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Qilu Network Lightning News September 7, 2019 In December 2019, the outbreak of the new crown pneumonia epidemic, Shandong Province immediately set up a leading group for the handling of the new crown pneumonia epidemic. As the deputy leader of the Chinese medicine expert group, Zhang Wei and his team urgently threw themselves into this war without gun smoke, hoping to provide a diagnosis and treatment plan from Chinese medicine for the fight against the "epidemic".
In critical condition, he was commissioned to write a preventive and diagnostic plan
Zhang Weiti, director of the Department of Pulmonary Diseases at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, recalled the situation at that time and said: "We just know that this disease is very serious, how heavy is this disease?" Let's say it's probably similar to SARS. But it turns out to be much more complicated than SARS, the situation is much more severe, and the test for us is much greater. ”
In the face of danger, Zhang Wei, together with traditional Chinese medicine experts in the province, became a "warrior" at the forefront of the "epidemic" of Shandong's traditional Chinese medicine war. At present, the epidemic situation is tight, and Zhang Wei leads the team to work day and night, while studying, while drafting a prevention plan.
Zhang Wei said: "On January 15, 2020, we first came up with a prevention plan, we considered the regional characteristics of Shandong, dry some, cold, the plan will add some yin medicine. At the same time, there are also some for different groups of people, children, or the elderly, who have underlying diseases. ”
In this way, the Shandong version of the customized prevention plan: "Shandong Province 2020 Winter and Spring Epidemic Influenza, Novel Coronavirus Infection pneumonia Traditional Chinese Medicine Prevention Plan" was drafted. However, in order to pass this plan, it must be signed by an expert. Under the prevention and control of the epidemic, the community is closed, which has brought a lot of trouble to the countersigning work.
Zhang Wei said: "I and the members of our team, driving from car to door to find experts, can only be separated by the iron fence of that community, with the lights of the mobile phone, after signing the letter back to the provincial health commission in the early morning." The plan was released in a timely manner the next day. ”
Half a month later, Zhang Wei and his team compiled the "Traditional Chinese Medicine Diagnosis and Treatment Plan for Pneumonia Infected by Novel Coronavirus in Shandong Province" was successfully released. The introduction of the plan provides Shandong's version of "traditional Chinese medicine prescription" for fighting the epidemic. Through the combination of traditional Chinese medicine and Western medicine, good results have been achieved in clinical diagnosis and treatment.
"Promote the transformation of severe disease to ordinary type, shorten the course of the disease, shorten the length of hospitalization, and even after the combination of traditional Chinese medicine treatment, the amount of antibiotics and hormones has been reduced, which has played a very good role in improving the symptoms of patients: chest tightness and shortness of breath, fatigue, etc." Zhang Wei said.
However, at the end of July this year, a confirmed case of Nanjing Lukou Airport was found in Yantai Laishan District, which made the expert team usher in a new challenge.
A race against time The Delta mutant virus cases emerged
Zhang Wei said: "The rebound of this epidemic is related to the mutation (strain) of the new crown pneumonia virus - Delta virus, which has a short incubation period, strong transmission capacity, and stronger toxicity. ”
Han Jian is the deputy chief physician of the Department of Pulmonary Diseases of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, and after the case appeared in Yantai, he rushed to the front line of Yantai for the first time to return patient information for the expert group in real time. "The chest imaging progress of this critically ill patient exceeded 50% in 24 hours, and there was wheezing at night, the patient's oxygen and oxygen were not up to standard, there were underlying diseases and diabetes, and it was prone to the risk of various complications." Han Jian said.
This patient's condition worsens much more rapidly than other patients, and the condition is constantly changing, potentially life-threatening at any time. This diagnosis and treatment tests not only the doctor's professional ability, but also the speed of controlling the disease. It's a race against time and life.
New Issues in Dealing with Mutant Strains Are Based on Ancient Texts
For doctors, due to the lack of data on large samples, how to deal with mutant strains has become a new problem. As the deputy leader of the expert group on traditional Chinese medicine, Zhang Wei plunged into the ancient literature and tried to find answers from the ancients.
He said: "From the Western Han Dynasty to the end of the Qing Dynasty, according to records, there were more than 300 plagues. There is a book from the Ming and Qing dynasties, called. This book gives us prescriptions for the treatment of some plagues. ”
With the ancient formula, for this seriously ill patient, the expert group organized a number of consultations to judge the patient's condition according to the patient's tongue, pulse, imaging progress, symptoms and the results of some examinations.
For the current Delta virus, Zhang Wei summarized its symptoms from the perspective of traditional Chinese medicine into six words: "wet, hot, phlegm, bruising, and poison." He said: "Therefore, in the treatment process, we must pay attention to clearing heat, dampness and phlegm." ”
After many consultations, han Jian finally summarized the opinions of the expert group and prescribed Chinese medicine for the seriously ill patient. Han Jian introduced: "The delta virus is relatively virulent, and the patient's immunity is relatively weak, and the patient still has a bloody constitution. Therefore, we have strengthened the strength of heat and detoxification, taking into account the patient's qi and yin deficiency, cooperating with nourishing yin and replenishing qi, and taking into account the patient's lungs, spleen and kidneys. ”
In addition, for this critically ill patient, in his medication cycle, the expert group also gave a prescription different from other mild patients.
Han Jian said: "We have prescribed that he should take it every eight hours, so as to ensure that the concentration of Chinese medicine in the patient's body can reach a therapeutic dose. The TCM treatment plan given by our TCM expert group is still very obvious. After two days, there was a significant change in the tongue, about three or four days or so, we can see that the ct image is relatively stable when we review the CT, and about a week or so, the patient's inflammatory index begins to decline. ”
In the face of the mutated strain, Delta, Chinese medicine has once again triumphed in the fight against new crown pneumonia. Zhang Wei said: "Last year, we had more than 700 cases in total, and the participation rate of Chinese medicine was close to 100%, all of which achieved very good results."
In addition to treatment, Chinese medicine plays an important role in the process of prevention and recovery after healing.
"The treatment of TCM for new tube pneumonia, it is a whole process, in the sequelae of new crown pneumonia, we will see a lot of symptoms that seem to be unexpected. For example, taste failures deserve further study," Zhang Wei said.
In September 2020, Zhang Wei won the title of Advanced Individual in the National Fight against the New Crown Pneumonia Epidemic.
Zhang Jiecheng is the chief physician of the Department of Pulmonary Diseases of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine and a graduate tutor of Zhang Wei. She said: "I feel that of all the graduate students, he is the one I am most satisfied with, he can be diligent in business, conscientious and very serious. ”
Since the fight against the new crown pneumonia, Shandong Province has adhered to the principle of attaching equal importance to traditional Chinese and Western medicine, improved the consultation mechanism of integrated traditional Chinese and Western medicine, promoted the early, full-process and comprehensive intervention of traditional Chinese medicine in the treatment of new crown pneumonia, and achieved good results in the treatment of severe and critical cases through the treatment of integrated traditional Chinese and Western medicine. Combined with the characteristics of local cases, Shandong has formulated a traditional Chinese medicine diagnosis and treatment plan for the new coronavirus pneumonia, contributing the "Shandong medicine prescription" for traditional Chinese medicine treatment and providing the "Shandong plan" for the "epidemic".
Lightning News reporter Zhang Cong Kong Ran reported