The Chinese medicine in the mainland contains the Chinese nation's thousands of years of health care concepts and practical experience, which is broad and profound, is a treasure of Chinese civilization, and embodies the wisdom of the Chinese people and the Chinese nation.
Since the outbreak of the new crown epidemic more than two years ago, Chinese medicine has been deeply involved in treatment and has achieved good results, and has also contributed "Chinese wisdom" to the global epidemic prevention and control, which has been widely recognized internationally.
Despite this, there are still some people who are not confident and unconvinced by Chinese medicine.
Life Times (search for "LT0385" in WeChat to follow) interviews experts to explain the application and contribution of Traditional Chinese medicine in the fight against the new crown epidemic.
Experts interviewed
Fang Bangjiang, director of the Department of Emergency Medicine, Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine
The author of this article 丨 Life Times reporter Zhang Fang
This article was edited by Xu Wenting
Traditional Chinese medicine is widely used in Shanghai Fang Cabin
From February 28 to March 2, a number of experts from the World Health Organization, the International Organization for the Supervision of Herbal Medicines, and the China Academy of Chinese Medical Sciences deliberated and discussed three research reports provided by the Chinese expert group at the WHO Expert Evaluation Meeting on traditional Chinese medicines for the treatment of COVID-19.
On March 31, the "Report of the WHO Expert Evaluation Meeting on the Treatment of Covid-19 in Traditional Chinese Medicine" publicly released on the official website of the World Health Organization pointed out that although the study has certain limitations and further clinical verification is necessary, the participating experts believe that the use of traditional Chinese medicine is conducive to reducing the risk of mild or ordinary cases turning into severe disease; compared with simple conventional treatment, Chinese medicine can shorten the virus clearance, clinical symptom relief and hospitalization time of mild and ordinary cases when used as an additional intervention Early use of traditional Chinese medicine can improve the clinical prognosis of mild and ordinary patients.
Fang Bangjiang, director of the Department of Emergency Medicine of Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine, is currently the leader of the TCM expert group at the Fang Cabin Hospital of Shanghai New International Expo Center, and has also led the team to help during the outbreak of the epidemic in Wuhan in 2020, serving as the director of the infection three departments and five wards of Wuhan Leishenshan Hospital.
Shanghai New International Expo Center Cabin Hospital
He introduced that there is still no special Western medicine for new crown pneumonia, and the fang cabin hospital has 15,000 beds, and the treatment follows two basic principles:
First, traditional Chinese medicine treatment is the mainstay, and the combination of traditional Chinese medicine and Western medicine can obtain the greatest benefits at the minimum cost;
The second is to apply traditional Chinese medicine to "truncate and reverse" to prevent asymptomatic and mild diseases from turning into severe diseases and critical illnesses.
Combined with the characteristics of Shanghai's climate, the Fang Cabin Traditional Chinese Medicine Expert Group believes that the cause of this round of epidemic is "wet, hot, wind and virtual", so when formulating the traditional Chinese medicine treatment plan, in addition to referring to the "Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Ninth Edition)", it also adopts the treatment methods of heat removal, dampness removal and rectification according to the traditional Chinese medicine idea of "three causes and dialectical treatment", and develops the "Qinghua Defilement Formula" for the Aumechjong variant strain.
In the early clinical observation, the party showed exact efficacy in terms of nucleic acid to negative and improving physical fitness. In the process of traditional Chinese medicine treatment, it is also combined with the application of acupuncture, tai chi, baduanjin and other pro-rehabilitation methods, and the clinical effect is remarkable.
Taking the 1487 infected people who were admitted to the N3 ward of the Fang Cabin Hospital of the New International Expo Center as an example, after 4 to 5 days of treatment with the pure Chinese medicine program, the infected people basically achieved negative and met the discharge criteria.
As early as 2020, during the outbreak of the new crown epidemic in Wuhan, traditional Chinese medicine treatment played a great role. Fang Bangjiang said: "My personal experience can prove that the application of pure Chinese medicine to mild and ordinary patients has the potential to achieve a healing effect and prevent them from developing into critical diseases. The early intervention of traditional Chinese medicine can not only improve the symptoms of patients, but also have a good preventive effect on the general population and high-risk groups. ”
Zhang Boli, an academician of the Chinese Academy of Engineering, once said that Chinese medicine has four major contributions to the fight against the epidemic:
First, four types of people are isolated and take traditional Chinese medicine;
The second is to treat mild and ordinary patients in the chinese medicine injection cabin, reduce the proportion of patients who have transferred from mild to severe diseases and the infection rate of medical staff;
The third is the combination of traditional Chinese medicine and Western medicine to treat seriously ill patients;
The fourth is to carry out rehabilitation treatment of integrated traditional Chinese and Western medicine during the recovery period.
The fight against COVID-19 has once again proved the unique advantages and value of TCM in the prevention and treatment of emerging infectious diseases.
The anti-epidemic effect of traditional Chinese medicine is supported by historical evidence
At the beginning of this round of epidemics, the Shanghai Municipal Health Commission and the Municipal Administration of Traditional Chinese Medicine issued the "Prevention Plan for Internal Administration of Traditional Chinese Medicine for ExternalLy Susceptible Populations in Spring 2022" to provide traditional Chinese medicine preventive prescriptions for people in isolation points and key sealing and control areas in various districts.
The traditional Chinese medicine kits for epidemic prevention that Shanghai citizens have successively received include both proprietary Chinese medicines and special epidemic prevention prescriptions made by various hospitals. In order to better guide the public to use TCM preventive prescription drugs scientifically and rationally, some TCM medical institutions in Shanghai have also opened a "TCM Preventive Prescription Guidance Hotline".
Traditional Chinese medicine precautions received by Shanghai citizens
However, in the face of the epidemic prevention Chinese medicine kits distributed by the community, some people are skeptical, and even some prescriptions lack confidence: "We don't know what the specific situation is", and everyone "takes it cautiously". In this regard, Fang Bangjiang is very frank: "The history of Chinese medicine against plague has been thousands of years, as early as the emergence of Western medicine, all the infectious diseases we encountered were cured by traditional Chinese medicine, which is an indisputable fact." ”
Chinese medicine refers to infectious diseases such as COVID-19 as plagues. According to the "History of Epidemic Diseases in China" published by the China Academy of Traditional Chinese Medicine, from the Western Han Dynasty to the end of the Qing Dynasty, there were at least 321 large-scale plagues in China. In the "duel" with the plague again and again, Chinese medicine has accumulated valuable experience and left a large "legacy".
For example, in the Song Dynasty, Chinese medicine developed the "human pox vaccination method" to prevent smallpox, and by the Ming and Qing dynasties, there were already full-time pox doctors and dozens of pox monographs in the industry of pox, and the Qing government also set up a "pox bureau" to popularize pox for the people, which is called the world's earliest official immunization institution. After the introduction of human pox to Britain, the British doctor Edward Chenna invented the vaccinia inoculation in 1796.
Human pox vaccination
The various Chinese medicine texts documenting the plague contain many prescriptions for the prevention and treatment of the plague, the most representative works of which are "On Typhoid Fever and Miscellaneous Diseases", "On The Disease of Temperature", "Theory of Cholera", "Treatment of Epidemic in Wet Temperature" and so on. Some of these anti-epidemic recipes summed up in actual combat are still in use today.
From 1893 to 1894, a serious plague occurred in southern China, and Luo Rulan, a traditional Chinese medicine doctor in Gaozhou, was added and subtracted on the basis of the ancient formula "detoxification and blood soup", and effectively controlled the epidemic through special drug administration. Later, he wrote his successful experience into the book "Plague Compilation", which was widely disseminated.
Plague Compilation
In fact, in order to fight the new crown epidemic, among the effective prescriptions "three medicines and three parties" selected by traditional Chinese medicine through clinical screening, the lung cleansing and detoxification soup is fused from the 5 classic formulas of "Typhoid Fever".
On Typhoid Fever
There are also excellent performances under evidence-based research
Compared with traditional Chinese medicine, Western medicine has only entered the mainland for hundreds of years, but due to its rapid development, people are accustomed to using Western medical theories and research methods to evaluate Chinese medicine. But Fang Bangjiang said that Chinese medicine and Western medicine are two completely different systems, with their own different development laws and theoretical basis. Like what:
Chinese medicine pays attention to dialectical treatment, uses compound prescriptions, and matches them with the principle of "kings and ministers" to achieve the purpose of comprehensive treatment;
Western medicine is accustomed to starting from the microscopic level, focusing on evidence-based medical evidence and using randomized controlled trials to conduct research.
In the process of running into each other, the two systems will inevitably collide, but this does not mean that it is possible to simply use the theory of one system to deny the other system.
In order to connect with the world, for many years, TCM has been trying to use randomized controlled trials to verify the effectiveness of TCM, and has achieved a lot of results in the fight against the new crown epidemic alone.
During the 2020 aid period, Fang Bangjiang developed an innovative formula for the treatment of severe new crown pneumonia "Ginseng Yellow Granules" based on more than 30 years of clinical experience in the treatment of infections and critical illnesses, combined with the characteristics of new crown pneumonia, and applied it in Tongji Hospital of Huazhong University of Science and Technology, Wuhan Leishenshan Hospital, Huangshi Infectious Disease Hospital of Hubei Province, and Wuhan Mental Health Center.
The results of multicenter, randomized, controlled, and prospective studies show that self-simulated "ginseng yellow granules" can effectively prevent the progression of severe patients and significantly reduce mortality.
The research results published in Plant Medicine are the rare research articles on traditional Chinese medicine published in international mainstream academic journals so far, and provide an important evidence-based basis for the treatment of severe new crown pneumonia by traditional Chinese medicine.
In 2021, the team of Professor Li Jing of Fuwai Hospital of the Chinese Academy of Medical Sciences also published a large-scale multi-center study on lung detoxification soup in Phyto-Medicine, including a total of 8939 hospitalized patients with new coronary pneumonia.
The results showed that the hospital mortality rate was 4.8% for patients who did not receive lung cleansing detoxification decoction, and only 1.2% for patients treated with lung detoxification decoction. After excluding the effects of differences in clinical features and other treatments between the two groups, patients who received lung detoxification decoction had only half the risk of dying from patients who did not receive detoxification decoction.
In August 2021, a study of wet septic particles led by Huang Luqi, an academician of the Chinese Academy of Engineering, was also accepted by the journal Plant Medicine. This randomized clinical trial conducted in Wuhan Jinyintan Hospital showed that wet septic particles had a significant improvement effect on the clinical symptoms and lung inflammation of patients with new coronary pneumonia, and the safety was good.
Because of this, since the outbreak of the new crown epidemic, many countries around the world have recognized the importance of traditional Chinese medicine.
According to incomplete statistics, as of now, China has introduced TCM diagnosis and treatment plans to more than 150 countries and regions, provided TCM products to more than 10 countries and regions in need, and sent TCM experts to 29 countries and regions to help guide the fight against the epidemic.
Zimbabwean President Mnangagwa highly appreciated the role played by Traditional Chinese Medicine in the fight against the new crown epidemic, and the State Secretary of the Cambodian Ministry of Health, Naboraroth, praised the good efficacy of Traditional Chinese medicine in the treatment of new crown.
Fang Bangjiang finally said that looking at the field of traditional medicine in the world, Chinese medicine is the most complete theoretical system, and its role in the fight against the epidemic has also undergone a long-term clinical practice test, and the efficacy is beyond doubt. ▲
Editor: Wang Xiaoqing