Chen Long in the emergency ward of Shanghai Public Health Clinical Center The figures in this article are all provided by the interviewees
Chen Long, 28, is a doctor in the Department of Traditional Chinese Medicine at the Shanghai Public Health Clinical Center. In October 2021, he entered the hospital after graduating from university, and after receiving hospitalization training, he immediately applied to join the emergency ward, and since entering the cabin on March 13, the cabin has been working for more than a month.
On April 18, the surging news (www.thepaper.cn) reporter interviewed him and listened to him talk about how Chinese medicine entered the clinical treatment of COVID-19 patients.
Here's what he had to say:
During this epidemic, I have worked in Area B and Area C of the Emergency Ward of the Public Health Center, and my daily routine work is to make rounds for patients, deal with medical advice generated by diagnosis and treatment, and prescribe medicines for patients with different situations.
In this Shanghai epidemic, the main infection of patients is the Aomi Kerong strain, which spreads quickly, but the patients are basically asymptomatic or mild symptoms. Most patients present clinically with upper respiratory tract symptoms such as cough and sore throat after infection, and some patients also develop fever.
Detoxify wet formula
We mainly in accordance with the ninth edition of the national diagnosis and treatment plan, combined with Shanghai's geographical, climatic characteristics, classified treatment, according to the patient's condition is asymptomatic, mild, severe, we take different treatment methods, generally for asymptomatic and mild patients, take conventional proprietary Chinese medicine and traditional Chinese medicine agreement, for severe patients, the use of one person side, and according to the condition of the dynamic adjustment of the prescription, and even according to the actual situation, to achieve one party a day.
In the process of clinical treatment, the TCM team will also use some enema prescriptions. If the patient has a gastric tube inserted, the Chinese medicine will also be injected through the gastric tube. In addition, some severe patients use Angong Niuhuang Pill.
The TCM treatments used for different ages, different stages, different courses, different diseases, and different accompanying symptoms are also different. For example, children, because children are not easy to accept some of the smell of Traditional Chinese medicine, we take massage, pinch, compress, and also do some sachets, that is, Xiangpei therapy.
In addition, for some patients with sleep disorders and emotional anxiety, we will also do some ear acupuncture, and more rehabilitation training will be used for people who are recovering and who are recovering.
Our TCM team has a total of 11 doctors, distributed in different wards. In the closed-loop COVID-19 ward, whether it is asymptomatic mild or ordinary wards, or severe wards, there are doctors stationed in our TCM department. Our team also adopts a daily consultation system to conduct consultations one by one for cases with more serious diseases or complicated underlying diseases to ensure that Chinese medicine participates in the whole process of COVID-19 treatment and truly achieves the combination of traditional Chinese medicine and Western medicine.
For the treatment of new crown, Chinese medicine mainly adopts the method of examining the cause, identifying the disease, observing the symptoms, and detecting the evil and the right. Because a considerable part of the treatment population this time is the elderly, or patients with underlying diseases, Chinese medicine also needs to treat some of his basic diseases, mainly to support the correction, and give some tonic Chinese medicines.
Because Chinese medicine has played a very good role in the anti-epidemic process for more than two years, and has also shown some advantages, many patients are still very easy to accept Traditional Chinese medicine during the epidemic period of the Aomi Kerong virus. Whether it is a proprietary Chinese medicine or a Chinese medicine agreement, non-drug self-massage, massage, rehabilitation training, including this Xiangpei therapy, the degree of patient cooperation is relatively high.
presently. My ward is a negative pressure ward, because the environment is relatively closed, some patients will give us feedback that psychology is more prone to depression, anxiety will worsen during treatment, etc. In this case, I will add some liver-relieving and depressive medicines to their Chinese medicines to regulate their mood. This method has also shown a definite effect in the clinic, helping these patients to relieve nervousness.
In addition, we will also provide patients with the knowledge of acupuncture and eight duanjin, so that they can press the corresponding acupuncture points in the correct way if conditions permit.
In the public health center, we are also equipped with a professional team of psychiatrists to give specific treatment methods for the psychological state of patients, not only with verbal guidance, but also by organizing psychiatrists to conduct remote video consultations according to the needs of patients.
After more than a month in the cabin, my family and friends will also ask me if I am tired, and I feel "tired, not tired". It is true that there may be some physical tiredness, but the thought of my duties as a doctor makes me feel a lot of strength in my heart.
I hope that through the efforts of myself and my colleagues, I can help more people, and I believe that Shanghai will get better and better and successful in fighting the epidemic as soon as possible.