Chinese Medicine
3. Gansu University of Chinese Medicine
4. Affiliated Hospital of Xinjiang University of Traditional Chinese Medicine
5. Affiliated Hospital of Changchun University of Traditional Chinese Medicine
6. Second Affiliated Hospital of Army Medical University
7. Xinjiang Uyghur Autonomous Region People's Hospital
Publication Type:Journal Article
Keywords: COVID-19; severe type; heart transplant; Pogezilong Xuanba Chengqi Tang （破格子龙宣白承气汤）
From: Journal of Traditional Chinese Medicine 2023;64(22):2359-2362
CountryChina
Language:Chinese
Abstract: We report a case of a long-term survivor of heart transplant who developed severe COVID-19 and was treated with a traditional Chinese medicine combined with conventional medicine. Throughout the treatment， the patient received active conventional medical treatment， and traditional Chinese medicine interventions included tonifying qi， invigorating the spleen and transforming phlegm， promoting yang and eliminating stagnation， resolving dampness and dissipating phlegm， and promoting blood circulation and eliminating stasis. The main therapeutic principles adopted were to recuperating depleted yang and rescuing the patient from collapse and to resolve phlegm and promote water. Pogezilong Xuanbai Chengqi Decoction （破格子龙宣白承气汤） with modifications was administered. In summary， it is crucial to the timely adjust the immunosuppressive regimen， combine use of various anti-infective agents with a focus on COVID-19， to protect of cardiac and renal function， and to integrate traditional Chinese medicine in the entire treatment process. As this case is rare， the diagnostic and therapeutic methods in traditional Chinese medicine， the use of immunosuppressive agents， and follow-up monitoring strategies can be a valuable reference.