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Background COVID-19 may impair the central nervous system, but the prevalence and related factors of very early cognitive impairment in discharged COVID-19 convalescents are still unclear. Objective To assess the prevalence of very early cognitive impairment in discharged COVID-19 convalescents, and to identify its influencing factors. Methods This study included 574 COVID-19 convalescents from August 28 to September 30, 2020, including individuals who were discharged from designated hospitals for treating COVID-19 in Wuhan from December 2019 to April 2020 randomly selected from the hospital information system, and those with informed consent recruited through news media. According to the Eight-item Informant Interview to Differentiate Aging and Dementia (AD8) score, the subjects were divided into a very early cognitive impairment group (AD8≥2) and a non-very early cognitive impairment group (AD8

Objective To investigate the effect of Baduanjin exercise for patients with mild to moderate COVID-19. Methods Totally 59 patients with mild to moderate COVID-19 were as-signed to the observation group (n = 45) and the control group (n = 14). The control group was treated with routine treatment and nursing, and the observation group was given Baduanjin exercise in addition. The scores of Visual Analogue Scale for Fatigue (VAS) and Generalized Anxiety Disorder Scale-7 (GAD-7) were compared between two groups. Results At the third day after Baduanjin exercise, the VAS score for fatigue in the observation group was lower than that in the control group (P < 0.05). At the seventh day after intervention, there were 42(93. 33%) cases diagnosed with no-to-mild fatigue in the observation group and 12 (85.71%) cases diagnosed with no-to-mild fatigue in the control group. Before Baduanjin exercise, there were 34 (75.56%) patients with severe anxiety in the observation group and 10 (71.43 %) patients with severe anxiety in the control group. After intervention, a better improvement in anxiety status was associated with the observation group (none of them had anxiety), and 5 (35.71%) with mild anxiety were reported in the control group. Conclusion Baduanjin exercise can relieve the fatigue and anxiety of patients with mild to moderate COVID-19. [ABSTRACT FROM AUTHOR]

Objective To report the clinical effectiveness of traditional Chinese medicine (TCM) in the treatment of novel coronavirus pneumonia (NCP) and explore the TCM understanding of this disease including its etiology, pathogenesis and treatment approaches. Methods 111 patients diagnosed with NCP from January 29 to February 11, 2020 were enrolled at Hubei Provincial Hospital of Integrated Chinese & Western Medicine in the city of Wuhan and treated by Guangdong TCM medical team with Chinese medicine decoction or granule on the basis of conventional supportive therapy. TCM treatment was individualized based on patient categories of mild, moderate, severe and critical conditions under the guidance of pattern differentiation principle. Global improvement and symptom relief were evaluated after treatment. Results Among the 111 patients, 37 patients were recovered and discharged. 62 patients were improving. Disease conditions of 3 cases remained unchanged. One patient deteriorated and was transferred to ICU, and 8 cases died (among which, 4 cases died within 12 hours since the Guangdong medical team took them over on January 29). Symptoms of patients with mild and moderate conditions were 100% gone. For severe and critical cases, their symptoms like fever, cough, diarrhea, constipation, nausea and vomiting were significantly relieved. Conclusion NCP falls into the category of epidemic diseases in TCM. Epidemic dampness toxin seemed to be the main etiological factor. Pathogenic dampness encumbering the spleen and epidemic toxin blocking the lung are the core pathogenesis while pathogenic dampness is persistent throughout the disease and may easily transform into heat, dryness and occasionally cold during disease progression. TCM therapies based on pattern differentiation should be offered alongside standard care of modern medicine throughout the course of disease as favorable clinical outcomes are now observed with this integrative approach. [ABSTRACT FROM AUTHOR]

In order to more actively respond to the new situation of prevention and control of coronavirus disease 2019 (COVID-19), and to guide home health management for adults who are asymptomatic carriers or exhibit mild symptoms, the World Federation of Chinese Medical Societies Emergency Committee, World Federation of Chinese Medical Societies Respiratory Diseases, World Federation of Chinese Medical Societies Heat Disease Committee, Chinese Association of Chinese Medicine Pulmonary Disease Chapter, the First Aid Group of Integrated Traditional Chinese and Western Medicine of the Emergency Branch of the Chinese Medical Doctor Association, the First Aid Group of Integrated Traditional Chinese and Western Medicine of the Emergency Branch of the Emergency Physician Branch of the Chinese Medical Association, the Emergency Branch of the Shanghai Chinese Medical Association, the Institute of Emergency and Critical Care of the Shanghai University of Traditional Chinese Medicine, National Health Commission's Key Laboratory of Critical Care Medicine and other academic institutions have organized the medical experts at treating COVID-19 front line in China to investigate and discuss the traditional Chinese medicine (TCM) health management at home for adults infected with SARS-CoV-2 variants, and concluded the "Expert consensus on traditional Chinese medicine health management at home for adults infected with SARS-CoV-2 variants", in combination with "Guideline on SARS-CoV-2 variant infection recover at home" issued by the Joint Prevention and Control Mechanism of the State Council. The expert consensus included home environment, asymptomatic infection, infection with mild symptoms, recovery period, and TCM non-drug therapy intervention, which will provide a guidance to TCM intervention at home to adults infected with SARS-CoV-2 variants.