Integrated Chinese and Western Medicine for Tuberculosis and Severe Malnutrition with Coronavirus Disease 2019（Critical Type）： A Case Report

Danni Zhou; Xiuyang LI; Xuefei Zhao; Aibo DU; Zezheng Gao; Chensi Yao; Chongxiang Xue; Jun Sun; Han Wang; Chuantao Zhang; Linhua Zhao; Qiang Wang; Peng Wang

Return

Integrated Chinese and Western Medicine for Tuberculosis and Severe Malnutrition with Coronavirus Disease 2019（Critical Type）： A Case Report

VernacularTitle:中西医结合治疗肺结核及严重营养不良合并新型冠状病毒感染（危重型）1例
Author: Danni ZHOU ¹ ; Xiuyang LI ² ; Xuefei ZHAO ² ; Aibo DU ³ ; Zezheng GAO ⁴ ; Chensi YAO ² ; Chongxiang XUE ⁵ ; Jun SUN ⁶ ; Han WANG ⁵ ; Chuantao ZHANG ⁷ ; Linhua ZHAO ² ; Qiang WANG ⁸ ; Peng WANG ⁹
Author Information

1. Gansu University of Chinese Medicine， Lanzhou， 730101
2. Guang'anmen Hospital， China Academy of Chinese Medical Sciences
3. Traditional Chinese Medicine Hospital of Xinjiang Medical University
4. The Affiliated Hospital of Qingdao University
5. Beijing University of Chinese Medicine
6. The Affiliated Hospital of Changchun University of Chinese Medicine
7. Chengdu University of Traditional Chinese Medicine
8. Notheast International Hospital
9. People's Hospital of Tacheng Prefecture， Xinjiang Uyghur Autonomous Region
Publication Type:Journal Article
Keywords: coronavirus disease 2019; pulmonary tuberculosis; malnutrition; tonifying middle and replenishing qi
From: Journal of Traditional Chinese Medicine 2023;64(22):2363-2367
CountryChina
Language:Chinese
Abstract: We reported a case of a patient dignosed as tuberculosis and severe malnutrition with coronavirus disease 2019 （critical type） treated with a combination of Chinese medicine and Western medicine. Through the retrospective analysis of the diagnosis and treatment process of this patient， on the basis of Chinese medicine's understanding of the etiology and pathogenesis of “old state” and “deficient state”， the critical coronavirus pneumonia combined with pulmonary tuberculosis and severe malnutrition was mostly due to the physical condition and the invasion of epidemic toxin， resulting in dysfunctions of the internal organs such as the lungs， spleens， kidneys and other organs. Based on the understanding of the cause and mechanism of the coronavirus disease， the treatment combined Chinese and Western medical therapies was given. The western medicine was used with the main treatments of oxygen therapy， anti-viral， intestinal nutritional support， and anti-coagulation， while the Chinese medicine was used by tonifying qi， blood， yin， and yang， warming yang and dissipating cold， and clearing heat and dampness， then tonifying qi， nourishing yin and eliminating heat， in which tonifying middle and replenishing qi ran through the whole process. The integrated treatment eventually improved the patient's symptoms and accelerated the negative conversion of nucleic acid of the coronavirus.