A preliminary study on TCM syndrome characteristics of 88 patients with COVID-19 in Tianjin

Objective To explore the characteristics of TCM syndromes of patients with new-type coronavirus pneumonia in Tianjin area and provide reference for clinical differentiation. Methods A total of 88 cases of new coronavirus pneumonia diagnosed in Tianjin area were investigated by TCM syndromes, including basic information, early clinical symptoms, clinical symptoms after admission, and tongue signs. Entropy clustering analysis of association rules and complex systems using traditional Chinese medicine inheritance assist platform (V2.5). Results The clinical symptoms of 88 patients at the initial stage of the disease were mainly fever (87.5%), cough (42.0%), fatigue (26.1%), expectoration (21.6%) and so on. The top 5 most common symptoms of Chinese medicine at admission were narcosis (46.7%), diarrhea (45.5%), low fever (39.8%), less sweating (36.4%), cough (34.1%), and the most common tongue signs included greasy Moss (79.5%), white moss (47.7%), thin moss (34.1%), etc. Association rule analysis results show that the most common item combinations are low fever, diarrhea, anorexia, and greasy white fur. The combination of items after entropy clustering indicates that the syndromes include lung manifestations (cough, sputum, yellow phlegm, and cold), fiery syndromes (bitter mouth, dry mouth, thirsty or thirsty or unpleasant to drink, yellow urine), qi yin Two Deficiency Syndrome (thirsty and unwilling to drink, night sweats, less moss, fatigue) and Qi Deficiency and Blood Stasis Syndrome (dark tongue, pale tongue, tooth marks tongue, palpitations), Qi Deficiency Phlegm and Turbidity Syndrome (greasy coat, no sweat, tooth marks tongue) , Lazy talk). Conclusion The distribution of TCM syndromes of patients with new-type coronavirus pneumonia in Tianjin area is mainly in the early stage of the disease of the coke-pulmonary system. Most of the symptoms of the disease are spleen and stomach of the middle coke on admission. The severe cases are mainly of the phlegm and heat in the lungs. Deficiency and qi deficiency phlegm, qi deficiency blood stasis and other syndromes.