COVID-19 (2019-nCoV) 예방과 침구 치료에 사용하는 경혈은?

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Prevention Phase: 预防期


Acupuncture Treatment for Suspected Cases:

The purpose is to strengthen the immune system, to help alleviate early symptoms, and to shorten the duration of the virus.


Points: 

Bilateral Zusanli (ST36)Qihai (CV6)Zhongwan (CV12) 


족삼리 https://www.kmcric.com/database/acupoint/ST/ST36

기해 https://www.kmcric.com/database/acupoint/CV/CV6

중완 https://www.kmcric.com/database/acupoint/CV/CV12


Method and Frequency:

• Moxa Zusanli (ST36) on both sides for 15 minutes. Moxa Qihai (CV6) or Zhongwan (CV12) for 10 minutes. (alternating from treatment to treatment).

• Twice a day, once in the afternoon and once at night.



Influenza Phase: 流感期


1.

Wind-Cold Invading the Exterior 风寒袭表证 Clinical Manifestations: 

Onset of fever (mostly low-grade fever), aversion to cold and fear of cold, chills, headache, ticklish throat, soreness of muscles of limbs, no sweat or night sweats.


Examination: 

Lung CT negative. Tongue is pale, coating is white and thin. Floating pulse.


Treatment Strategy: 

Expel Wind, Release the Exterior; Clear Heat, Detoxify


2.

Toxic Heat Attacking the Lung 热毒袭肺证 Clinical Manifestations: 

Fever, aversion to cold, sore and dry throat, dry cough, scanty sputum, sore and painful muscles in the limbs, weakness, headache.


Examination: 

CT scan reveals both lungs to have scattered ground-glass opacity (GGO). Tip and sides of the tongue are red; thin white or yellow tongue coating. Floating and rapid pulse.


Treatment Strategy: 

Expel Wind, Release the Exterior; Clear Heat, Detoxify 


3. 

Damp Cold in the Lung 濕寒鬱肺 Clinical Manifestations: 

Aversion to cold, fever or absence of fever, dry cough, dry throat, fatigue, weakness, chest stuffiness, epigastric distention, nausea, diarrhea. Pale tongue, white greasy coating, slippery pulse.


Treatment Strategy: 

Expel Wind, Release the Exterior; Dispel Damp Cold


Acupuncture Treatment for Mild and Moderate Cases:

The purpose is to reduce the severity of symptoms, shorten the duration, and alleviate emotional burden.


Points: 

Bilateral Hegu (LI4)Taichong (LR3)Zusanli (ST36)Shenque (CV8)


합곡 https://www.kmcric.com/database/acupoint/LI/LI4

태충 https://www.kmcric.com/database/acupoint/LR/LR3

족삼리 https://www.kmcric.com/database/acupoint/ST/ST36

신궐 https://www.kmcric.com/database/acupoint/CV/CV8


Method and Frequency:

• Moxa Hegu (LI4) and Taichong (LR3) bilaterally for 15 minutes. Moxa Zusanli (ST36) bilaterally for 10 minutes. Moxa Shenque (CV8) with a moxa box for 15 minutes.

• Twice a day, once in the morning and once in the afternoon.



Recovery Phase: 恢复期


Clinical Manifestations: 

Absence of fever, dry cough, chest stuffiness, shortness of breath, shortness of breath upon exertion, dry mouth, weakness.


Examination: 

CT reveals inflammation begins to subside as well as pulmonary interstitial changes. Pale red tongue, thick or greasy coating, thread, rapid pulse.


Treatment Strategy: 

Tonify Qi, Nourish Yin, Tonify Lung and Open the Collaterals


Acupuncture Treatment for The Recovery Phase:

The Purpose is restore Lung and Spleen functions and the body’s zheng (upright) qi.


Points: 

Bilateral Dazhui (GV14)Geshu (BL17)Feishu (BL13)Zusanli (ST36) or Kongzui (LU6).


대추 https://www.kmcric.com/database/acupoint/GV/GV14

격수 https://www.kmcric.com/database/acupoint/BL/BL17

폐수 https://www.kmcric.com/database/acupoint/BL/BL13

족삼리 https://www.kmcric.com/database/acupoint/ST/ST36

공최 https://www.kmcric.com/database/acupoint/LU/LU6


Method and Frequency:

• Moxa all points for 15 minutes.

• Once a day.


References

[1] 新型冠状病毒感染肺炎诊疗方案(第四版). 1月28日 

https://mp.weixin.qq.com/s/qzSecLwVXQIfFBTQyHQxHQ

[2] 8个防治肺炎的中医药协定方. 湖北省中医院. 1月31日

https://mp.weixin.qq.com/s/YajZ_fycSKEoTBvzhOv5Wg

[3] 《新型冠状病毒肺炎针灸干预的指导意见(第一版)》. 中国针灸学会. 2月9日

https://mp.weixin.qq.com/s/qSUM5kYJIPJTvKkf_HfuaA



출처: 2020 Lotus Institute of Integrative Medicine

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