[ Original Address ]
The new crown pneumonia Chinese medicine treatment and doubts
I published the first new crown pneumonia on January 21 article "From SARS to Wuhan pneumonia" (http://andylee.pro/wp/?p=7169), at that time was based on my many years the treatment of many types of influenza experience acute pneumonia and severe cases, to discuss the new virus may correspond to treatment. This month and a half, I have directly and indirectly involved in the treatment of pneumonia new crown, and many first-line treatment of doctors and research professionals to do behind the discussion, also read a lot of relevant reports. Although the "Wuhan pneumonia" was renamed the "new crown pneumonia" virus from "2019-nCoV" officially named "COVID-19," I'm sure my original judgment and interpretation is right. In order to facilitate the circulation of people, me rephrase once here, also discuss some of the public may have doubts.
First, many Chinese provinces and cities have the use of traditional Chinese medicine to fight the new crown pneumonia, whether Chinese-based, or a combination of Chinese and Western medicine, more or less have some effect. But why the Chinese experts will be so different around the crown of the new pneumonia views and prescriptions? And since traditional Chinese medicine effective, the same hospital, the same combination therapy, why some patients were discharged, and some patients still could not detect nucleic acid to negative, up to the discharge standard?
Many practitioners involved in the treatment or discussion, just from a "point" of view the new crown pneumonia, some said to be wet, some said to be dry, and some say that cold, some said to be hot. Now have some clinical efficacy, then who is right? In fact, we do not have to be right. Although Chinese medicine emphasizes "diagnosis and treatment", using the patient look and smell syndrome in, asking to determine the method of treatment, do not forget, "disease" is not a "point", but a "line" on the timeline , in addition to now see what further We have to go and explore the past and future links. An individual patient, perhaps we can see from the clinical condition of the patient to discuss when, for large-scale plague, we need to explore the entire progression of the disease process, plus special circumstances to treat each patient.
From the various experiences I have healed many different kinds of influenza with severe pneumonia, acute, coupled with the experience of participating in the anti-cure pneumonia new crown to summarize, whether new crown virus, avian influenza, swine flu, or influenza each year, the process of human corruption still as "typhoid and miscellaneous Diseases" explored the same. However, these severe influenza pneumonia disease process is very much faster than ordinary "exogenous" violent tenacious disease much more easily because the patients existing health problems and complications.
As I explained before, "Febrile Diseases" description of "exogenous" from the "virtual table" to start, the outermost layer of the body has been violated "evils" of no good to resist down and beginning to die down, appear "Gui Tang certificate. " Leather table, muscular body fluid is not working properly, began the first phase of the transition, resulting in a "real table" of "Gegen Decoction", "Ephedra Decoction" and so on, ancient Chinese medicine this stage, known as "cold table" . Many physicians that it is the "injury in the cold", saying that white is the body to the cold. In fact, the "injury in the cold" is not the only source of "cold table" in. When the body fluid is not working, with the original surface of the heat, with the ability to "living water" turned into a pool of "stagnant water", also resulted in the "cold table." In other words, "Febrile Diseases," is not, as many offspring as the only treatment physicians interpret "injury in the cold" condition, but very thorough explanation of a classic on human physiology and pathology.
General "exogenous" stay in "cold table" at this stage, even without treatment, patients often can own recovery. When the "cold table" began to develop inside the body, usually the first to be affected directly communicate with the outside world lung home, "cold table" turned into "in the cold", "cold lung" appears "Little Dragon Decoction "and so on, the patient began to cough, runny nasal discharge and so on. Lung home catch cold, the body fluid operation of the lungs begin to go wrong, like automotive cooling water is not working properly, part of the lungs due to lack of body fluid and hot start, the next stage, Chinese medicine called "into the inside of heat" , became relatively severe "big Dragon Decoction", usually on behalf of Western medicine to the stage of pneumonia. However, even to the "into the inside of heat" of the "big Dragon Decoction" does not mean the whole lungs are hot, many patients with pneumonia lungs appear "cold and heat mixture" cold thick phlegm below the lungs can continue to accumulate a large amount, even began pleural effusion, pleural effusion and so on. These complex changes in the "Golden Chamber" in "on the consumptive lung lung abscess cough gas abnormal pulse governance Title VII," a lot of discussion, "Sheganmahuang certificate", "Tinglizi jujube soup Xiefei certificate", "Ze paint soup card "," Xiao Qing Long Tang plaster certificate "and so on, can be mixed appears to do a very complex disease, and more with the patient's own and have great individual differences, it is no longer a simple prescription can correspond of.
For example, the new crown with severe pneumonia, there is a strange phenomenon, so many Chinese and Western experts puzzled, Sicker patients had pulmonary fibrosis such as SARS SARS pneumonia, but no other portion of critically ill patients such as lung fibrosis, pneumonia SARS SARS appeared, but in the lungs accumulated a lot of thick mucus, some critically ill patients and therefore choked to death. In the Chinese view this phenomenon is not surprising, pulmonary fibrosis is the result of a typical Hyperactivity of the "Big Dragon Decoction" increase, and may be able to "consumptive" correspondence. The deceased patient anatomy accumulation of thick mucus found in lungs, corresponds exactly, "Tinglizi Xiefei jujube decoction syndrome" and other "lung abscess" serious "evidence of ephedra Shegan." These two changes in the road, to see which of progress "consumptive" and "lung abscess" faster, usually two can often appear together. It seems the current reports, of SARS SARS pneumonia bias "Big Dragon Decoction" as much, and the new crown pneumonia bias "Sheganmahuang certificate", "Tinglizi Xiefei jujube decoction syndrome" as much.
The above explains the influenza epidemic of pneumonia class process, we are more able to understand why Chinese medicine experts around the crown of the new pneumonia views and prescriptions will vary so much, but it seems to have some effect. If a physicians see the "point" is just slightly lung patients with mild heat, then send some of the so-called febrile disease light of detoxification agents, naturally, can help some busy. If a physicians see the "point" is just the lungs of critically ill patients has accumulated a large number of thick mucus, you have to use so-called by the party faction remove lung abscess weighting agent. So, we have seen some reports, Guangzhou promotion of "pneumonia on the 1st," Chinese herbal medicines honeysuckle and other detoxification mainly in Guangzhou have good results. However, the use of Shanghai "One of pneumonia," the effect is not ideal, have to use heavier herbal ephedra and gypsum. After all, Guangzhou and Shanghai's weather is not the same, not the same case treated patients from a single "point" of view, both are right, but on the whole discussion process plague, two did not see the entire line, the entire surface.
Previous article also asked another question. Since traditional Chinese medicine effective, why some patients were discharged, and some patients have been slow cured? According to many frontline physicians to disclose the news, many so-called treatment of "Integrative Medicine", Western or constant use, but adding additional medicine to treat. Those prescription medicine may indeed play a role, so that most of the patients began to improve or accelerate their rehabilitation, which of course is a good thing. However, patients who added extra medicine treatment did not improve in how to do? According to first-line doctors said the medical team anxious not to think deeply regimen of traditional Chinese medicine, Western medicine but increase the use of interferon, chloroquine phosphate (antimalarial drugs), Abidor (anti-flu drugs), etc. has been increasing these medicine have serious side effects and complications, usually specially Wuhan other provinces, chloroquine phosphate not much use, there have been deaths caused by excessive use cases. These "Integrative Medicine" Western medicine can not put down, change in the manner of pure Chinese medicine to treat, on behalf of such a prescription medicine, although some utility, but still not in place.
Chinese medicine-based treatment that it? Academician Zhong Nanshan China leading the new crown against pneumonia, admitted that the pressure on many useful medicine for mild pneumonia and medium-sized new crown, still adhere to traditional Chinese medicine can not treat critically ill patients, because the herbs can not find a new crown can kill the virus components. Sorry, wrong Zhongyuan Shi, Chinese medicine can cure pneumonia and other severe new crown severe influenza pneumonia, not cure, is the skill of problem treating practitioners, Chinese medicine is not that science can not cope. However, one thing is said to the Zhongyuan Shi, Chinese herbal medicine is not find new ingredients can kill the crown of the virus, because the treatment of Chinese medicine is not even allowed to kill the virus! Many people's understanding of Chinese medicine, only stay in the "increased immunity" or "Radix ingredients have natural antibiotic", this knowledge is poor. Although modern science can not fully explain the theory and clinical efficacy of traditional Chinese medicine, the new crown for the treatment of pneumonia, a better explanation is that "improving the internal environment of the body." Virus lung mucus want to accumulate more retirement prescription medicine to remove mucus, viruses want pulmonary fibrosis, prescription medicine Hyperactivity put down. Chinese Herbs tough internal environment of the body is pushed back into more normal state, not suitable for a large number of virus replication multiply, the patient will be recovered , this explanation might interferon and Western medicine have similar place, but no serious side effects of Western medicine interferon. In other words, traditional Chinese medicine has been able to cure severe, what can kill the virus does not contain ingredients, not necessarily direct the body's immune system greatly enhanced to "kill the virus."
Back to discuss how to work independently of traditional Chinese medicine clinical treatment of pneumonia new crown. Mild to medium-sized bit more patient, probably let factions practitioners around the "free play." Medium to critically ill patients, such as the article I mentioned before, the use of gypsum have Qingfei heat, body fluid strengthen lung functioning; Shegan, Aster, Coltsfoot, Health Breit, Tinglizi, spurge and other lung beneath the thick phlegm drink, pleural effusion, and pleural effusion removed; ephedra Xuanfei, hair sun; MaiMenDong, almond lungs and so forth. Comprehensive "big dragon soup," "Sheganmahuang", "Tinglizi Xiefei jujube soup", "Ze paint soup" like Fang-yi, for differences in patient condition to seize the opportunity of medication, dosage, proportion. In addition, if there are other conditions have to be considered together. For example in the next focus of alpine, kidney deficiency, you have to use the gun aconite, Asarum, such as liver and be involved at home, or use a lot of interferon and liver damage when western medicine before, have to use bupleurum, skullcap, and so on. Strict test of skill and courage of Chinese medicine practitioners, but also can fully verify the classic Chinese medicine against the plague superior efficacy, fast, no complications, and low cost. Against such a serious plague, not a single prescription medicine can be solved, we must better understand the disease process pneumonia, the patient is different, at different points, using the most appropriate prescription to intercept, to reverse the condition. However, if you insist on take forward a "Recipe", then the country and the government issued a number of layers of traditional Chinese medicine prescription, the State Drug Administration take forward a "clear lung detox soup" should be the best place prescription, recommend the use of ephedra, Sunburn licorice, almonds, gypsum, Guizhi, Alisma, Polyporus, Poria, Radix, Scutellaria, Pinellia ginger, ginger, Aster, winter flowers, blackberry lily, Asarum, yams, citrus aurantium, tangerine peel, Agastache. However, since the State Drug Administration issued a "clear lung detox soup" to "Recipe" as the goal, you must also take into account the mild, medium and severe patients, had to reduce the dose, the original use of the "Big Dragon soup "into a" Maxingganshi soup. " In addition, there is no added Tinglizi, spurge and other Chinese herbal medicines to remove heavy and lungs pleural effusion, more suitable for mild and medium cases, for severe cases, insufficient efforts have strengthened again on this "Recipe."
As long as there is enough clinical skill of Chinese medicine practitioners use the correct method, can work independently of traditional Chinese medicine is to cure patients with severe pneumonia new crown. Currently, Western medicine is no cure, can only rely on hormones, antibiotics, interferon, anti-malarial drugs, anti-flu drugs, try to find ways to sustain the patient's life, passively waiting for the patient's immune system to reverse the condition. However, even if critically ill patients by Western medicine such as "supportive care" and recovery, often not fully back to health, but in exchange for many sequelae. Even if the cure for the successful development, even leading the fight against SARS in China are warning academician Zhong Nanshan, cure is likely to have serious consequences. That being the case, why not comprehensive promotion of traditional Chinese medicine to treat it?