Strategies and Practice of Traditional Chinese Medicine for Prevention and Treatment of Community-Acquired Pneumonia Based on Stages and Severity
10.13288/j.11-2166/r.2024.16.006
- VernacularTitle:社区获得性肺炎分期分级中医防治策略及实践
- Author:
Jiansheng LI
1
;
Minghang WANG
1
Author Information
1. Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan and Education Ministry of P.R. China/ Henan Key Laboratory of Chinese Medicine for Respiratory Disease，Henan University of Chinese Medicine，Zhengzhou，450046
- Publication Type:Journal Article
- Keywords:
community-acquired pneumonia;
prevention and treatment strategies;
staged prevention and treatment;
graded prevention and treatment
- From:
Journal of Traditional Chinese Medicine
2024;65(16):1662-1666
- CountryChina
- Language:Chinese
-
Abstract:
Community-acquired pneumonia （CAP） is a common respiratory infectious disease in the elderly， and traditional Chinese medicine （TCM） and integrated TCM and western medicine showed effectiveness. According to the clinical characteristics of CAP， the staging concepts of CAP infection and recovery are proposed， and the prevention and treatment goals and strategies of staging and grading are put forward in combination with the disease seve-rity of mild， moderate and severe infections. The main objectives are to increase the cure rate of mild and moderate pneumonia， to reduce the case fatality rate of severe pneumonia， and to reduce the incidence of new upper and lower respiratory tract infections during the recovery period， respectively. TCM prevention and treatment strategies： for mild pneumonia， treatments should scatter and dissipate external pathogens， diffuse and descend lung qi， dispel dampness and dissolve phlegm， or clear lung and dissolve phlegm； for moderate pneumonia， treatments should clear lungs and resolve toxins， dry dampness and dissolve phlegm， and supplementing with tonifying lungs and strengthen spleen， or benefit qi and nourish yin； for severe pneumonia， the treatment of dispelling pathogen and supporting healthy qi should be emphasised according to the primary and secondary levels of excess pathogen and deficiency healthy qi； and for the recovery period， treatments should mainly support healthy qi， and supplement with dispelling pathogen. Relevant clinical studies have been conducted for practical verification， and the results showed that integrated TCM and Western medicine treatment can improve the cure rate of mild to moderate pneumonia， decrease the case fatality rate of severe pneumonia， and reduce the re-hospitalisation of pneumonia during the recovery period， indicating that the staged and graded prevention and treatment strategy has important guiding value for improving the diagnosis and treatment of CAP.
