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Long COVID

What is Long COVID?

Definition

Long COVID refers to persistent symptoms following a COVID-19 infection that last longer than 12 weeks. Typical complaints include ongoing fatigue, shortness of breath, concentration difficulties (brain fog), as well as pain and sleep disturbances.

Common Causes

  • Persisting viral components or immune activation
  • Autoimmune reactions following COVID-19
  • Damage to blood vessel walls (endotheliopathy)
  • Mitochondrial dysfunction
  • Dysautonomia (disorder of the autonomic nervous system)

Physiological and Pathological Mechanisms

  • Chronic low-grade inflammation
  • Microthrombi in small blood vessels
  • Neuronal damage caused by the virus

How Traditional Chinese Medicine (TCM) understands Long COVID

Long COVID in TCM corresponds to a residual pathogen (lingering heat-toxins) combined with Qi and Yin deficiency and Blood stasis, leading to persistent complaints. Lung Qi is weakened and the Shen is unsettled.

Treatment Principles

Acupuncture

Points such as LU 9, ST 36, SP 6, PC 6, and HT 7 strengthen Lung Qi, nourish Yin and Blood, and calm the spirit.

Tuina Treatment

Gentle treatment of the back and Lung zone to strengthen Lung Qi and promote circulation.

Traditional Chinese Medicine

Post-COVID-specific formulas to resolve residual pathogens, nourish the Lungs and Qi, and dissolve Blood stasis.

Lifestyle Adjustments

Paced activity with adequate rest, a low-stimulation environment for brain fog, nutrient-rich food, and plenty of water.

When to See a Doctor Immediately

Warning Signs

  • Severe shortness of breath or chest pain
  • Cardiac arrhythmias
  • Sudden deterioration of condition

When to Contact a Clinic

If severe shortness of breath or chest pain occurs, seek a doctor immediately. TCM is recommended as a complementary therapy alongside conventional medical assessment.

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