T/BJACM 002-2023 Beijing Municipal Expert Consensus on the Diagnosis and Treatment of Children with Novel Coronavirus Infection by Traditional Chinese Medicine

Scope

Main Technical Content: I. Principles of Diagnosis and Treatment of COVID-19 Infection in Children (1) The principle of treatment is to improve the clinical symptoms of children infected with the novel coronavirus, detect and intervene in severe and critical cases in a timely manner, and prevent the occurrence of severe and fatal cases. (2) Particular attention should be paid to children with rapid breathing, poor mental response or persistent crying, drowsiness, seizures, persistent high fever, or underlying diseases such as congenital heart disease, chronic lung disease, and immune diseases. (3) For children infected with the novel coronavirus, treatment should be based on the physiological and pathological characteristics of children, as well as the characteristics of the disease, and refer to the National Version 10 Guidelines, the Beijing Version 6 Guidelines, and this expert consensus for differential diagnosis and treatment. II. Strategies for Diagnosis and Treatment of COVID-19 Infection in Children (1) Understand the basic etiology and clinical manifestations of the disease. During the acute phase, focus on symptomatic treatment, and during the recovery phase, combine symptomatic and etiological treatment. (2) Children are prone to rapid progression of the disease. Once the condition progresses rapidly or critical conditions such as acute laryngitis, laryngotracheitis, severe pneumonia, myocardial damage, or encephalopathy occur, active Western and integrated Western-Chinese emergency treatment should be provided to reduce damage to vital organs. (3) Children are in the stage of "deficient yin and yang", often presenting with fever and heat syndromes. Treatment should prioritize clearing heat and eliminating pathogens. However, excessive purging should be avoided, and medication should not be too cold or prolonged, stopping treatment when symptoms improve. (4) During the recovery phase, excessive use of greasy foods can impair spleen and

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