This morning, more than 20 patients with COVID-19 were discharged. This is the second time that a large number of people have recently been discharged from Shanghai after the 27 were discharged on April 5. Talking about this exciting “war outcome”, the “Shanghai Plan” is indispensable. Especially in the fight against the COVID-19 epidemic, Chinese medicine immediately intervened and participated in the entire intervention of the medical observation period, clinical treatment period and rehabilitation period of COVID-19 patients.
At noon today, Zhang Huaiqiong, deputy director of the Shanghai Municipal Health and Health Commission and deputy director of the Municipal Administration of Traditional Chinese Medicine, revealed in an interview that as of April 15th, 628 cases of COVID-19 diagnosed patients have been admitted to the city, classified by domestic and overseas input: domestic cases Of the 339 cases, 313 cases received TCM treatment, accounting for 92.33%; 289 cases were imported overseas, of which 235 cases of Chinese nationality received 200 cases of TCM treatment, accounting for 85.1%; 10 of 54 foreign nationalities received TCM treatment.
TCM intervention in the whole course of treatment
According to Zhang Huaiqiong, Shanghai has always incorporated traditional Chinese medicine into the city’s epidemic prevention and control work, unified deployment and implementation, pooled the city’s resources, and strengthened the strength of traditional Chinese medicine treatment. At the expert level, the city-level Chinese medicine expert group provided strong technical support. The expert group leader Wu Yingen led the expert team to study and formulate the Shanghai Chinese medicine diagnosis and treatment plan for the first time. The members of the expert group entered the city public health clinical center and pediatric hospital in time. Guide clinical treatment of traditional Chinese medicine. At the same time, strengthen the frontline treatment team of Chinese medicine, nearly 20 Chinese medicine backbones from all over the city participated in the treatment of COVID-19 diagnosed patients’ wards.
During the course of treatment, Chinese medicine adheres to the one-person side of Chinese medicine and performs precise treatment. Shanghai adheres to the treatment based on syndrome differentiation, and on the basis of specific prescriptions, combining the effective prescriptions such as Maxing Shigan Decoction and the clinical experience of famous traditional Chinese medicine, constantly adjusts the medication according to the patient’s condition, so that it is derived from classics rather than classics. , One by one, one by one; in terms of treatment methods, according to different conditions of patients with mild, severe or critical illness, flexible use of oral, nasal feeding, enema and other different administration methods, so that each patient gets the best personalized treatment . During the treatment of patients diagnosed with COVID-19, the city-level Chinese medicine expert group paid close attention to the treatment of Chinese medicine, and adjusted and optimized the Chinese medicine diagnosis and treatment plan on the basis of combing the effective experience of clinical treatment.
Zhang Wenhong, leader of the Shanghai Medical Rescue Expert Group and director of the Department of Infection at Huashan Hospital, also added that Shanghai has always strengthened collaboration between Chinese and Western medicine to improve the level of clinical treatment. The city focuses on strengthening the coordination of Chinese and Western medicine in the entire clinical treatment of COVID-19 patients, forming a comprehensive collaborative working mechanism for the combination of Chinese and Western medicine for heavy patients, and traditional and light patient Chinese medicine patrols. Clinical experts of Chinese and Western medicine jointly study and implement clinical treatment measures. Chinese medicine has been involved in the treatment of COVID-19 patients throughout the process. The experience of integrated Chinese and Western medicine treatment has been included in the “Shanghai Expert Consensus on Comprehensive Treatment of New Coronary Virus Diseases”.
Effectively improve fever, respiratory and gastrointestinal symptoms
“At many press conferences, people have been asking me questions about traditional Chinese medicine. I personally think that in the early stage of the epidemic, we were fighting encounters and were in a hurry. The voices made by western medicine were also relatively loud, and outsiders also felt that Western medicine’s” wugong “was fast One point, it looks a bit more powerful. But in the later period, our Chinese medicine also played a protracted battle with Western medicine. From this, no matter Chinese and Western medicine, they will fully play a role in the entire treatment process.
In addition, Zhang Wenhong also mentioned that Chinese medicine is not “Slow Langzhong”, not to say that severe and emergencies cannot be used. In the Shanghai Public Health Center, the ward round system embodies both Chinese and Western medicine. “The order of the round of expert panel rounds is: Western medicine first, then Chinese medicine, every day, the working mechanism is to work together, the team is very harmonious.”
The treatment is a systematic project. The Chinese and Western medicine cooperate in the treatment. The medication is definitely not as simple as 1 + 1. Mao Enqiang, director of the emergency department of Ruijin Hospital, said that instead of combining, it should be understood as a “comprehensive” application of traditional Chinese and Western medicine. Through the treatment of traditional Chinese medicine, the patient’s fever, respiratory and gastrointestinal symptoms are significantly improved, and the condition is controlled, Reduced the occurrence of critical illness. The improvement of the patient’s mental and physical strength through the conditioning of traditional Chinese medicine and the shortening of the course of treatment of the disease have prompted the patient to recover and be discharged earlier.
Chinese medicine can improve pulmonary fibrosis in severe patients
From the perspective of traditional Chinese medicine, infectious diseases are “epidemic diseases”, and COVID-19 is an epidemic caused by wet plague. After the first intervention of Chinese medicine experts, it was found that the confirmed cases were caused by plague and damp poison, and at the same time, the symptom was improved according to these two points.
Zhang Wei, director of the Department of Respiratory Medicine at the Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, introduced that early intervention, early evil, and truncated to reverse the purpose is to prevent the disease from becoming serious. The key to clinical treatment is to increase the treatment rate of critically ill patients and reduce the mortality. How does traditional Chinese medicine work?
Critical patients have a common feature, that is, there is large-scale fibrosis in the lungs. If timely and effective treatment is not obtained, respiratory failure will occur, which is directly life-threatening. Since SARS, Zhang Wei has devoted himself to the research of pulmonary fibrosis. Taking the theory of collateral disease as the entry point, he proposed that “pulmonary qi trauma” is the basic pathogenesis of idiopathic pulmonary fibrosis. Developed Fuzheng Tongluo Formula (granules), this time, he took the prescription to Shanghai Public Health Clinical Center to benefit more patients.
Today, the focus of the prevention and control of the COVID-19 epidemic has shifted to the prevention of imports. Most of the public health centers currently receiving treatment are imported cases from abroad. According to Zhang Wei, there are many international students using traditional Chinese medicine at present. Some international students see that their friends are discharged from hospital soon after seeing their use of traditional Chinese medicine. Therefore, they also want to take traditional Chinese medicine.
Shi Kehua, director of the Department of Respiratory Medicine of Shanghai Traditional Chinese Medicine Hospital, also said that for severe patients, the condition changes quickly, and diagnosis and treatment are difficult. Among the patients discharged from the hospital in the last two days, there were two critically ill patients. These two patients were in very serious condition. The team gave Chinese medicine treatment and made overall adjustments. They accompanied the treatment of Western medicine all the way. The patients have achieved good results. One of them was unable to defecate during ECMO supportive treatment, and his condition was unstable in all aspects. The condition was critical. He was given Chinese medicine immediately and the stool was smooth the next day. Since then, he has been insisting on the treatment of traditional Chinese medicine. The team adjusted the prescription every day according to the patient’s condition. The situation is getting better and better, and he was discharged from the hospital.
It is worth mentioning that one-third of COVID-19 patients have varying degrees of liver dysfunction. For these patients, the expert group initially had concerns, mainly concerned that Chinese medicine will have a certain impact on liver function. However, clinical results have proved that the side effects of traditional Chinese medicine are actually not great. If traditional Chinese medicine syndrome differentiation and treatment are accurate, traditional Chinese medicine will not only cause liver damage, but also can effectively treat liver damage.
Chinese medicine has unique advantages for the treatment of children
“As long as it is beneficial to the patients, regardless of the methods of Chinese and Western medicine, they should be actively taken.” Zhang Wenhong said that the theories and systems of Western medicine and Chinese medicine are different, and the focus of research is also different. In necessary scenarios, they can make up for their shortcomings.
According to statistics, of the 31 severe and critically ill patients admitted to Shanghai, 29 were treated with traditional Chinese medicine throughout the clinical treatment. For patients with severe combined abdominal distension and high fever, the use of traditional Chinese medicine can play a role in cutting off the disease, which is helpful to reduce the occurrence of severe to critical.
In addition, traditional Chinese medicine has advantages in improving symptoms such as fever, cough, sore throat, loss of appetite, fatigue, constipation, abdominal distension or diarrhea. According to incomplete statistics on the diagnosed cases of light and normal types in Shanghai, nearly 90% of patients with abdominal distension have improved symptoms after intervention with Chinese medicine, and nearly 70% of patients with gastrointestinal symptoms or respiratory symptoms have improved with Chinese medicine intervention. Nearly 50% of patients with fever returned to normal after intervention with Chinese medicine. Another 8 patients showed signs of improvement after the intervention of traditional Chinese medicine.
Zhang Huaiqiong also said that traditional Chinese medicine has unique advantages in the treatment of children. The treatment of light and ordinary children with traditional Chinese medicine has shown good results in clinic. A total of 49 confirmed cases of children were admitted to the city. Among the 32 children of Chinese nationality, 23 patients used traditional Chinese medicine in the treatment, of which 2 patients were treated with pure Chinese medicine; of the 17 children who were foreigners, 2 One patient used traditional Chinese medicine in the treatment.