基于文献的COVID-19和SARS在症状和中医证型中的规律分析

Literature-Based Analysis of the Regularity of COVID-19 and SARS in Symptoms and TCM Syndromes

目的:探究SARS和COVID-19在中医症状和中医证型方面的异同点,为中医临床辨证治疗COVID-19和SARS提供参考。方法:检索257篇相关文献,通过进一步的筛选,最终纳入121篇与两病症状相关的临床研究文献和93篇与两病证型相关的临床研究文献,运用Excel和IBM SPSS Statistics 25.0软件对文献资料进行统计分析。结果:SARS的气促、头痛、汗出、心悸、脉浮、脉弱、脉数、苔薄、恶寒、口唇紫绀、舌红、纳呆、脉细、肺表风热证、湿热证、热入营分证、表寒里热证出现频率高于新型冠状病毒肺炎,纳差、四肢困重、流涕、咽痛、鼻塞、苔厚、舌边尖红、口干、小便黄、口苦、寒湿阻肺证、风寒束肺证出现频率则低于新型冠状病毒肺炎。结论:SARS和COVID-19在症状和中医证型方面存在一定差异,可为中医临床辨证论治新型冠状病毒肺炎提供思路。

Aim: To explore the similarities and differences between SARS and COVID-19 in terms of TCM symptoms and TCM syndrome types, and provide reference for the clinical dialectical treatment of COVID-19 and SARS in TCM. Methods: 257 relevant literature were retrieved, and through further screening, 121 clinical research literature related to the symptoms of the two diseases and 93 clinical research literature related to the two disease types were finally included, and the literature data were statistically analyzed by Excel and IBM SPSS Statistics 25.0 software. Results: SARS’ shortness of breath, headache, sweating, palpitations, pulse floating, weak pulse, pulse number, moss thinness, cold, cyanosis of the lips, red tongue, dullness, fine pulse, pulmonary surface wind fever certificate, damp heat certificate, hot camp sub-certificate, and epidermal fever certificate appeared more frequently than that of novel coronavirus pneumonia, and the frequency of nausea, limb distress, runny nose, sore throat, nasal congestion, moss thickness, tongue tip red, dry mouth, yellow urine, bitter mouth, cold and damp resistance lung certificate, and wind and cold bundle lung certificate were lower than that of new coronavirus pneumonia. Conclusion: SARS and COVID-19 have certain differences in symptoms and TCM certificate types, which can provide ideas for the clinical dialectical treatment of novel coronavirus pneumonia in TCM.