关于连花清瘟胶囊--你该了解什么？中国-菲律宾中医药中心为你解答

中国-菲律宾中医药中心发布《关于连花清瘟胶囊（或颗粒）的使用说明》（中英文对照版）

菲华抗疫委4月22日快讯：中国-菲律宾中医药中心根据中国赴菲医疗专家组建议，针对不少菲律宾华人华侨、在菲同胞、菲律宾民众自行使用《连花清瘟胶囊》时所关切的问题，发布《关于连花清瘟胶囊的使用说明》（中英文对照版）。其中《临床使用建议部分》，根据中国卫健委第七版的新冠肺炎诊疗方案，并综合中医药专家张伯礼院士，仝小林院士，刘清泉院长的临床经验和建议，提出关于连花清瘟胶囊在治疗新冠肺炎不同阶段的具体使用建议。在服用过程中，如有任何不适，请暂停使用，并请中医师再次辨证使用。

注：此说明若有任何与菲律宾食品药物署的法规冲突和不符之处，以菲律宾的FDA法律法规的具体要求为主。另外，除了产品制作形式不同外，连花清瘟颗粒的使用大致与胶囊相同，故不作另外说明。

以下为《关于连花清瘟胶囊的使用说明》全文：

关于连花清瘟胶囊的使用说明

自新冠肺炎疫情在菲律宾蔓延以来，许多组织纷纷捐助抗疫物品和分享中国治疗新冠肺炎的方案，其中包括连花清瘟胶囊等产品。我们接到许多关于这些药物的使用咨询，对此，中国菲律宾中医药中心就抗击新冠肺炎“中国方案”中的连花清瘟胶囊的说明翻译如下，并就可能的使用方法和人群做出说明。根据中国卫健委发布的《新型冠状病毒感染的肺炎诊疗方案(试行第七版)》，连花清瘟胶囊在新冠肺炎的常规治疗中，可用于轻型、普通型引起的发热、咳嗽、乏力。本说明旨在更好地让医生和患者了解连花清瘟胶囊的使用范围以及使用方法等，具体药物使用需在医师的指导下进行。

【通用名称】连花清瘟胶囊
【商品名称】连花清瘟胶囊

【成份】
连翘、金银花、炙麻黄、炒苦杏仁、石膏、板蓝根、绵马贯众、鱼腥草、广藿香、大黄、红景天、薄荷脑、甘草。辅料为玉米淀粉。

【适应症】
清瘟解毒，宣肺泄热。用于治疗流行性感冒属热毒袭肺证，症见：发热或高热，恶寒，肌肉酸痛，鼻塞流涕，咳嗽，头痛，咽干咽痛，舌偏红，苔黄或黄腻等。
注：以岭药业2020年4月14日发布公告，称根据《中华人民共和国药品管理法》有关规定以及疫情救治临床实践，批准连花清瘟胶囊处方药说明书。说明书中的“功能主治”项增加“在新冠肺炎的常规治疗中，可用于轻型、普通型引起的发热、咳嗽、乏力”。

【用法用量】
口服。一次4粒，一日3次。

【药物相互作用】
如与其他药物同时使用可能会发生药物相互作用，详情请咨询医师或药师。

【不良反应】
上市后监测数据显示本品可见以下胃肠道等不良反应如恶心、呕吐、腹痛、腹泻、腹胀、反胃，以及皮疹、瘙痒、口干、头晕等。若有以上任何不良反应请咨询中医师或你的负责医师，是否继续服药或者停药。

【注意事项】
1.     忌烟、酒及辛辣、生冷、油腻食物。
2.     不宜在服药期间同时服用滋补性中药。
3.     风寒感冒者不适用。
4.     高血压、心脏病患者慎用。有肝病、糖尿病、肾病等慢性病严重者应在医师指导下服用。
5.     儿童、孕妇、哺乳期妇女、年老体弱及脾虚便溏者应在医师指导下服用。
6.     发热体温超过38.5℃的患者，应去医院就诊。
7.     严格按用法用量服用，本品不宜长期服用。
8.     服药3天症状无缓解，应去医院就诊。
9.     对本品过敏者禁用，过敏体质者慎用。
10.   本品性状发生改变时禁止使用。
11.   儿童必须在成人监护下使用。
12.   请将本品放在儿童不能接触的地方。
13.   如正在使用其他药品，使用本品前请咨询医师或药师。
14.   运动员慎用。
15.   打开防潮袋后，请注意防潮。

【禁忌】
对本品及本品成分过敏者忌服。

【临床使用建议】
根据中国卫健委第七版的新冠肺炎诊疗方案， 并综合中医药专家张伯礼院士，仝小林院士，刘清泉院长的临床经验和建议，关于连花清瘟胶囊在新冠肺炎的具体使用原则本中心建议如下：
1．与确诊病例有接触的，在隔离期间可服用 2粒，一日3次，饭后， 5-7 日。
2．轻微症状，体温38 摄氏度以下，伴有咳嗽，咽痛，疑似病例或已确诊者，可服用 3-4 粒，一日3次；
3．体温38摄氏度以上，持续发烧，咽痛咳嗽，乏力者， 需就诊医生。 可以服用 4 粒，一日3次，并与西药保持一个小时间隔。疗程为7-14 天，需在医生的指导下使用。

注：此说明若有任何与菲律宾食品药物署的法规冲突和不符之处，以菲律宾的FDA法律法规的具体要求为主。另外，除了产品制作形式不同外，连花清瘟颗粒的使用大致与胶囊相同，故不作另外说明。

Instruction for LIAN HUA QING WEN Capsule

Since the beginning of COVID-19 here in the Philippines, we have been receiving generous donations from various private and public associations including precious experiences from China on how to combat COVID-19, one of these is the use of Lianhua Qingwen Capsule. We have been receiving thousands of inquiries of its usage and indications. Thus, in response to this, the Philippine - Traditional Chinese Medicine Center team decided to make an English version manual of this drug. According to the National Health Commission of the People’s Republic of China, Lianhua Qingwen capsule can be used in the routine treatment of COVID-19, which is commonly presented as fever, cough and fatigue. However, it should also be noted that like any other medications, Lianhua Qingwen Capsule should be taken under the supervision of an experienced TCM doctor or Physician.

Generic Name: Lianhua Qingwen Jiaonang (Lianhua Qingwen Capsule)
Brand Name: Lianhua Qingwen Jiaonang (Lianhua Qingwen Capsule)

【Composition】
Lianquiao (Forsythia forsythia), Jin Yin Hua (Flos Lonicerae), Ma Huang (Herba Ephedrae), Ku Xin Ren (Semen Armeniacae Amarum), Shigao (Gypsum Fibrosum), Ban Lan Gen (Radix Isatidis), Guanzhong (Rhizoma Dryopteris Crassirhizomae), Yuxingcao (Herba Houttuyniae), Huoxiang (Herba Agastachis), Dahuang (Radix et Rhizoma Rhei), Hongjingtian (Rhodiola rosea), menthol, licorice. The excipients are corn starch.
【Indication】
It clears away plague and detoxifying, relieve lung heat as TCM theory. Used for treating common colds or influenza with syndrome of heat toxin attacking lungs; The signs and symptoms presented are fever or high fever, chills, muscle aches, nasal congestion, runny nose, cough, headache, dry throat, red tongue, yellow or greasy fur etc.
Note: Yiling Pharmaceuticals issued Notice on April 14, 2020 that CFDA of PRC approved Lianhua Qingwen capsule as one of the treatment remedy for the new coronavirus disease. It can be used for mild to moderate fever, cough, fatigue of relevant provisions of the epidemic treatment clinical practice.

【Administration and Dosage】
Oral: 4 capsules 3 times a day

【Drug interactions】
There may be drug to drug interaction. Please consult your physician before taking any medicine.

【Adverse reactions】
Common adverse effects are gastrointestinal symptoms such as nausea, vomiting, abdominal pain, diarrhea, abdominal distension, etc. Others: rash, itching, dry mouth, dizziness, etc.
Report any adverse reactions to your doctor. The doctor will be the one to decide whether to stop or continue the drug. Do not self-medicate.


【Precautions】
1. Avoid smoking, alcohol beverages, spicy, cold and greasy food.
2. It is not suitable to take tonic Chinese medicine at the same time.
3. Not suitable for people with colds.
4. Patients with hypertension and heart disease should use it with caution. Those with serious chronic diseases such as liver disease, diabetes mellitus and kidney disease should take it under the supervision of licensed physician.
5. Children, pregnant women, breast-feeding women, the old and vulnerable group, and those with spleen deficiency presented as having loose stools should be taken under the supervision of licensed physician.
6. Patients with fever temperature over 38.5 ℃ should go to the hospital for treatment.
7. Take it in strict accordance with the usage and dosage. This product is not suitable for long-term use.
8. If the symptoms are not relieved after taking the medicine for 3 days, you should go to consult a physician.
9. Stop in case of allergic reactions such as itchiness, difficulty of breathing, etc. It should be used with extra pre caution in cases of allergic body constitution.
10. Do not use if the product seal is broken or if the product is distorted.
11. Children must use under adult supervision.
12. Please keep this product out of the reach of children.
13. If you are using other drugs, please consult a physician or pharmacist before using this product.
14. Precautions should be observed for athletes.
15. Keep the medicine away from direct sunlight and keep it in a clean and dry place. Avoid moisture.

Guidelines of using LIANHUA QINGWEN in treatment

According to the seventh edition of China\'s COVID-19 pneumonia diagnosis and treatment program, comprehensive Chinese medicine experts Zhang Boli academician, Xie Xiaolin academician, President Liu Qingquan\'s experience and suggestions:
1. Asymptomatic; Probable cases, Contact with confirmed cases, during isolation can take 2 capsules ,3 times a day, after meals ,5-7 days. If symptoms persists, consult a doctor.
2. Mild to moderate symptoms: body temperature 37.5- 38 degrees Celsius, accompanied by cough, sore throat, take 3-4 capsules ,3 times a day for 7 days. If symptoms persists, consult a doctor.
3. Severe symptoms: confirmed positive cases with body temperature above 38 degrees Celsius, persistent fever, sore throat cough, fatigue, chest discomfort, difficulty in breathing: Need to see a doctor. can take 4 capsules ,3 times a day, and keep an hour interval with western medicine. The course of treatment is 7-14 days and should be used under the guidance of the doctor.

NOTE:
　　1.    If there are any discrepancies with the Food Drug Administration (FDA), we strictly follow the rules and regulations implemented by the FDA.
　　2.    We want to reiterate that Lianhua is not a preventive medicine but a drug that needs to be taken under the supervision of experienced TCM doctors and physicians.
　　3.    In addition, Lianhua Qingwen is made with different forms (i.e. capsules, granules etc), with similar formulations and indications, hence the team decided not to make a separate translation for this.  

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