Clinical Pratice Guide Line Integrative Chinese and Western Medicine for Influenza(2022 version)

Title: Clinical Pratice Guide Line Integrative Chinese and Western Medicine for Influenza(2022 version)
Edition: Original
Classification: Standard guideline
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: Clinicians in various medical institutions
Evidence classification method: GRADE
Development unit: 中国中西医结合学会
Registration time: 2022-07-28
Registration number: PREPARE-2022CN425
Purpose of the guideline: Influenza (viral influenza), influenza is an acute respiratory infectious disease caused by influenza virus, the incidence is seasonal, can also be epidemic throughout the year, the population is generally susceptible, pregnant women, infants, the elderly and patients with chronic underlying diseases are prone to develop into severe or critical cases, the risk of death is high, seriously endangering the health of our people. At present, the prevention and treatment of influenza in Western medicine is limited to vaccines and neuraminidase inhibitors (NAIs), in which NAIs achieve antiviral effects by inhibiting the release of the virus. But such drugs can cause influenza viruses to become resistant, reducing the effectiveness of treatment. In addition, frequent changes in the antigen structure of influenza viruses have also brought difficulties to the production of effective vaccines. Therefore, there is an urgent need for effective treatment measures that can break through the limitations of viral structural variation and drug resistance. From ancient times to the present, Chinese medicine has accumulated rich theoretical foundation and practical experience in the prevention and treatment of influenza, and when influenza has not occurred, it can enhance its physique by cultivating healthy qi to achieve the purpose of "prevention before illness"; After the flu occurs, it can also produce the effect of "preventing both diseases and degeneration" by helping to correct and dispel evil spirits. In the face of new influenza, vaccines and special drugs have a lag, while traditional Chinese medicine is currently available and can be quickly emergency. Clinical studies have shown that the treatment of influenza in traditional Chinese medicine can alleviate patient symptoms, shorten the course of patients' diseases, reduce the rate of severe illness and mortality, and when combined with Western medicine, it can also reduce the amount of western medicine and toxic side reactions, and reduce the incidence of secondary pneumonia. At the same time, modern pharmacological research has also confirmed that Chinese medicine contains a variety of active ingredients against influenza viruses. However, at present, in the process of clinical diagnosis and treatment of influenza in integrated traditional Chinese and Western medicine, there is still a problem of irregular treatment. Therefore, in order to further improve the standardized diagnosis and treatment level of influenza in traditional Chinese and Western medicine, the team combined the current relevant research results at home and abroad and the experience of traditional Chinese and Western medicine in the treatment of influenza, and formulated guidelines for Integrative medicine guidelines for the diagnosis and treatment of influenza (2022 version).