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Author: Wang Xinhua, Guangzhou Medical University
Plague is a general term
used in Chinese medicine for acute infectious diseases that are strongly contagious and can cause epidemics.
More than 2,000 years ago, the Yellow Emperor's Inner Canon called it the "Five Plagues"
.
Wu of the Ming Dynasty can also summarize its onset in the "Theory of Warm Epidemic" as feeling a strange qi that is unique between heaven and earth, also known as boiled gas, miscellaneous qi, and hostile qi
.
Although the expressions are different, physicians of all generations have agreed that this type of disease has the characteristics
of strong contagiousness, rapid onset, rapid transmission, similar symptoms, and frequent critical deaths.
Moreover, the pathogenic characteristics, course evolution and clinical manifestations of the same plague are highly similar, often showing a mass disease, that is, the "Yellow Emperor's Inner Classic" said that "the five plagues are easy to confect, regardless of size, and the symptoms are similar"
.
"Mr.
Wu Youke's Plague Theory"
Traditional Chinese medicine diagnosis and treatment began with "disease identification", and the "Fifty-two Sick Prescriptions" written in the Western Han Dynasty is the earliest existing medical prescription book
that embodies the idea of "disease differentiation and treatment".
The Yellow Emperor's Inner Canon established the dialectical system of Chinese medicine, and it is also the origin
of the theory of "disease differentiation and treatment" in Chinese medicine.
Zhang Zhongjing's "On Typhoid Miscellaneous Diseases" has laid the ideological foundation
for the combination of disease differentiation and differentiation in traditional Chinese medicine.
The characteristics of "dialectical treatment" in ancient Chinese medicine are manifested as taking disease as the guideline and evidence as the goal
.
With the continuous development of science and technology, the combination mode of clinical application of Western medicine combined with diagnosis and treatment of Western medicine has gradually taken shape
in modern Chinese medicine.
This mode of diagnosis and treatment seems to combine the strengths of Chinese and Western medicine, but it ignores the in-depth discussion and research application
of the connotation of "disease differentiation and treatment" that has long existed in Chinese medicine.
Mawangdui Han Tomb Book "Fifty-two Sick Prescriptions"
Disease refers to the guidance of Chinese medicine theory, the comprehensive analysis and identification of the patient's symptoms, signs, causes, nature, location and constitution, and then make a diagnosis of the type of disease, which is the understanding
of the essence of the disease by Chinese medicine.
Evidence is a pathological summary of a certain stage or type in the course of the disease, which is generally composed of a relatively fixed, intrinsically related symptom and sign that can reveal the essence of a certain stage of the disease or a certain type of lesion, reflecting the nature of the disease at a stage, and cannot grasp the overall lesion law of
the disease.
Because of this, the prevention and control of plague must be combined with dialectical treatment, which is the main model, and under the premise that the etiology, pathology, and location are very clear, it is more guaranteed to use specialized disease prescriptions to clarify the efficacy; Dialectical treatment is a necessary complement
to this.
"General treatment" is the basic way to achieve disease differentiation and treatment, through disease differentiation and treatment to grasp the cause, pathogenesis and pathogenic characteristics of the plague, for the core symptoms of the plague, according to the key causes of the pathogenesis, rather than limited to scattered symptoms, this targeted, straight to the core of targeted medication, not only avoid the shift of prevention and treatment focus, but also can effectively intercept the disease, prevent transmission, protect susceptible people, but also quickly cover a large number of people
in a short time.
Because of this, "general remedies" have been used since ancient times for a large number of "pathologically similar" people to effectively improve symptoms and prevent the disease from worsening
.
For a small number of people who are weak and seriously ill, they can be added or subtracted on the basis of "general treatment" combined with dialectical treatment to cope with complex and changeable diseases
due to individual differences.
At the beginning of the onset of the plague, the early application of effective general remedies to fight the epidemic has been the best choice
for all generations.
Li Dongyuan, one of the four masters of Jin Yuan, created Puji disinfectant drink to treat big head plague, which is known as "Xianfang"
in the world.
Zhu Danxi, who is also one of the four masters of Jin Yuan, created the "Yellow Pill in People" to treat the plague
.
The plague of the Ming Dynasty, Wu can create strange recipes such as Dayuan drink, and there are countless
living people.
Modern Chinese medicine scientist Yun Tieqiao used hemp apricot stone sweet decoction to treat scarlet fever, Guo Keming used white tiger decoction to treat epidemic Japanese encephalitis, and traditional Chinese medicine to treat SARS, influenza, new crown pneumonia, etc.
There are successful examples
of using "general cures" to fight the epidemic.
The prevention and treatment of plague with "general treatment" embodies the characteristics
of plague identification and treatment of "disease differentiation first, supplemented by differentiation".
The virus enters from the mouth and nose, the lungs are the main evil places, and the large intestine is its way out
.
In the surface of the lungs and large intestine, the inhibition of lung qi and the lack of ventilation in the large intestine worsen each other, and the active use of the following method helps the lungs to reduce air and prevent the deterioration
of the disease.
The opening and closing of the main fur of the lungs and the normal reduction of lung air can also promote the excretion of the epidemic virus from the pores of the skin
.
The "Theory of Warm Epidemic" not only first recognized that the plague was caused by boils, but also first expounded the principles of early expulsion of evil spirits, urgent evidence, pre-evident medication, truncation of the disease, harmony of
the surface, and nourishing the yin after the epidemic.
The most prominent embodiment of this is that Wu Youke can cure the plague and make good use of rhubarb, emphasizing that the use of "lower methods" does not have to be limited to knotting feces and dry, and that stool is actually a method to open the door to get rid of thieves, which is a means, and dispelling evil is the end
.
For new coronary pneumonia, although there are many mutations in the virus strain, and some infected people also have special symptoms such as loss of smell or taste, the main symptoms are basically similar
.
Patients with new coronary pneumonia mostly show respiratory symptoms such as fever, fatigue, body aches, cough, and phlegm, and may be accompanied by digestive tract symptoms such as vomiting, nausea and food, poor stool, and poor abdominal distension, which are both evident and interactive, in line with the characteristics of the epidemic and evil in the "Theory of
Warm Epidemic".
For symptoms such as high fever, shortness of breath, and wheezing of new coronary pneumonia, it is appropriate to use hemp apricot stone sweet soup and silver warp to cool and vent, clear the lungs and calm asthma, so that the epidemic virus can be solved
from the defense and qi.
If there is high fever, cough and wheezing, phlegm, abdominal distension and constipation in the spread of the epidemic, there are signs of heat in the inside, lung stagnation, and intestinal qi blockage, it is appropriate to use rhubarb to release heat to attack it, so that the evil qi comes out with the stool, so as to achieve the purpose of
diarrhea and lung cleansing.
During the epidemic, one of the "three drugs and three parties" used in clinical practice, the Lianhua Qingxi group is based on the addition and subtraction of hemp apricot stone sweet soup and silver warp, and the addition of rhubarb can be described as the true meaning
of the "Warm Epidemic Theory" to prove the use of drugs to intercept the disease.
The Huo Xiang in its formula aromatizes and protects the spleen and stomach, which can not only reduce stomach discomfort caused by bitter cold medicine, but also apply to the wet evidence
manifested in the new crown pneumonia disease.
And silver warp also has the effect
of cooling and saving yin.
Modern research has confirmed that it has the ability to improve the body's immune function and resistance to hypoxia, protect lung microvascular endothelial cells, and inhibit pulmonary fibrosis, which is precisely suitable for pathological changes
such as chest tightness and shortness of breath and lung tissue damage in patients with new crown pneumonia.
For the concern that bitter cold medicine hurts the spleen and stomach, Wu Youke has also discussed it for a long time, and after taking the medicine, you can drink ginger soup or hot gruel to regulate stomach qi
.
Modern research has also shown that honeysuckle, forsythia, rhubarb, banlan root and other detoxification drugs have antibacterial and antiviral effects
.
The basic and clinical studies of Lianhua Qingxi have also confirmed the effectiveness of
Lianhua Qingxi group against new coronary pneumonia.
A basic research article published in Pharmacological Research ("Pharmacological Research") "Lianhua Qingxi has antiviral and anti-inflammatory effects on the new coronavirus" confirmed that Lianhua Qingxi can inhibit the replication of the new coronavirus in cells, reduce virus particles in cells, and reduce cell damage
.
Moreover, a number of network pharmacological studies have shown that Lianhua Qingxi has a broad material base and multi-target effect advantages
in the treatment of new coronary pneumonia.
A clinical research article published in Phytomedicine (Phytomedicine) entitled "Clinical efficacy and safety evaluation of traditional Chinese medicine Lianhua Qingxi capsules in patients with novel coronavirus pneumonia: a prospective, randomized controlled, multicenter clinical trial" confirmed that Lianhua Qingxi can improve the rate of fever, fatigue and cough symptoms in patients diagnosed with new coronary pneumonia, shorten the duration of symptoms, improve the proportion of lung CT improvement and clinical cure, and reduce the proportion of
severe disease 。 The clinical research article "Efficacy and Safety of Lianhua Qingxi Capsules in the Prevention of Novel Coronavirus Pneumonia: A Prospective Open-label Controlled Trial" published in Evidence-Based Complementary and Alternative Medicine preliminarily showed that Lianhua Qingxi can reduce the nucleic acid positivity rate of
people in close contact with the new crown.
Typesetting: Guan Yanqing
Editor: Guan Yanqing
Reviewed: Qin Miao
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