Coronaviruses treatment in traditional Chinese medicine

Traditional Chinese medicine has a long history of treating epidemics and has significant effects. This has been proven by history. Up to the end of the Eastern Han Dynasty, typhoid fever was epidemic, Zhang Zhongjing’s “Treatise on Febrile and Miscellaneous Diseases” was collected in short volumes; the big heads epidemic from the Jin and Yuan dynasties, and Li Dongyuan’s Puji disinfection Yin passed down; the plague was raging in the late Ming Dynasty. Wu Youke’s “Treatise on pestilence” was written into a book; the JE epidemic was spread to the early days of the founding of the People’s Republic of China, famous doctor Pu Fuzhou’s dialectical evidence demonstrates amazing results.

In the experience of Chinese medicine in fighting epidemics, dialectical treatment is an eternal topic. Because of dialectical treatment, the medicine of the motherland has a unique grasp on the treatment of “time”, and the understanding of the disease is systematic and integrated.
In the face of the new crown pneumonia epidemic, Chinese medicine has also been included in the mainland diagnosis and treatment program. Beijing Municipal Health Committee spokesman Gao Xiaojun said on the 24th that as of the 22nd, the overall cure rate of Chinese medicine was 87%. Among the patients treated by Chinese medicine, the proportion of Chinese medicine decoction was 82%. “The total effective rate of Chinese medicine treatment is 92%.”

New crown pneumonia anatomy found: the lungs have a large number of mucus inflammatory secretions, filling the lungs, which is consistent with CT imaging of lungs with plaques, ground glass-like shadows, and even later “white lung” imaging observations .

It can be judged that after the virus invades, a large amount of inflammatory exudation occurs in the lungs, which seriously affects normal ventilation, hypoxia, respiratory distress, respiratory failure, and asphyxia. Severe asthma that is difficult to improve, shortness of breath, and chest tightness are widespread in patients in the middle and late stages. It’s like a person drowning in water, breathing distress, belching, causing severe hypoxia, from respiratory failure to heart failure. In the middle, he experienced a series of pathological changes such as electrolyte metabolism disorders, damage to the immune system, kidney damage (leakage of urine protein), changes in the blood system, and so on.

Although there are many changes, all the processes have a sequence, as dominoes fall down. As long as the front link is controlled, disease progression will be blocked and life may be saved.

The core link is to block the subsequent series of pathological changes of the flooded water before it is flooded. That is, before the virus invades, it can control the inflammation and exudation.

This inflammation exudates, and it belongs to water dampness in Chinese medicine, but it will appear after fever at the same time, so it is hot water dampness, that is, damp heat. It is easy to damage local tissues and cause rot-like changes, just as fish rots. There is also a tendency to continuously expand the scope of deterioration. In this case, the ventilation function of the lungs is obviously limited, and wheezing, shortness of breath, and fever occur. There will also be dampness-blocking Qi activity, yang dysfunction, inability to warm the muscle, and symptoms similar to feeling chills and cold caused by wind and cold.

There is damp-heat, which is the essence of pathology.

Therefore, the key to treatment is to eliminate the leaks, drain dampness, regulate the Qi, prevent the dampness block Qi, and prevent the epidemic evil congest lungs!

In the Pai Du Qingfei Decoction recommended by the National Health and Health Commission: Ma Xing Shi Gan Decoction, Ma Huang can disperse cold and dampness, and more importantly, open the Qi to prevent the Qi stagnation. Xing Ren are also used to regulate the lungs Qi and descend Qi. Shi Gao can clear the heat of depression and stagnation. The amount of Si Gao should be big dosage!

Wuling San activate Yang and resolve dampness. Although Guizhi was used in the formula, it matched with the previous Shi Gao, which mainly played a role in unblock yang and resolve dampness, preventing dampness from blocking Clear yang. It can be understood here as a counter-adjuvant, the dose will not be too large!

Because it is caused by the damp epidemic poison, dampness is a yin evil that easily hurts the yang and easily distresses the Qi machine. The epidemic is a disease with a strong infectious nature. The death rate of poisonous is high and it is very harmful to the human body.

In the initial stage of the disease, there are symptoms of chills and cold, cough, nausea, vomiting and diarrhea. Although there is no superficial phenomenon of fever, there are already pathological changes of inflammation and exudation of the lungs. Therefore, it is necessary to scatter damp in time at this stage. Clear damp-heat, Ma Xing Shi Gan Tang plus Wu Ling San can be considered for application. The amount of Shi Gao should be large, and the amount of Gui Zhi should be small.

That is, it should be used as early as possible and foreseeable in advance to block the disease and directly kill the virus in the cradle. Do not wait for the fire to spread before extinguishing it. Don’t be fortunate in advance that this will not progress to damp-heat, but you must fully realize that fever, cough, chest tightness, shortness of breath, and exudation of inflammation will occur. When the damp-heat stage is not visible, the fire should be extinguished in advance. This will most likely shorten the course of the disease, avoid patients with moderate and severe pathological processes, and directly enter the recovery period, which will shorten the course of the disease suddenly. This idea is widely used in the treatment of epidemic hemorrhagic fever. The best strategy is to go directly through the fever phase and then directly into the polyuria phase, the recovery phase, without experiencing oliguria, hypotension, and shock. It’s best to recover directly in one step. In fact, many mild patients can directly enter the recovery period without experiencing critical illness. This process is of great research value. The results can fully guide more patients to recover without experiencing critical illness. How much better!

With the progress of the disease, the patient developed fever, cough, chest tightness and shortness of breath, which also reflected that the patient’s lung inflammation was more obvious, and the damp-heat and depression Qi mechanisms .At this time, Maxingshigan Decoction, Sanren Decoction, and Huang qin, Yu xing cao, Yi Yi ren, Hua Sgi, Lu Gen, Fu Ling, Zhu Ling can be used. Especially according to the heat potential can consider increasing the amount of raw Shi Gao, Jin Yin hua, Lian Qiao, Huang Qin. Prevent the heat from continuing. After all, dampness and heat gather together, such as oil into the flour, difficult to resolve. Only with the separation of heat and damp , we control the heat and prevent the disease from spreading.

For severe gastrointestinal symptoms, patients with nausea, vomiting, abdominal pain, diarrhea and obvious fever, you can consider the addition and subtraction of Ma Xing Shi Gan Decoction and Lian Pu Yin, and increase the amount of raw Shi Gao, Huang qin, Huang Lian and mint according to the heat potential. . Drain dampness outside, clear damp heat inside.

For chest fullness pain, alternative cold and heat, dry mouth, bitterness and other evidence, you can consider Ma Xing Shi Gan Decoction and Xiao Chai Hu Decoction.

Due to the dampness of the epidemic and poison, the stagnation produce heat, in addition to blocking the Qi mechanism, the performance of qi stagnation and blood stasis must also occur. Regardless of the later emergence of hemoptysis, bloody sputum, or the obvious stage of fever, cough, asthma, shortness of breath and shortness of breath, Lu Gen, Sheng Yi Yi Ren, Tao Ren, Dong Gua Ren peach (Qianjin Wei Jin soup) may be used as appropriate. Increase the dose when the blood stasis is obvious, and apply it in advance when it is not obvious. To promote inflammation, exudation and absorption, it is also of great significance to prevent pulmonary fibrosis. That is, blood circulation and pus should be run through. This is the same as the local stasis and edema seen by western medicine, and the diffuse intravascular coagulation that occurs during shock. Consider using Danshen when accompanied by cardiac symptoms.

Due to the dampness easily susceptible to spleen, in addition to patients with unusually heavy fatigue, nausea and vomiting, bloating and diarrhea. It has also been found that the body’s immune function is disrupted. All this shows that the strengthen spleen and drain dampness must be done during the entire treatment process. Earth generate metal. The spleen and stomach are the root of post-heaven, the source of qi and blood. Taking care of the spleen and stomach, there is good appetite and a vitality. Try to let patients eat on their own and promote gastrointestinal motility. A clear, warm and nutritious diet may restore the patient’s physical strength more comprehensively and naturally than an infusion.

For the progress of the condition, intentional distress is involved, and belching is obvious. In addition to adequate oxygen inhalation,disseminate lung, strengthen spleen and tonify heart and lungs can be used. Shengmai Yin, shen Futang and Wuling San can be considered for application.

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