Traditional Chinese medicine therapy （TCM-CURE）

Treating COVID-19 with the thinking of classical prescriptions (symptoms including high fever, fear of cold, pain in muscles, head and throat, and a throat feeling like being scratched by a blade)

1. For diseases of Taiyang Channel, the pulse is floating, there is stiffness and pain in the head and neck, and aversion to cold.

2. For diseases of Taiyang Channel, either there is already fever, or there is no fever yet, either there is aversion to cold, or there is body pain, and this is what is called COVID-19.

3. For COVID-19, with symptoms of fever, aversion to cold, no sweating, and general body pain, Gegen Decoction (G 葛根汤) can be administered.
   Gegen Decoction (G 葛根汤)
   Gegen (Pueraria lobata) 4 qian, Mahuang (Ephedra sinica) 3 qian, Guizhi (Cinnamomum cassia twig) 2 qian, Baishao (Paeonia lactiflora) 2 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 2 qian, Shengjiang (Zingiber officinale) 3 qian, Dazao (Ziziphus jujuba) 3 qian (unit: qian)
   Take these seven ingredients, first decoct Gegen and Mahuang with 2 sheng of water, skim off the froth on the surface, add the other ingredients, decoct until 1 sheng of the decoction is obtained, and take it warm in three divided doses. Cover with a quilt to induce slight sweating all over the body.

4. For COVID-19, with symptoms of fever, no sweating, extreme aversion to cold, general body pain, and restlessness, Da Qinglong Decoction (大青龙汤) can be administered. If taking the decoction of brown sugar, scallion white and ginger is a wrong treatment.
   Da Qinglong Decoction (大青龙汤)
   Mahuang (Ephedra sinica) 6 qian, Guizhi (Cinnamomum cassia twig) 2 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 2 qian, Xingren (Prunus armeniaca) 2 qian, Shengjiang (Zingiber officinale) 3 qian, Dazao (Ziziphus jujuba) 4 qian, Shigao (Gypsum fibrosum) 16 qian (unit: qian)
   Take these seven ingredients, first decoct Mahuang with 2 sheng of water, skim off the froth on the surface, add the other ingredients, decoct until 1 sheng of the decoction is obtained, and take it warm in three divided doses. Cover with a quilt to induce slight sweating all over the body, and stop taking the medicine after sweating.

5. For COVID-19 with a sore throat, Jiegeng Decoction (桔梗汤) can be administered.
   Jiegeng Decoction (桔梗汤)
   Jiegeng (Platycodon grandiflorus) 2 qian, Shenggancao (Raw Glycyrrhiza uralensis) 4 qian (unit: qian)
   Take these two ingredients, decoct with 1.5 sheng of water until 0.5 sheng of the decoction is obtained, and take it warm in two divided doses.

6. For COVID-19 with a sore throat in the pharynx and aversion to cold, Banxia Powder and Decoction (半夏散及汤) is the main treatment.
   Banxia Powder and Decoction (半夏散及汤)
   Banxia (Pinellia ternata) 3 qian, Guizhi (Cinnamomum cassia twig) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 3 qian (unit: qian)
   Take these three ingredients, decoct with 1.5 sheng of water until 0.5 sheng of the decoction is obtained, and take it warm in two divided doses; or grind them into powder with a wall-breaking machine, and take 3 grams each time.

7. For COVID-19 with a sore throat and interior heat, Lianqiao Jiegeng Shigao Decoction (连翘桔梗石膏汤) can be administered.
   Lianqiao Jiegeng Shigao Decoction (连翘桔梗石膏汤)
   Lianqiao (Forsythia suspensa) 3 qian, Jiegeng (Platycodon grandiflorus) 3 qian, Shigao (Gypsum fibrosum) 6 qian, Xuanshen (Scrophularia ningpoensis) 3 qian, Gancao (Glycyrrhiza uralensis) 3 qian (unit: qian)
   Take these five ingredients, decoct with 2 sheng of water until 1 sheng of the decoction is obtained, and take it in small sips.

8. For COVID-19 with alternating chills and fever, fatigue, slight stuffiness in the chest and hypochondrium, bitter taste in the mouth, and dryness in the throat, Xiao Chaihu Decoction (小柴胡汤) can be administered.
   Xiao Chaihu Decoction (小柴胡汤)
   Chaihu (Bupleurum chinense) 8 qian, Huangqin (Scutellaria baicalensis) 3 qian, Banxia (Pinellia ternata) 4 qian, Dangshen (Codonopsis pilosula) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 3 qian, Dazao (Ziziphus jujuba) 3 qian, Shengjiang (Zingiber officinale) 3 qian (unit: qian)
   Take these seven ingredients, decoct with 3 sheng of water until 1.5 sheng of the decoction is obtained, remove the dregs, heat it again until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

9. For COVID-19 with aversion to cold and high fever, one should be cautious and not take antipyretics such as ibuprofen; one should first relieve the exterior syndrome, and the fever will subside and the body will become cool after sweating.

10. For COVID-19, if high fever recurs after taking antipyretics, this is a wrong treatment.

11. For COVID-19 with recurrent high fever, bitter taste in the mouth, dryness in the throat, constipation, and fullness and discomfort in the chest and hypochondrium, Da Chaihu Decoction (大柴胡汤) can be administered.
    Da Chaihu Decoction (大柴胡汤)
    Chaihu (Bupleurum chinense) 8 qian, Huangqin (Scutellaria baicalensis) 3 qian, Banxia (Pinellia ternata) 3 qian, Zhishi (Aurantii Fructus Immaturus) 4 qian, Baishao (Paeonia lactiflora) 4 qian, Shengdahuang (Raw Rheum officinale) 2 qian, Shengjiang (Zingiber officinale) 5 qian, Dazao (Ziziphus jujuba) 3 qian (unit: qian)
    Take these eight ingredients, decoct with 3 sheng of water until 1.5 sheng of the decoction is obtained, remove the dregs, heat it again until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

12. For COVID-19 with aversion to cold, vomiting, diarrhea, difficult urination, and no interior heat, Wuling Powder (五苓散) can be administered.
    Wuling Powder (五苓散)
    Guizhi (Cinnamomum cassia twig) 2 qian, Baizhu (Atractylodes macrocephala) 3 qian, Zhuling (Polyporus umbellatus) 3 qian, Fuling (Poria cocos) 3 qian, Zexie (Alisma orientalis) 5 qian (unit: qian)
    Take these five ingredients, grind them into powder with a wall-breaking machine, take 5 grams each time mixed with rice soup, then drink 600 milliliters of warm water continuously, and take it three times a day.

13. For COVID-19 with aversion to cold, no sweating, fullness and oppression in the chest, cough, clear nasal discharge, and water retention in the epigastrium, Xiao Qinglong Decoction (小青龙汤) is the main treatment.
    Xiao Qinglong Decoction (小青龙汤)
    Mahuang (Ephedra sinica) 3 qian, Guizhi (Cinnamomum cassia twig) 3 qian, Baishao (Paeonia lactiflora) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 3 qian, Ganjiang (Zingiber officinale dried rhizome) 3 qian, Xixin (Asarum heterotropoides) 3 qian, Banxia (Pinellia ternata) 3 qian, Wuweizi (Schisandra chinensis) 3 qian (unit: qian)
    Take these eight ingredients, first decoct Mahuang with 3 sheng of water, skim off the froth on the surface, add the other ingredients, decoct until 1 sheng of the decoction is obtained, and take it warm in three divided doses. Cover with a quilt to induce slight sweating all over the body.

14. For COVID-19, after profuse sweating, with symptoms of wheezing, coughing and qi ascending, Mahuang Xingren Shigao Gancao Decoction (麻黄杏仁石膏甘草汤) is the main treatment.
    Mahuang Xingren Shigao Gancao Decoction (麻黄杏仁石膏甘草汤)
    Mahuang (Ephedra sinica) 4 qian, Xingren (Prunus armeniaca) 2 qian, Shigao (Gypsum fibrosum) 8 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 2 qian (unit: qian)
    Take these four ingredients, decoct with 2 sheng of water until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

15. After the relief of COVID-19, if there is recurrence due to overexertion, chest tightness, and a thick, white and slippery coating on the tongue, Xiao Qinglong Decoction (小青龙汤) is the main treatment, and Wuling Powder (五苓散) can also be used.

16. After the relief of COVID-19, if there is recurrence due to overexertion, low fever, cough, bitter taste in the mouth, and loss of appetite, Xiao Chaihu Decoction (小柴胡汤) is the main treatment.
    Xiao Chaihu Decoction (小柴胡汤)
    Chaihu (Bupleurum chinense) 8 qian, Huangqin (Scutellaria baicalensis) 3 qian, Banxia (Pinellia ternata) 4 qian, Dangshen (Codonopsis pilosula) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 3 qian, Dazao (Ziziphus jujuba) 3 qian, Shengjiang (Zingiber officinale) 3 qian (unit: qian)
    Take these seven ingredients, decoct with 3 sheng of water until 1.5 sheng of the decoction is obtained, remove the dregs, heat it again until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

17. For COVID-19, with symptoms of cough, itchy throat, and a sensation as if there is something in the throat that cannot be spat out or swallowed, Banxia Houpo Decoction (半夏厚朴汤) can be administered.
    Banxia Houpo Decoction (半夏厚朴汤)
    Banxia (Pinellia ternata) 4 qian, Houpo (Magnolia officinalis) 3 qian, Fuling (Poria cocos) 4 qian, Shengjiang (Zingiber officinale) 5 qian, Suye (Perilla frutescens) 2 qian (unit: qian)
    Take these five ingredients, decoct with 3 sheng of water until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

18. After the relief of COVID-19, if the sense of smell and taste does not recover, there is fatigue, slight aversion to cold, low fever, and discomfort in the stomach, Chaihu Guizhi Decoction (柴胡桂枝汤) can be administered; if there is only sweating on the head, cold hands and feet, and dryness in the throat, Chaihu Guizhi Ganjiang Decoction (柴胡桂枝干姜汤) can be administered.
    Chaihu Guizhi Decoction (柴胡桂枝汤)
    Chaihu (Bupleurum chinense) 8 qian, Huangqin (Scutellaria baicalensis) 3 qian, Dangshen (Codonopsis pilosula) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 2 qian, Banxia (Pinellia ternata) 4 qian, Guizhi (Cinnamomum cassia twig) 3 qian, Baishao (Paeonia lactiflora) 3 qian, Dazao (Ziziphus jujuba) 3 qian, Shengjiang (Zingiber officinale) 3 qian (unit: qian)
    Take these nine ingredients, decoct with 3 sheng of water until 1.5 sheng of the decoction is obtained, remove the dregs, heat it again until 1 sheng of the decoction is obtained, and take it warm in three divided doses.
    Chaihu Guizhi Ganjiang Decoction (柴胡桂枝干姜汤)
    Chaihu (Bupleurum chinense) 8 qian, Guizhi (Cinnamomum cassia twig) 3 qian, Ganjiang (Zingiber officinale dried rhizome) 2 qian, Tianhuafen (Trichosanthes kirilowii root) 4 qian, Huangqin (Scutellaria baicalensis) 3 qian, Muli (Ostrea gigas) 2 qian, Gancao (Glycyrrhiza uralensis) 2 qian (unit: qian)
    Take these seven ingredients, decoct with 3 sheng of water until 1.5 sheng of the decoction is obtained, remove the dregs, heat it again until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

19. For COVID-19, with symptoms of aversion to cold, no sweating, a faint and thready pulse, and a desire to sleep, Mahuang Xixin Fuzi Decoction (麻黄细辛附子汤) is the main treatment.
    Mahuang Xixin Fuzi Decoction (麻黄细辛附子汤)
    Mahuang (Ephedra sinica) 2 qian, Xixin (Asarum heterotropoides) 2 qian, Paofuzi (Processed Aconitum carmichaeli) 3 qian (unit: qian)
    Take these three ingredients, decoct with 3 sheng of water until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

20. For COVID-19, if the symptoms do not resolve after sweating, there is fatigue, and sweating is profuse like being washed when moving, Guizhi Jia Fuzi Decoction (桂枝加附子汤) is the main treatment.
    Guizhi Jia Fuzi Decoction (桂枝加附子汤)
    Guizhi (Cinnamomum cassia twig) 3 qian, Baishao (Paeonia lactiflora) 3 qian, Zhigancao (Honey-fried Glycyrrhiza uralensis) 3 qian, Shengjiang (Zingiber officinale) 3 qian, Dazao (Ziziphus jujuba) 5 qian, Paofuzi (Processed Aconitum carmichaeli) 1 qian (unit: qian)
    Take these six ingredients, decoct with 3 sheng of water until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

21. For COVID-19, with cold hands and feet, diarrhea and no thirst, Sini Decoction (四逆汤) is the main treatment.
    Sini Decoction (四逆汤)
    Zhigancao (Honey-fried Glycyrrhiza uralensis) 4 qian, Ganjiang (Zingiber officinale dried rhizome) 3 qian, Shengfuzi (Raw Aconitum carmichaeli) 3 qian (unit: qian)
    Take these three ingredients, decoct with 3 sheng of water until 1 sheng of the decoction is obtained, and take it warm in three divided doses.

22. For COVID-19, if antipyretic drugs and cold-natured drugs are overused, leading to the decline of the body's function, with a rapid but weak pulse and restlessness, it is a hopeless case and cannot be cured; if the pulse is deep, slow, faint and weak, and the coldness of the limbs extends beyond the elbows and knees, it is also a hopeless case. One should always keep this in mind and avoid making mistakes!

23. Zhang Zhongjing's Treatise on Febrile Diseases is truly a masterpiece for the treatment of COVID-19, and one should study it day and night.
    Note: The above are the basic syndrome types of COVID-19. In actual application, follow the principles of addition, subtraction and combination of classical prescriptions in classical prescription medicine, and "use the appropriate prescription for the corresponding syndrome".
    The syndrome differentiation of classical prescriptions is carried out according to twelve dimensions: exterior syndrome, interior syndrome, half-exterior half-interior syndrome, water syndrome, blood syndrome, qi syndrome, yin syndrome, yang syndrome, cold syndrome, heat syndrome, deficiency syndrome, and excess syndrome, and finally the treatment prescription is accurately determined.
    For example, at the beginning of COVID-19, with symptoms of aversion to cold, no sweating, muscle soreness, headache, and high fever, this is a typical exterior excess syndrome (i.e., exterior excess syndrome), and Gegen Decoction (葛根汤) can be used for treatment;
    If there are also symptoms such as dry mouth, thirst, and restlessness at the same time, the diagnosis will change to exterior excess syndrome, interior heat syndrome (i.e., exterior excess and interior heat syndrome), and Da Qinglong Decoction (大青龙汤) can be used for treatment;
    If there are also symptoms such as fullness and oppression in the chest and hypochondrium, bitter taste in the mouth, nausea, and loss of appetite, the diagnosis will change to exterior excess syndrome, interior heat syndrome, half-exterior half-interior heat syndrome, and interior deficiency syndrome (i.e., exterior excess, interior heat, half-exterior half-interior heat, and interior deficiency syndrome), and Gegen Decoction (葛根汤) can be combined with Xiao Chaihu Decoction (小柴胡汤) and Baihu Decoction (白虎汤), or Da Qinglong Decoction (大青龙汤) can be combined with Xiao Chaihu Decoction (小柴胡汤);...
    According to this principle of syndrome differentiation and treatment, the list can be extended continuously.
    Another example is the so-called "white lung" in Western medicine, which is mainly manifested by chest tightness, cough, clear nasal discharge, white and thin sputum, etc. If there is aversion to cold and a slippery coating on the tongue, it can be diagnosed as exterior excess, water excess (water retention in the chest and lungs), and interior cold, and Xiao Qinglong Decoction (小青龙汤) can be used;
    If there is restlessness and dry mouth, Shigao (Gypsum fibrosum) can be added;
    If there are symptoms such as bitter taste in the mouth, dryness in the throat, sore throat, and loss of appetite, Xiao Chaihu Decoction (小柴胡汤) can be combined;
    If the water retention is severe, Wuling Powder (五苓散) can be combined;
    If there is blood stasis, Guizhi Fuling Pill (桂枝茯苓丸) can be combined;...
    If all these symptoms are present, they can all be combined together, and the resulting prescription will not be much different from the "Lung-Clearing Detoxification Decoction".
    The numbers given in the text are the proportions of the drugs in the prescription. In actual prescription writing, it should be determined according to the patient's body size and the severity and urgency of the disease. The conventional method is to take 3 grams, 5 grams or 10 grams for each portion. For example, the Gegen Decoction (葛根汤) can be: Gegen (Pueraria lobata) 12 grams, Mahuang (Ephedra sinica) 9 grams, Guizhi (Cinnamomum cassia twig) 6 grams, Baishao (Paeonia lactiflora) 6 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 6 grams, Shengjiang (Zingiber officinale) 6 grams, Dazao (Ziziphus jujuba) 6 grams
    Or Gegen (Pueraria lobata) 20 grams, Mahuang (Ephedra sinica) 15 grams, Guizhi (Cinnamomum cassia twig) 10 grams, Baishao (Paeonia lactiflora) 10 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 10 grams, Shengjiang (Zingiber officinale) 10 grams, Dazao (Ziziphus jujuba) 10 grams
    Or Gegen (Pueraria lobata) 40 grams, Mahuang (Ephedra sinica) 30 grams, Guizhi (Cinnamomum cassia twig) 20 grams, Baishao (Paeonia lactiflora) 20 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 20 grams, Shengjiang (Zingiber officinale) 20 grams, Dazao (Ziziphus jujuba) 20 grams
    Next, briefly list the common prescription syndromes in current clinical practice:

24. Fever, aversion to cold, muscle soreness, headache, fatigue, cough, no sweating.
    Differentiated as exterior excess syndrome. Prescription: Gegen (Pueraria lobata) 40 grams, Mahuang (Ephedra sinica) 20 grams, Guizhi (Cinnamomum cassia twig) 20 grams, Baishao (Paeonia lactiflora) 20 grams, Shengjiang (Zingiber officinale) 15 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 15 grams, Dazao (Ziziphus jujuba) 10 grams, Xingren (Prunus armeniaca) 6 grams.

25. High fever, aversion to cold, muscle pain, headache, no sweating, dry mouth, cough with yellow phlegm, sore throat, red tongue with yellow coating.
    Differentiated as exterior excess and interior heat syndrome. Prescription: Gegen (Pueraria lobata) 40 grams, Mahuang (Ephedra sinica) 20 grams, Guizhi (Cinnamomum cassia twig) 20 grams, Baishao (Paeonia lactiflora) 20 grams, Shengjiang (Zingiber officinale) 15 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 15 grams, Dazao (Ziziphus jujuba) 10 grams, Jiegeng (Platycodon grandiflorus) 20 grams, Lianqiao (Forsythia suspensa) 20 grams, Shigao (Gypsum fibrosum) 40 grams, Xuanshen (Scrophularia ningpoensis) 20 grams, Xingren (Prunus armeniaca) 6 grams.

26. Fever, aversion to cold, muscle soreness, headache, fatigue, cough with white phlegm, nasal congestion, more severe cough at night, no sweating, dry mouth, sore throat, grayish and slippery tongue coating.
    Differentiated as exterior excess, interior cold, and water excess syndrome.
    Prescription: Mahuang (Ephedra sinica) 20 grams, Guizhi (Cinnamomum cassia twig) 20 grams, Baishao (Paeonia lactiflora) 20 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 20 grams, Ganjiang (Zingiber officinale dried rhizome) 20 grams, Xixin (Asarum heterotropoides) 15 grams, Banxia (Pinellia ternata) 20 grams, Wuweizi (Schisandra chinensis) 10 grams, Jiegeng (Platycodon grandiflorus) 10 grams, Houpo (Magnolia officinalis) 10 grams, Fuling (Poria cocos) 30 grams, Xingren (Prunus armeniaca) 6 grams, Suye (Perilla frutescens) 6 grams, Shengjiang (Zingiber officinale) 10 grams.

27. Muscle soreness, fatigue, low fever, slight aversion to cold, dry throat, loss of appetite, slight chest tightness.
    Differentiated as exterior deficiency, half-exterior half-interior heat, and interior deficiency syndrome.
    Prescription: Chaihu (Bupleurum chinense) 40 grams, Huangqin (Scutellaria baicalensis) 15 grams, Dangshen (Codonopsis pilosula) 15 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 10 grams, Banxia (Pinellia ternata) 20 grams, Guizhi (Cinnamomum cassia twig) 20 grams, Baishao (Paeonia lactiflora) 20 grams, Dazao (Ziziphus jujuba) 10 grams, Shengjiang (Zingiber officinale) 10 grams.

28. In the later stage of COVID-19, with cough, fatigue, loss of appetite, slight chest tightness, and a feeling of phlegm sticking in the throat.
    Differentiated as half-exterior half-interior heat, interior deficiency, and water excess syndrome. Prescription: Chaihu (Bupleurum chinense) 30 grams, Huangqin (Scutellaria baicalensis) 15 grams, Banxia (Pinellia ternata) 20 grams, Dangshen (Codonopsis pilosula) 20 grams, Zhigancao (Honey-fried Glycyrrhiza uralensis) 15 grams, Dazao (Ziziphus jujuba) 10 grams, Shengjiang (Zingiber officinale) 15 grams, Houpo (Magnolia officinalis) 10 grams, Fuling (Poria cocos) 20 grams, Suye (Perilla frutescens) 6 grams, Jiegeng (Platycodon grandiflorus) 15 grams.

29. It is expected that after treatments such as taking antipyretics, infusion, Lianhua Qingwen Capsules, and using pungent-cool exterior-relieving drugs, there will be an increase in patients who fall into yin syndrome and interior deficiency cold syndrome in the later stage. Prescriptions such as Xiao Qinglong Decoction (小青龙汤), Mahuang Xixin Fuzi Decoction (麻黄细辛附子汤), Guizhi Jia Fuzi Decoction (桂枝加附子汤), and Sini Decoction (四逆汤) will be of great use. (Popular Science in Xinglin)

30. The general principle is "syndrome differentiation and treatment, and treatment according to the syndrome".