How Does The Real Chinese Medicine Resist The New Crown? Guangdong'S Chinese Medicine Draws On The "Hard Core" Sample Of "Anti Non" Experience
The early intervention of Chinese medicine in the prevention and treatment of epidemic diseases can be said to be the experience left behind by SARS. In this outbreak, the Chinese medicine system was launched quickly, and Chinese medicine therapy was widely applied in clinical treatment, especially in Guangdong.
"We are also considering the role of Chinese medicine. Chinese medicine must intervene at the very beginning. This is what we do in Guangdong and do it in many places. " Zhong Nanshan, a member of the Chinese Academy of engineering, said in an interview with Xinhua that TCM should be involved in the treatment of new crown pneumonia as early as possible.
Tao Fei, deputy director of the intensive care discipline at Chancheng Central Hospital of Foshan, who is in Wuhan, said in an interview with the twenty-first Century economic report reporter that the actual clinical effect is that Chinese medicine can play a certain role, not only for mild symptoms, but also for some severe cases. It is also a good clinical manifestation, but we are still discussing the specific circumstances, hoping to better fight against the new crown through the integration of Chinese and Western medicine.
Experience of "Uncle De"
It is not unusual for Chinese medicine to suffer from criticism. However, under the experience of SARS, Guangdong is taking a step forward in the way of resisting the new crown.
According to the South + previous report, "for traditional Chinese medicine, I refused at the very beginning." A 50 year old female patient in the Wuhan front-line ward admitted that in her opinion, Chinese medicine needs long-term use to produce results. In this outbreak, some patients have doubts about Chinese medicine therapy. Chinese medicine therapy is slow and uncertain.
Zhang Zhongde, 56, is vice president of Guangdong Province Traditional Chinese Medical Hospital. He is called "Uncle De". Since late January, he has led a team of 107 people who have been fighting for more than 20 days in Wuhan.
In January 24th, that is, the thirty afternoon of the new year, as the deputy head of the expert group of the State Administration of traditional Chinese medicine for the prevention and control of new crown pneumonia, Zhang Zhongde sat on the high-speed rail from Guangzhou to Wuhan.
When he arrived in Wuhan with Zhang Zhongde, there were 3 high-level Chinese medicine experts, academician of Chinese Academy of Sciences, chief researcher of Chinese Academy of Chinese Medical Sciences, Tong Xiaolin, director of Department of respiration, Xiyuan Hospital of Chinese Academy of Chinese Medical Sciences, and director of Department of respiration and affiliated director of lung Research Laboratory, Capital Medical University, Miao Qing. The task of the expert group is to understand the epidemic situation on the spot, and to study how to combine traditional Chinese and Western medicine in the treatment of difficult and critical patients and optimize the treatment plan of Chinese medicine.
Zhang Zhongde has full confidence in TCM therapy. He had been infected with SARS during the fight against SARS. After the treatment of Chinese and Western medicine, he recovered without sequela. After receiving hundreds of cases in Wuhan, Zhang Zhongde believed that the new crown pneumonia core pathogenesis was mainly damp heat, and some were cold. The famous Ming Dynasty famous doctor Wu Youke treated the name of "Da Yuan Yin" and the Han Dynasty medical Saint Zhang Zhongjing's "Ma Xingshi Gan Tang", which is famous for treating the plague. The "hot Sheng" plus some antipyretic and antidote drugs, supplemented by traditional therapy and external treatment such as eight section brocade, auricular plaster.
In the early stage of SARS, the efficacy of TCM was questioned, so it was not fully involved in the epidemic process. Until May 2003, Beijing took measures to ensure that all designated hospitals have the participation of Chinese medicine. By mid May, most patients were treated with integrated traditional Chinese and Western medicine. A retrospective study of 71 cases of SARS treated by Chinese medicine interventional therapy was conducted by a number of experts from the First Affiliated Hospital of Guangzhou Medical College and the Guangzhou Institute of respiratory diseases.
Drawing on the experience of SARS epidemic, Chinese medicine quickly intervened in the clinical treatment of patients. As early as January 27th, the State Administration of traditional Chinese medicine launched the "clinical screening study on effective prescriptions for prevention and treatment of new crown pneumonia in Chinese medicine". In January 28th, the State Administration of traditional Chinese Medicine issued the notice on further improving the treatment of pneumonia associated with new coronavirus infection by combining traditional Chinese and Western medicine, insisting on the combination of traditional Chinese and Western medicine, giving full play to the advantages of integrated traditional Chinese and Western medicine in treating pneumonia caused by new coronavirus infection.
On February 14th, Huang Luqi, head of the medical treatment and treatment expert group of the State Administration of traditional Chinese medicine, introduced the news conference of the Hubei provincial new Command Office for the prevention and control of coronavirus pneumonia. The national Chinese medicine system has sent 2220 people to Hubei.
In the epidemic area, the combination of Chinese and Western treatment is widely used in the clinical treatment of patients.
At the press conference of the joint defense and joint control mechanism of the State Council in February 17th, Jiang Jian, director of the State Administration of traditional Chinese medicine and medicine administration, said that as at 16 o'clock at 24 o'clock, the total number of confirmed cases involving the participation of Chinese medicine in the whole country was 60107, accounting for 85.20%, and the participation rate of Chinese medicine in Wuhan was 80%. 4978 patients were diagnosed in 42 designated Chinese medicine hospitals in Hubei Province, and the utilization rate of Chinese medicine was 96.4%. The symptoms and imaging findings of fever, fatigue and cough were significantly improved, with a total effective rate of 81.3%. There are 8159 beds in the 9 shelter hospitals that have been opened, and 6966 patients in the hospital. At present, the 11 shelter hospitals synchronously distribute traditional Chinese medicine decoction and 5 kinds of proprietary Chinese medicines.
Syndrome differentiation and treatment is still the core.
"When I came in, I still had a fever. After two days of treatment, taking the Chinese medicine, the body temperature was relatively stable, and rarely increased to more than 38 degrees Celsius." In the isolation ward of the integrated Chinese and Western Medicine Hospital of Hubei, the 55 bed side of the uncle handed the nurse a note full of body temperature data and said excitedly.
At present, the combination of Chinese and Western medicine has achieved certain clinical results. Many Chinese medicines have been used as one of the important methods of local anti epidemic. According to incomplete statistics, 21 Chinese medicine preparations have been approved by the provincial food and Drug Administration for the prevention and control of the new type of coronavirus infection.
In 214 cases of clinical effective data, in February 6th, the State Administration of traditional Chinese Medicine issued the notice on the recommendation of "Qingfei detoxification Decoction" in the treatment of pneumonia associated with the treatment of new coronavirus in the integrative medicine, and recommended the use of Qingxing shgan decoction, Shedan ephedra decoction, Xiao Chaihu Decoction and five Ling powder in the whole country. At present, 701 cases of 57 designated medical institutions in 10 provinces have been included in the confirmed cases of Qingfei detoxification decoction. Among them, 130 cases were cured and discharged, 51 cases disappeared, 268 cases improved, 212 cases were stable.
Another Chinese medicine prescription that attracts much attention in the epidemic is the "pneumonia No. 1" which is being implemented in hospitals in Guangdong province.
Tan Hanghua, director of the Department of traditional Chinese medicine, director of Department of traditional Chinese medicine, Eighth People's Hospital of Guangzhou, has formulated the "pneumonia No. 1" under the guidance of the theory of febrile diseases. It contains 16 kinds of drugs, such as honeysuckle and forsythia, which can be used for clearing away heat and detoxicating, dispersing wind and relieving exterior symptoms, supplementing qi and nourishing yin.
After that, the provincial drug administration, the provincial health and Health Committee and the provincial Chinese medicine bureau jointly issued a document to make sure that during the epidemic period, hospitals in the province were allowed to be admitted to the province directly and dispensed according to clinical needs. In February 17th, at the press conference of the joint defense and joint control mechanism of the State Council, the "pneumonia No. 1" from Guangdong Chinese medicine was publicly "praised" by the State Administration of traditional Chinese medicine.
But Tan Hanghua also said that the current pneumonia Formula 1 is only suitable for mild patients and suspected patients, and is not suitable for critically ill patients. "Chinese medicine is focused on syndrome differentiation and treatment, with different clinical manifestations and pathological degrees, and there are certain differences in the usage of prescriptions. Therefore, the "pneumonia No. 1" is the basic side, the symptoms of mild patients are different, the use of drugs is different.
Chinese medicine pays attention to syndrome differentiation and treatment, and the national health and Health Committee issued the "new coronavirus infection pneumonia diagnosis and treatment plan (trial version fifth)" clearly pointed out that from the traditional Chinese medicine category, the incidence is due to the feeling of epidemic disease, the location of the disease is in the lung, and the basic pathogenesis is characterized by "wet, hot, toxic and stasis". According to the recommended plan for syndrome differentiation and treatment.
In Zhang Zhongde's opinion, the formulation and modification of diagnosis and treatment must be based on clinical practice. "It is a doctor's job to go deep into the clinic, contact the patient, and make the best diagnosis and treatment plan for the patient."
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