Traditional Chinese Medicine: Continuous Innovation and Development of the Economic Daily News · Dong Qingsen, Journalist of China Economic Net
In a hot clinic in Wuhan Zhongnan Hospital, Dr. Hu Weidong saw a patient. Our reporter is happy for your photo
The new coronary pneumonia epidemic has evolved into a global epidemic. What role did Chinese traditional medicine play in this war between humans and viruses? What is the principle of TCM treatment? Which Chinese medicine can play the role of fighting against new coronary pneumonia? A reporter from the Economic Daily takes you to hear what experts say.
Contribute to TCM solutions
In the history of civilization of the Chinese nation for thousands of years, diseases with large-scale outbreaks are called "plagues". According to the "Chinese Epidemiological History", more than 300 epidemics have occurred in China since the Western Han Dynasty for more than 2,000 years.
In the millennium of hardening, Chinese medicine has accumulated a lot of valuable experience. Zhang Zhongjing's "Treatise on Febrile and Miscellaneous Diseases", Sun Simiao's "Thousand Gold Recipes", Wu Jutong's "Diagnosis of Warm Diseases" and other classics, systematically summarizing the basic theory, clinical practice, prescription drugs and technical methods of traditional Chinese medicine in preventing and treating infectious diseases , Condensed the wisdom of the ancients to continue to explore, think and summarize the laws of epidemic prevention.
"Chinese medicine is a holistic medicine that integrates prevention, treatment, and rehabilitation. Whenever a major epidemic event is encountered, a solution can be found in Chinese medicine." Yu Yanhong, Party Secretary of the State Administration of Traditional Chinese Medicine, said that in recent years, viral respiratory infections Diseases occur frequently, and Chinese medicine has achieved significant results in the treatment of SARS, H1N1 and other diseases, and has accumulated rich experience in responding to emerging emergencies.
According to statistics, in the outbreak of the new coronary pneumonia, 74,187 patients used traditional Chinese medicine, accounting for 91.5% of the total number of patients. Clinical observation shows that the total effective rate of traditional Chinese medicine is over 90%. Traditional Chinese medicine can effectively relieve symptoms, reduce the development of light and ordinary types to heavy, improve the cure rate, reduce the mortality rate, and promote the recovery of the body of the people in the recovery period.
The reporter learned that for the new coronary pneumonia, the Chinese medical team actively carried out classified rescue work. Zhang Boli, academician of the Chinese Academy of Engineering and president of Tianjin University of Traditional Chinese Medicine, said: "All patients admitted to the Fang cabin hospital are mild and ordinary patients. The treatment goal of the Fang cabin hospital is to prevent the mild to become severe. In this process, we have taken In addition to decoction or oral Chinese patent medicine, comprehensive treatment of traditional Chinese medicine and Western medicine based on traditional Chinese medicine also includes massage, scraping and application. "
Taking Jiangxia's shelter as an example, 564 patients were admitted to the shelter's hospital, none of which was severe. After being promoted in other shelter hospitals, the rate of mild to severe is 2% to 5%.
For critically ill patients, it is still emphasized that Western medicine is the mainstay and TCM cooperation. Zhang Boli introduced that the Chinese medicine team at Jinyintan Hospital, Hubei Provincial Integrated Chinese and Western Hospital, Raytheon Mountain Hospital, etc. have all actively participated in the critical care and achieved good results. "Traditional Chinese medicine injection has a positive effect on stabilizing the patient's blood oxygen saturation and increasing the level of oxygenation. Critical care, combination of Chinese and Western medicine, and reduction of mortality are the core of our victory."
In the recovery stage after the patient was discharged from the hospital, the inflammation of the lungs was not completely absorbed, and the immune function was not completely repaired. Sometimes symptoms such as fatigue and coughing occurred. In this case, if you do some breathing exercises, combined with Chinese medicine acupuncture, massage and other comprehensive treatments, it has a positive effect on improving symptoms, promoting lung inflammation absorption, protecting organs, and restoring immunity.
"Early intervention and full participation of traditional Chinese medicine plays an important role in the treatment of new coronary pneumonia. The course of new coronary pneumonia is like a parabola. Our traditional Chinese medicine has better effects at both ends. Although there are no special drugs so far, traditional Chinese medicine has an effective effect. Plan. The combination of Chinese and Western medicine is the highlight of our Chinese plan. "Zhang Boli said.
Scientific evaluation of the effectiveness of Chinese medicine
Traditional Chinese medicine in China places great emphasis on syndrome differentiation and treatment, as well as individualization. This is also one of the reasons why Chinese medicine is constantly questioned.
"With the advancement of medicine, the industry also recognizes that the internationally recognized evidence-based medicine method should be used to evaluate its efficacy." Qiu Haibo, deputy director of Zhongda Hospital affiliated to Southeast University, believes.
For example, a team led by Wang Chen, academician of the Chinese Academy of Engineering and president of the Peking Union Medical College, Chinese Academy of Medical Sciences, used strict randomized controlled studies to evaluate Jinhua Qinggan Capsule and Qili Qiangxin Capsule, respectively, against influenza A H1N1 and chronic heart failure Treatment effect.
After comparing hundreds of samples, experts found that Jinhua Qinggan Capsule can significantly shorten the fever time of influenza patients, and Qili Qiangxin Capsule can significantly improve the heart function of chronic heart failure. These research results have also been published in international journals.
"Actually, TCM and Western medicine are obviously different in the treatment mode. From the perspective of Western medicine, most chemical drugs are single-targeted. Traditional Chinese medicine and Chinese medicine are more multi-targeted. That is to say, Chinese medicine is more like a team Fighting. "Qiu Haibo said that in terms of disease, there are many points that can be intervened in its development. Just like neopneumonia, viruses cause disorders of inflammation and immunity, which further leads to damage to organ functions. In other words, organ damage caused by viruses, inflammation, and abnormal immunity are all targets. Western medicine is a chemical medicine, which is often treated against a certain target. The traditional Chinese medicine may affect virus replication, regulation of inflammation and immunity, and subsequent organ damage.
Liu Qingquan, president of the Beijing Hospital of Traditional Chinese Medicine, believes that the treatment of infectious diseases in traditional Chinese medicine mainly focuses on three treatment methods, heat removal, dehumidification and detoxification. Because the causes of various infectious diseases are different, each of these three treatments has its own emphasis. Its use is like being able to quickly mobilize a country's military defense system to drive out foreign enemies (viruses). Specifically, dehumidification plays a role in boosting immunity, which is like boosting the morale of the military and civilians. Detoxification is to fight against viruses, which is equivalent to giving the enemy a blow. Clearing the heat and making the virus nowhere to hide is equivalent to changing the internal environment of the human body.
"The Great Epidemic Produces Good Medicine"
Traditional Chinese medicine has been passed down for thousands of years in China, why?
Zhang Boli believes that this is because Chinese medicine is still developing. The core content, theoretical basis, and philosophical ideas of traditional Chinese medicine remain unchanged, but its rationale, methods, prescriptions, and medicines, specific techniques, methods, and medicines for medical treatment are changing almost every day-that is, the endogenous driving force that promotes the advancement of traditional Chinese medicine.
The basic theory of traditional Chinese medicine is the crystallization of the wisdom of ancient Chinese physicians. For example, "The Yellow Emperor's Internal Classic" says, "Shanggong treats the unhealthy", which emphasizes the preventive effect of traditional Chinese medicine.
Huang Luqi, academician of the Chinese Academy of Engineering and president of the Chinese Academy of Chinese Medical Sciences, said that in this fight against the epidemic, prevention plays an important role. At the request of the Hubei Provincial Health and Health Commission, they provided medical and nursing staff in the shelter cabin hospital with the same medicine and food prevention, and no case of infection occurred.
"The Yellow Emperor's Internal Classics" also mentioned, "People who don't get along with each other, righteousness stays inside, evil qi can dry, avoid its poisonous gas". "Traditional Chinese medicine emphasizes improving the body's righteousness. You can choose traditional Chinese medicine fitness methods such as Taijiquan and Baduanjin, or you can choose to increase the righteousness and traditional Chinese medicine products with the same food and medicine. The role. "Huang Luqi said.
"The great epidemic produces good medicine." "A great epidemic will usually produce a batch of good medicine." Zhang Boli said that although there were no special drugs or vaccines in this epidemic, Chinese medicine experts screened effective drugs from old drugs and developed them. Several new medicines and new prescriptions have been formed, forming "three medicines and three prescriptions".
"For the Chinese patent medicines and prescriptions that have been included in the fifth, sixth, and seventh editions of the" New Coronavirus Pneumonia Diagnosis and Treatment Program ", we have carried out simultaneous observation of clinical efficacy, and Jinhua Qinggan Granules, Lianhua Qingwen Capsules, Xuebijing Injection "Liuhe Qingfei Paidu Decoction, Huashi Baidu Decoction, Xuanfei Baidu Decoction, etc. have obvious curative effects of" three medicines and three prescriptions. "" Yu Yanhong said.
Among them, Jinhua Qinggan Granules is a new drug for the treatment of influenza developed in 2009 when the H1N1 epidemic. Its main functions are to calm the lungs, clear the heat and detoxify. This prescription is made up of the two prescriptions of Ma Xing Shi Gan Decoction in "Treatise on Febrile Diseases" and Yin Qiao San in "Diagnosis of Warm Diseases". In the course of its development, Academician Wang Chen did an RCT (Randomized Controlled Trial) study and published a paper in the American Annals of Internal Medicine, proving that it is as effective as Tamiflu in the treatment of influenza A, but has fewer side effects , The price is cheaper.
Qingfei Detoxification Recipe comes from Maxing Shigan Decoction, Shegan Mahuang Decoction and so on. It is a light, ordinary, heavy and critical general prescription. According to Huang Luqi's comparison of patients 'lung imaging, after taking Qingfei Paidu Decoction for 6 days, 93% of patients' lung lesions showed different degrees of reduction and absorption.
"Although traditional Chinese medicine and western medicine belong to different medical systems, they are based on the fact of clinical efficacy." Huang Luqi said, therefore, traditional Chinese medicine has now spread to 183 countries and regions. According to statistics from the World Health Organization, 103 Member States have approved the use of traditional Chinese medicine acupuncture. To this end, the 72nd World Health Assembly adopted the "Eleventh Revision of the International Classification of Diseases", which included for the first time the chapter of traditional medicine originating in traditional Chinese medicine.
Dong Qingsen