自新冠肺炎(COVID-19)在全球流行以來,如何治療新冠肺炎及其併發症成為重大議題之一。研究顯示中醫藥可經由多靶點及多途徑對抗嚴重急性呼吸道症候群冠狀病毒2型(SARS-CoV-2),並調節人體免疫、協助病患症狀改善。此案例為一57歲女性,因確診COVID-19及反覆發燒及雙側肺炎浸潤增加,病情轉變為重症後至本院治療。入院後給予淨斯本草飲濃縮液,方中寒熱藥並施,達到抗寒濕病邪之效用,期間因應病患證型及病情傳變,予以科學中藥真武湯合千金葦莖湯、真武湯合甘桔湯及六君子湯合桔甘湯,以祛濕化痰排膿、利咽宣肺,及平補正虛法,改善病患肺部、心臟系統併發症及恢復期氣陰兩虛等症狀,幫助病人成功移除氣管內管及脫離呼吸器,至解除隔離後出院。本文提供在臨床上COVID-19重症病患以中西醫合療方式治癒之案例,期望藉由此報告能有助於中醫藥在治療新冠肺炎之應用。
Since the global pandemic of coronavirus disease 2019 (COVID-19) is ongoing, one of central issues now is how to treat COVID-19 and related complications. Chinese medicine has been proved to fight against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through multiple targets and pathways, regulate human immunity and improve symptoms in patients. This case is a 57-year-old female, diagnosed with COVID-19, suffered from repeated fever and increased bilateral pneumonia infiltration, and was transferred to our hospital due to her severe state. After admission, she was given JING SI HERBAL TEA LIQUID PACKETS which simultaneously contained chinese medicines of cold and heat nature, to dispel the cold-dampness pathogens. And we also prescribed the Zhen Wu Tang plus Wei Jing Tang, Zhen Wu Tang plus Gan Jie Tang, and Liu Jun Zi Tang plus Gan Jie Tang according to the patient's syndrome and condition. These Chinese medicinal formulae can remove phlegm, discharge pus, relieve sore throat, disperse lung qi, and strengthen body resistance, further improve the patient's pulmonary and cardiac system complications. After using combined therapy of Chinese and Western medicine, this patient was successfully removed from the endotracheal tube, weaned from the ventilator, and released from hospital quarantine. This article reports a clinical case of severe COVID-19 patient cured by integrative medicine and provides beneficial applications of Chinese medicine to treat COVID-19.