The "Chinese Plan" of Combining Traditional Chinese and Western Medicine to Fight the New Coronary Epidemic
Our reporter Fu Lili
On the morning of September 8, the National Commendation Conference for Fighting the New Coronary Pneumonia Epidemic was held in Beijing. Xi Jinping, General Secretary of the Central Committee of the Communist Party of China, President of the State, and Chairman of the Central Military Commission awarded medals and medals to winners of the National Medal and National Honorary Titles and delivered an important speech.
Looking back at the battle against the epidemic, we have to say that ancient Chinese medicine played an important role in it.
"Integration of Chinese and Western medicine and the combined use of Chinese and Western medicine are a major feature of the prevention and control of this epidemic. It is also a vivid practice of inheriting the essence of traditional Chinese medicine and maintaining integrity." Not long ago, General Secretary Xi Jinping hosted a symposium of experts and scholars. The role played in the fight against the epidemic is highly praised.
Traditional Chinese medicine is a treasure of ancient Chinese science and a holistic medicine integrating prevention, treatment, and rehabilitation.
Looking through history, when encountering major epidemics, people will seek solutions from Chinese medicine.
After the outbreak of the new crown pneumonia epidemic, more than 4,900 Chinese medicine practitioners across the country rushed to help Hubei, benevolent and benevolent, doctors are sincere, and speak with curative effects.
According to statistics, 74,187 of the confirmed cases of new coronary pneumonia in the country have used Chinese medicine, accounting for 91.5%. Among them, 61,449 people in Hubei Province have used Chinese medicine, accounting for 90.6%. The total effective rate of Chinese medicine is more than 90%.
"Traditional Chinese medicine can only show its talents if there is a position in treatment." Zhang Boli, a Chinese medicine expert on the Central Steering Group and an academician of the Chinese Academy of Engineering, said in an interview with a reporter from Science and Technology Daily that Chinese medicine has shined in this anti-epidemic, and this old ancestor stayed. His precious wealth has been tried and tested, and it will last forever.
Intervene as soon as possible to create the "Wuchang Mode" for epidemic prevention and control
In the face of the sudden new crown epidemic, people can't help but think that SARS 17 years ago was also a war without gunpowder.
"Unlike the latter half of the intervention of traditional Chinese medicine during SARS, this time traditional Chinese medicine has changed from a participant in the past to the main force fighting side by side with Western medicine. In the past, traditional Chinese medicine only participated in consultations, but this time the early institutional intervention was to form a traditional Chinese medicine ward. There are a large number of designated hospitals, shelter hospitals, etc., adopting the combination of Chinese and Western medicine for treatment, which has played a better role." Zhang Boli said.
Zhang Boli knows that this is inseparable from the far-sightedness of the Party Central Committee. It is General Secretary Xi Jinping that attaches great importance to personally leading, personally directing, and personally deploying. He has repeatedly emphasized the need to adhere to the combination of Chinese and Western medicine and the combined use of Chinese medicine to face the fierce new crown pneumonia epidemic. The "unique" of Chinese medicine can only show its talents again.
At the beginning of the outbreak, the highest-level scientific research storm and assembly horns sounded quickly.
In accordance with the requirements of Vice Premier Liu He, the State Council’s research team for joint prevention and control of new crown pneumonia has set up a special class of traditional Chinese medicine to coordinate and promote the key scientific research of Chinese medicine epidemic prevention and control and the establishment of a medium and long-term integrated traditional Chinese and Western medicine infectious disease prevention and control mechanism The Chinese medicine special class is led by Li Xiaohong, President of the Chinese Academy of Engineering, and the State Administration of Traditional Chinese Medicine fully cooperates with the Ministry of Science and Technology, Ministry of Education, National Development and Reform Commission, National Health Commission, Ministry of Industry and Information Technology, Chinese Academy of Sciences, National Pharmaceutical The Supervision Bureau and other departments are jointly formed.
There is an expert group under the special class of traditional Chinese medicine, which is composed of academicians of the two academies, masters of traditional Chinese medicine, experts in traditional Chinese medicine, and pharmacy experts. The special class also has four task groups including clinical treatment, mechanism research, prescription selection and system construction. , To implement related tasks together.
The epidemic is an order. In response to the call of the Party Central Committee, many Chinese medicine practitioners choose to go retrograde.
At noon on January 21, Liu Qingquan, Dean of Beijing Hospital of Traditional Chinese Medicine, and Qi Wensheng, Director of Emergency Department of Guang'anmen Hospital of China Academy of Chinese Medical Sciences, arrived in Wuhan and participated in the battle against new coronary pneumonia as the first batch of Chinese medicine experts.
At Wuhan Jinyintan Hospital, they conducted a detailed diagnosis of the patient's onset, symptoms and evolution of the condition, changes in tongue coating and pulse conditions.
In the afternoon, more than 60 patients were consulted, including critically ill patients in ICU and mild patients in general wards.
Subsequently, I discussed with other experts on the attributes of the disease, the location of the disease, and the characteristics of the evolution of the pathogenesis, combined with the treatment experience and opinions of local experts, and formed a basic treatment framework by 8 pm that day.
Also on January 21, Tong Xiaolin, an academician of the Chinese Academy of Sciences and chief researcher of the Chinese Academy of Chinese Medical Sciences in Beijing, received a call from a leader of the State Administration of Traditional Chinese Medicine asking him to serve as the leader of the medical treatment expert group of the State Administration of Traditional Chinese Medicine. On standby.
"The first thing we did was to discuss and formulate a preliminary diagnosis and treatment plan, and repeatedly modify it until more than 2 am the next day. This is the "New Coronavirus Infection Pneumonia Diagnosis and Treatment Plan (Trial Third) Version)" Chinese medicine treatment plan." Tong Xiaolin said.
In the seventh edition of the National Health Commission's diagnosis and treatment plan, the Chinese medicine treatment plan has been added since the third edition.
"In this sense, Chinese medicine still lags a bit, and it will be better sooner." Tong Xiaolin regrets this.
On January 24, Tong Xiaolin arrived in Wuhan, went deep into the epidemic area, practiced, summarized, discussed with experts, and divided the disease into several stages: the initial stage is cold and damp lungs; the middle stage is the epidemic virus closed lungs; It is the internal closure and external prolapse, etc., which are adjusted in stages and according to different symptoms in a timely manner. It has played a very important role in guiding the treatment of patients across the country.
It is particularly worth mentioning that they created the "Wuchang Model" of epidemic prevention and control.
Tong Xiaolin introduced that the essence of the "Wuchang Model" is the model of "Tongzhifang + Community + Internet".
The idea came from the "shock" scene he saw in the fever clinic after arriving in Wuhan: "Hundreds of patients are in long queues in a cold and humid environment. Where do they come from?" The answer is the community.
To cut off the source of the epidemic, the community is the first pass.
“Let’s think about decocting medicine in a big pot like ancient doctors and distributing medicine on a large scale.” Tong Xiaolin found that most of the patients’ tongue coating was white, thick and greasy, tired and weak at the beginning of the onset. Combined with the local humid and cold climate, he believed that the new coronary pneumonia should be “cold” Wet disease".
After full discussion with local experts, a Tongzhi Recipe-"Wuhan Anti-epidemic Recipe" which can spread the lungs, remove filth and turbidity, invigorate the spleen and remove dampness, detoxify and dredge the collaterals, was formulated. 20 traditional Chinese medicines such as raw gypsum, almond, and Qianghuo.
According to the different main symptoms, four addition and subtraction formulas for fever, coughing and wheezing, anorexia (loss of appetite), shortness of breath and fatigue are proposed respectively. They will be combined and used on the basis of the main formula, and will take the lead on February 3 Large-scale free distribution in Wuchang District.
In Tong Xiaolin's view, "syndrome differentiation and treatment, one person and one party" is the ideal mode of Chinese medicine.
But in the face of a large number of patients in the community, it is impossible to rely on Chinese medicine doctors to prescribe the pulses one by one.
"In special periods, every patient should be given Chinese medicine first to stop the disease from continuing to develop."
The effect is immediate.
From February 3 to March 2, they distributed a total of 723,000 Chinese medicines and treated more than 50,000 patients with suspected and mild and common new coronary pneumonia.
According to statistics, on January 28, the suspected case diagnosis rate in the Wuchang District isolation point was as high as 90%; after March 5, the diagnosis rate dropped to about 3%.
Science and technology support the "three medicines and three prescriptions" to have significant effects
"A great epidemic produces a good medicine" "A great epidemic produces a good prescription", this is a summary of the Chinese nation's practical experience in fighting diseases for thousands of years.
This epidemic is no exception.
On the basis of intense clinical treatment, the expert team also carried out scientific research at the same time and developed the "three medicines and three prescriptions" of traditional Chinese medicine represented by Qingfei Paidu Decoction, which has outstanding effects.
The "three drugs" are Jinhua Qinggan Granules, Lianhua Qingwen Capsules, and Xuebijing Injection.
Zhang Boli introduced that these three drugs are all old drugs that have been approved for marketing in the early stage. Facts have proved that Jinhua Qinggan Granules and Lianhua Qingwen Capsules are very effective in treating mild patients. First, the confirmed patients have a short recovery time, and the other is mild patients. The chance of becoming severe is low; Xuebijing injection can promote the elimination of inflammatory factors, and is mainly used for early and mid-term treatment of severe and critical patients, which can increase the cure rate and discharge rate, and reduce the probability of severe transformation to critical illness. .
"Respiratory support, circulatory support, and life support for the rescue of critically ill and critically ill patients are very important, and these must be kept up. However, the cooperation of Chinese medicine sometimes also plays a role in four or two. If the oxygenation level of some patients is relatively low, the blood oxygen is saturated. In this case, use Shengmai Injection, Shenmai Injection, and Dushen Decoction as soon as possible, and the patient’s blood oxygen saturation is often stable after one or two days." Zhang Boli said.
"In fact, our use of proprietary Chinese medicines in the treatment is not based on experience alone, but is based on technology and is clinically targeted." Zhang Boli said that at present, they have collected 65 kinds of anti-influenza and anti-pneumonia Chinese patent medicines on the market. Completed the preparation of Chinese patent medicine components, virtual screening combined with in vitro evaluation, establishment of cytokine storm cell model and anti-pulmonary fibrosis cell model.
The "three prescriptions" refer to the three prescriptions of Qingfei Paidu Decoction, Huashi Baidu Recipe, and Xuanfei Baidu Recipe.
Huang Luqi, head of the medical treatment expert group of the State Administration of Traditional Chinese Medicine, academician of the Chinese Academy of Engineering, and dean of the Chinese Academy of Chinese Medical Sciences, introduced that the Qingfei Paidu Decoction is a general prescription recommended in the national diagnosis and treatment plan. It is derived from Maxing Shigan Decoction and Shegan Mahuang Decoction As well as Xiao Chai Hu Tang, Wu Ling San, etc., have played an important role in blocking the development of light and common types to heavy and critical types.
Among the 1,263 confirmed patients enrolled in 66 designated medical institutions in 10 provinces (except Hubei Province), 1,214 were cured and discharged, accounting for 96.12%.
In the clinical observation of 57 critically ill patients treated with integrated traditional Chinese and western medicine and taking Qingfei Paidu Decoction, 42 of them were cured and discharged, accounting for 73.7%, and none of them became critically ill.
The Huashibaidu Recipe developed by Huang Luqi himself is also effective.
The Huashibaidu granules developed by the party were approved by the State Drug Administration for clinical trials on March 21. This is also my country's first clinical approval for traditional Chinese medicine for the treatment of new coronary pneumonia.
As a member of the third batch of medical aid team of Guangdong Provincial Hospital of Traditional Chinese Medicine, Yan Fang, director of the Department of Traditional Chinese Medicine Classics of Guangdong Provincial Hospital of Traditional Chinese Medicine, witnessed the patient's process from rejection to acceptance of Chinese medicine.
"At the beginning of the round, the patient thought it was a western doctor who came with expectation in his eyes. Some patients even directly refused,'We don't take Chinese medicine.'" The scene was extremely embarrassing.
There was only one patient-Ms. Zhou said in a faint voice: "I would like to drink Chinese medicine." As soon as I took the Chinese medicine, Ms. Zhou felt her body warmer and her anger eased.
On the third day, the amount of sputum increased and her appetite improved; on the fourth day, she started to defecate after 5 consecutive days without stool, and the blood oxygen saturation increased.
In this way, more and more patients are taking traditional Chinese medicine. Some patients are worried about "discontinuing the medicine" and will quietly "hidden" the medicine, or even "grab the traditional Chinese medicine", and quickly turn to Chinese medicine.
The reason for this is that the cure rate is hard.
The data shows that with a 10-day course of treatment, the chest CT improvement rate of patients taking traditional Chinese medicine is 79.6%, the conversion rate of critically ill patients to ordinary or mild disease is 80%, the nucleic acid conversion rate is 50%, fever, cough, The relief rate of digestive tract symptoms is over 90%.
In unit time, the cure rate of patients with traditional Chinese medicine intervention is much higher than that of pure Western medicine group.
"In the fight against the new crown pneumonia epidemic, it can be said that traditional Chinese medicine has played an important role in the whole process and all aspects of epidemic prevention and control." Zhang Boli said that for ordinary patients, it can improve symptoms, shorten the course of treatment, and promote recovery; for severe and critical illness For patients, it can reduce pulmonary exudation, control inflammatory overreaction, and prevent deterioration of the disease.
Traditional Chinese and Western medicine are two different medical systems. In the face of the epidemic, an effective treatment mechanism should be established, top-down, comprehensive layout, give full play to their respective advantages, complement each other, and learn from each other.
Go overseas to help the global fight
The epidemic knows no borders.
At present, the domestic epidemic has been basically controlled, but the new crown virus is still raging around the world, with more outbreaks.
"The public health crisis is a common challenge facing mankind, and solidarity and cooperation are the most powerful weapons. China is willing to carry out international cooperation on Chinese medicine in epidemic prevention and control with countries in need, and provide assistance within its capacity." Party group of the State Administration of Traditional Chinese Medicine Secretary Yu Yanhong said.
Sharing treatment experience, donating traditional Chinese medicine products, selecting Chinese pharmacists to go abroad... Chinese medicine practitioners never stop.
Yu Yanhong introduced that the State Administration of Traditional Chinese Medicine translated China’s latest version of the Chinese Medicine Diagnosis and Treatment Plan for New Coronary Pneumonia into English and published the full text on the new media on the official website, and actively shared it with countries and regions in need; at the same time, it also communicated through remote video. Sharing treatment experience with Japan, South Korea, Italy, Iran, Singapore and other countries.
Zhang Boli, Tong Xiaolin, Huang Luqi, Liu Qingquan and other traditional Chinese medicine experts have used video conferences to connect with the world many times to provide remote consultations to patients in the United States and Iran.
In addition, relevant Chinese organizations and institutions have also donated Chinese patent medicines, decoction pieces, acupuncture needles and other medicines and equipment to a dozen countries and regions including Italy and France.
Zhang Boli revealed that, like Lianhua Qingwen Capsules, we have donated hundreds of thousands of boxes in a single country.
As an important part of traditional Chinese medicine treatment methods, acupuncture and moxibustion are also showing great power in the fight against the epidemic.
Liu Baoyan, chairman of the World Federation of Acupuncture and Moxibustion Societies, said that acupuncture and moxibustion can well regulate the function of the body's internal organs and relieve symptoms through stimulation of acupoints.
Based on this, the World Federation of Acupuncture has organized 5 times online exchanges between domestic authoritative Chinese medicine experts and group members from more than 20 countries including Iran. A total of 9 online consultations have been organized since March.
At the same time, international assistance was launched to collect materials such as "Prevention No. 1 Tea", press needles, moxa powder, moxa, etc., and donate them to Egypt, Thailand, Italy, Bosnia and Herzegovina, Mauritius, Ecuador, Mali and other countries and regions to support local Anti-epidemic needs of hospitals and Chinese and overseas Chinese.
"After the clinical approval of Huashibaidu Granules, many foreign friends asked me for medicine. They affectionately called it'Q-14'. Q is the English homophonic CURE, meaning cure and antidote. '14' means this Zhang Fangzi is made up of 14 herbs. From this, there is a proverb, one for all, all for one, I am for all, and all for me." Huang Luqi said that we are willing to fight side by side with people from all countries to fight the epidemic. Sharing the experience and achievements of Chinese medicine.