TABLE 7.
Clinical symptom rating scale of TCM syndromes of COVID-19.
| Primary symptoms | Normal (0 point) | Slight (2 points) | Medium (4 points) | Severe (6 points) |
| Fever | ≤37.2°C | 37.2°C–38.2°C | 38.3°C–39.0°C | >39.0°C |
| Cough | None | Occasionally, with a single cough | Often, but does not affect work and rest | Cough frequently with more than one cough, cause vomiting, affects work and rest |
| Asthma | The respiration is stable and the frequency is within the normal range of the corresponding age | Exceeding the upper limit of the normal value of the corresponding age (≤10 times/min), there is no flaring of nares and three concave sign | Exceeding the upper limit of the normal value of the corresponding age (11–20times/min), and/or intermittent wheezing, flapping of nasal wings, three concave sign | Exceeding the upper limit of the normal value of the corresponding age (≥21times/min), and/or continuous wheezing, flaring of nares, three concave sign |
| Expectoration | None | There is an occasional sound of phlegm in the throat and a small amount of sputum | The phlegm sound in the throat is hissing and the phlegm is yellow | There is a roar of phlegm sound in the throat and a large amount of yellow-phlegm |
| Nasal obstruction | None | Occasionally. It doesn’t affect breathing through the nose | Patients often have the nasal obstruction during the day | Obvious nasal obstruction patients have to breathe through the mouths |
| Nasal discharge | None | Occasionally | Patients have runny nose in the morning and at night | Continuously |
| Dry mouth | None | Occasionally | Sometimes | Continuously |
| Pharyngalgia | None | Slightly | Dry pain, pain when swallowing | Burning pain, sharp pain when swallowing |
| Hypodynamia | Normal | Slightly | Obvious | General weakness |
| Anorexia | Normal | Poor appetite | Loss of appetite | The appetite is extremely poor, or the patients refuse to eat |
| Diarrhea | None | Less than 3 times a day Loose stool | Three to six times a day Loose stool | More than 7 times a day The stool is watery |
| Secondary symptoms | Normal (0 point) | Slight (1 point) | Moderate(2 points) | Severe (4 points) |
| Complexion | Normal | Flushing of face and lusterless complexion | Flushing of face and dim complexion | Pallor and dim complexion |
| Palpitation | None | Mildly | Sometimes | Continuously |
| Abdominal distension | None | Occasional abdominal distension or postprandial abdominal distension | Abdominal distension is severe, up to 6 hours a day | Abdominal distension all day long |
| Aversion to cold | None | Slightly | Moderately | Shivering |
| Cyanosis | None | Slight cyanosis [P(O2)50 mmHg–80 mmHg,SaO2 80%–90%] | Moderate cyanosis [P(O2)30 mmHg–50 mmHg,SaO2 60%–80%] | Severe cyanosis [P(O2)<30 mmHg,SaO2 <60%] |
| Hyperhidrosis | None | Usually the skin is slightly moist or occasionally hot and sweating | Usually the skin is moist, sweating if you move a little; hectic fever on the chest and back, sweating repeatedly | Sweat usually and sweat like washing with moving |
| Short breath | None | Slightly | Shortness of breath increases after exercise | Obviously affecting work and daily life |
| Insomnia | Normal | Difficulty falling asleep | Difficulty falling asleep, sleep lightly | Hard to sleep |
| Urination | Normal | Slightly yellow | Dark yellow | Dark urine |
| Tongue manifestation | Normal (0 point) | Abnormal (2 points) | ||
| Tongue property | Light red tongue | Red or dark-red tongue, or with ecchymosis, or prickly tongue | ||
| Coated tongue | The tongue coating is thin and white | Tongue coating is yellow, thick, greasy, etc. | ||
| Pulse | Normal (0 point) | Abnormal (2 points) | ||
| Pulse | Normal pulse | Irregular-rapid pulse, irregularly intermittent pulse, regularly intermittent pulse, etc. | ||