People's Daily health client Liu Xiaoxu
"In the first blockade battle of the mainland's Aomi Kerong on January 8, 62 patients treated by traditional Chinese medicine methods in the traditional Chinese medicine ward established in Tianjin ranged in age from 12 to 90 years old, with an average hospital stay of 11.4 days, an average nucleic acid to negative time of 9.7 days, and the fastest time of negative disease was 5 days, and none of them turned into severe disease." Academician Zhang Boli introduced that the Aomi Kerong strain is more contagious, the incubation period is shorter, but the symptoms are relatively mild, mainly manifested as dry throat itching, sore throat, fever, cough and other upper respiratory tract symptoms, lung inflammation at the beginning stage is not obvious, more are mild and asymptomatic, the effect of traditional Chinese medicine treatment is better.
Recently, the new crown pneumonia epidemic caused by the Aomi Kerong mutant strain has appeared in various parts of the country. In order to adapt to the changes in the situation, the National Health Commission and the State Administration of Traditional Chinese Medicine recently jointly issued the "Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Ninth Edition)", which revised and improved the content of traditional Chinese medicine treatment.
The new version of the diagnosis and treatment plan has been nearly a year after the previous version, what is the background of the introduction? Why should the content of TCM treatment be revised and improved? Academician Zhang Boli, winner of the National Honorary Title of People's Hero and a national famous Chinese medicine doctor, was a guest of the People's Daily Health Client Chinese Medicine Channel to specially plan a special live broadcast of "Chinese Medicine Policy and Anti-epidemic" to interpret the guiding significance of the new version of the diagnosis and treatment plan to the diagnosis and treatment of Chinese medicine.
Chinese medicine should be effective in responding to Omilon, and the new version of the diagnosis and treatment plan has simultaneously increased the length of Chinese medicine
"The biggest change in the new version of the diagnosis and treatment plan is that the length of traditional Chinese medicine has increased significantly."
Academician Zhang Boli introduced that there are many differences in the performance of new crown pneumonia caused by the Omiljung strain, but the core characteristics of TCM syndrome have not changed, and they are still wet and toxic lungs, and they are also pinched. This revision has formed an expert consensus by summarizing the treatment experience across the country. In the process of forming the plan, experts took into account the regional climate characteristics of Qinghai, Gansu and other northwest regions, the symptoms of the epidemic in the past two years, the epidemic virus is easy to dry, different from the treatment method of wet poison containing in the lungs, so this part of the content was added to the program, emphasizing that it should be adapted to the time and place, which is more conducive to guiding the treatment of various places. ”
Acupuncture treatment has been added to the new version of the protocol: "Since the outbreak of the new crown epidemic for two years, acupuncture has been used in clinical treatment, and it has a definite effect on improving symptoms and regulating immune function. There have also been some reports of acupuncture treatment of COVID-19 internationally. Academician Zhang Boli said that in the new version of the plan, for different patients of light, ordinary and severe diseases, different acupuncture points and techniques are recommended, reflecting the dialectical treatment of acupuncture, which not only enriches the means of traditional Chinese medicine treatment, but also has great significance for the international promotion of acupuncture treatment of new crown pneumonia.
After infection, it is mild, and the new version of the diagnosis and treatment plan adds medication guidelines for pediatric patients
Academician Zhang Boli said that the symptom characteristics of children with new crown pneumonia are not exactly the same as those of adults, and they are more common in clinical practice, a small number of ordinary types, and severe diseases, and the residual symptoms such as lung inflammation, palpitations and fatigue during the recovery period are also milder than those of adults. The new version of the program arranges prescriptions according to the characteristics of children, and has more targeted interventions, which have guiding value in guiding the treatment of children after infection.
"Taking Tianjin as an example, the screened children can have mild manifestations such as fever, sore throat, cough, etc., but the loss of smell and taste, gastrointestinal symptoms (vomiting and diarrhea, etc.) are not prominent, and the evidence type is mainly wet poison attack table, and wind fever, so we add or subtract the use of silver warp and hemp apricot stone sweet soup according to the characteristics of the child's disease, which can relieve the wind and detoxify the table, clear the heat and detoxify; for ordinary children with lung inflammation, they can use the thousand golden reed stem soup plus houttuynia cordata, Zhejiang shell and other treatments, which can improve the disease quickly. Clinical results have also proved that children's medication is more effective than that of adults, and none of the more than 100 children with the disease have been severely ill. ”
"Western medicine is asymptomatic, Chinese medicine has symptoms", and asymptomatic infected people still need to be taken seriously
"Western medicine is asymptomatic, Chinese medicine has a certificate", Academician Zhang Boli said, for the asymptomatic people should be actively attached to, especially the age, basic diseases, weak physique, obesity, bad life habits and other high-risk factors of the population. One is that although there are no symptoms, it is also contagious; the second is that there are no symptoms today, and symptoms may appear in two or three days. Therefore, it is advisable to adopt the treatment strategy of "treating the symptoms first and cutting off the disease situation", and treat them according to the symptoms of traditional Chinese medicine, so that they can not appear symptoms and promote the conversion of nucleic acid to yin.
Mild diseases can not be ignored, the key is early intervention
The new version of the plan points out that mild patients will be centrally isolated and managed, which means that mild diseases can not go to the hospital, and can go to the cabin or hotel for isolation and observation. Not going to the hospital can avoid squeezing medical resources for patients with mild diseases, but medical observation is not something that can be ignored without treatment, especially for the high-risk groups mentioned above. From our experience for more than two years, the treatment of this part of the patient with traditional Chinese medicine can improve symptoms, prevent weight loss, promote nucleic acid to negative, and also help rehabilitation. The key to treatment lies in "early", early intervention in the active period of virus replication, improve the treatment effect, can be applied to traditional Chinese medicine "three parties and three drugs" treatment, the first time to use drugs and the first amount doubled, drink more water and rest, can control the disease without spreading and developing.
"The early intervention of traditional Chinese medicine and the full participation have played an important role in all stages of the new crown pneumonia, adhering to the combination of Chinese and Western medicine, and using both Chinese and Western medicines, I believe we can defeat this epidemic." Academician Zhang Boli said.
