Study on the Distribution Characteristics of Tranditional Chinese Medicine Syndrome Elements in Patients with Acute Cough Infected by Novel Coronavirus
Objective:To explore the distribution characteristics of tranditional Chinese medicine syndrome elements in acute cough caused by novel coronavirus infection.Methods:The clinical epidemiological research method was used to select the patients diagnosed as acute cough infected by novel coronavirus in the outpatient department of Dongzhimen Hospital of Beijing University of Chinese Medicine from November 2022 to November 2023,and the syndrome element differentiation method was used to study the disease location and disease syndrome elements,and the correlation analysis and cluster analysis were carried out.Result:A total of 130 effective cases were collected in this study,and a total of 9 elements of disease location were summarized.According to the frequency of disease location,they were lung,surface,liver,kidney,spleen,heart and mind,half surface and half interior,stomach,and bones.The frequency of lung occurrence was 100%,indicating that the core disease location of this disease is lung,followed by surface.There are 16 pathological syndrome elements,which are phlegm,Yin deficiency,Qi deficiency,heat,external wind,Yang deficiency,dampness,cold,blood deficiency,Qi stagnation,Yin,Yang hyperactivity,non consolidation,dryness,toxin,and blood heat according to their frequency of occurrence.Among them,phlegm,Yin deficiency,and Qi deficiency are the main pathological syndrome elements.After correlation analysis,the combination with the highest support and confidence was found to be lung-surface,followed by lung-phlegm and lung-Yin deficiency.After clustering analysis,4 clustering groups can be obtained:Qi stagnation,liver,external wind,and cold.Dampness,heat,and Yin deficiency.Yang deficiency,Qi deficiency,and blood deficiency.Surface,lungs,phlegm.Conclusion:The main location of acute cough caused by novel coronavirus infection is lung surface.The main pathological features are phlegm and Yin deficiency.Phlegm is the most important pathological factor of acute cough caused by novel coronavirus infection,and the pathogenesis is especially the most critical factor of deficiency(deficiency of both Qi and Yin)and phlegm(turbid phlegm obstructing collaterals).It is easy to change from excess to deficiency,and deficiency and excess are mixed.Deficiency and phlegm should be treated together to replenish lung Qi and lung Yin in a timely manner.