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Journal of Traditional Chinese Medicine ›› 2022, Vol. 42 ›› Issue (6): 1006-1011.DOI: 10.19852/j.cnki.jtcm.20220922.004

• Research Articles • Previous Articles     Next Articles

Tongue and pulse features of 668 asymptomatic patients infected with the severe acute respiratory syndrome coronavirus 2 omicron variant in Shanghai

ZHANG Wen1, CAO Min1, SUN Ding2, SHI Li3, LU Wei4, XU Xiangru1, ZHOU Shuang5(), FANG Bangjiang1,6()   

  1. 1 Department of Emergency, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    2 Department of Rheumatology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    3 Department of Pediatrics, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    4 Department of Nursing, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    5 College of Acumox and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
    6 Institute of Emergency and Critical Care Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
  • Received:2022-05-06 Accepted:2022-08-15 Online:2022-12-15 Published:2022-09-22
  • Contact: ZHOU Shuang,FANG Bangjiang
  • About author:ZHOU Shuang, College of Acumox and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. zhoushuang8008@163.com, Telephone: +86-21-64385700-3301
    Prof. FANG Bangjiang, Department of Emergency, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Institute of Acute and Critical Care, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China. fangbji@163.com;
  • Supported by:
    National Key R&D Program of China(2018YFC1705900);State Administration of Traditional Chinese Medicine, Traditional Chinese Medicine on Prevention and Treatment of Novel Coronavirus Pneumonia Emergency and Special Project(2022ZYLCYJ05-4);Shanghai University of Traditional Chinese Medicine, Traditional Chinese Medicine on Prevention and Treatment of Novel Coronavirus Pneumonia Emergency and Special Project(2022YJ-03);Shanghai University of Traditional Chinese Medicine, Traditional Chinese Medicine on Prevention and Treatment of Novel Coronavirus Pneumonia Emergency and Special Project(2022YJ-06)

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Abstract:

OBJECTIVE: To characterize the tongue and pulse manifestations in asymptomatic coronavirus disease 2019 (COVID-19) cases in Shanghai.

METHODS: We conducted a clinical study of 668 patients with asymptomatic infections in which we analyzed the tongue and pulse features in the Shanghai New International Expo Center mobile cabin hospital. The medical records of the patients, including tongue color, tongue coating, and pulse manifestations, were reviewed by healthcare workers.

RESULTS: In total, 668 COVID-19 cases were included in the study. Patient age ranged from 5 to 96 years, with a median of 44.0 (IQR 33.0-53.0) years. Among the patients, 6.14% had comorbidities. The most common comorbid condition was diabetes (1.65%), followed by hypertension (0.89%), coronary heart disease (0.89%), thrombotic diseases (0.89%), congestive heart failure (0.60%), and stroke (0.45%). Pink-red (75.4%) was the most common tongue color, followed by red (23.4%) and pale red (1.2%). Tongue coating color and thickness were classified as white fur (9.28%), thin and yellow fur (48.65%), white greasy fur (8.98%), yellow greasy fur (24.70%), and less coating (8.39%). In addition, a large number of patients (n = 300, 44.91%) presented superficial and rapid pulses, and 250 patients (37.4%) exhibited a slippery pulse.

CONCLUSION: Our preliminary results showed that wind, heat, and dampness were the main etiologies of the severe acute respiratory syndrome coronavirus 2 Omicron (B.1.1.529) variant infection in traditional Chinese medicine. Furthermore, the main symptoms of the disease may be wind-heat invading the lung syndrome or damp-heat with the exuberance of virulence syndrome, which is of most significance in COVID-19 treatment.

Key words: SARS-CoV-2 Omicron, asymptomatic infections, tongue feature, pulse feature

Cite this article

ZHANG Wen, CAO Min, SUN Ding, SHI Li, LU Wei, XU Xiangru, ZHOU Shuang, FANG Bangjiang. Tongue and pulse features of 668 asymptomatic patients infected with the severe acute respiratory syndrome coronavirus 2 omicron variant in Shanghai[J]. Journal of Traditional Chinese Medicine, 2022, 42(6): 1006-1011.