T/GDACM 0123-2024 Guidelines for Chinese traditional healthy dietary plans for chronic respiratory failure in the Lingnan region

Scope

Main technical content: Chronic respiratory failure corresponds to such traditional Chinese medicine (TCM) diagnoses as "pulmonary exhaustion", "pulmonary emaciation", and "asthma". For such lung diseases, the treatment principle should be "dispelling wind and nourishing the lungs when symptoms occur, and strengthening the body and nourishing the root when in remission", advocating the combination of regulation and supplementation. Home-based TCM dietary therapy is undoubtedly an indispensable part of putting this concept into practice. A series of studies have shown that TCM-based dietary therapy not only improves the nutritional status of such patients, but also helps improve their lung function, reduce hospitalization frequency, and has a synergistic effect on lung rehabilitation, making it worth further promotion. However, irrational nutritional therapy not only increases the gastrointestinal burden of patients with chronic respiratory failure, but also increases the risk of carbon dioxide retention. This document specifies the relevant terms and definitions of chronic respiratory failure in the Lingnan region, common TCM syndromes, dietary therapy principles, TCM dietary recommendations, TCM dietary management systems, nutritional assessment and monitoring, TCM dietary education, and key points in patient compliance management. This document is applicable to medical staff in the Lingnan region who provide care for patients with chronic respiratory failure, guiding them in implementing home-based TCM dietary therapy for such patients and their relatives. Here, patients with chronic respiratory failure do not include minors, pregnant and lactating women, obese people with a BMI of ≥32.5 kg/m2, patients with contraindications to enteral nutrition or those who cannot tolerate the Lingnan diet, and patients whose conditions worsen and require hospitalization.

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