Combination of TCM and Western medicine to treat H1N1
Posted on June 22, 2009
Filed Under H1N1 Treatment & Drugs | Leave a Comment
Entered in June, is a global outbreak of influenza H1N1 influenza. World Health Organization, June 11 decided to Influenza A H1N1 flu alert level rose to sixth from fifth grade level. This is the WHO’s the first time in 40 years, infectious disease alert level rose to the highest level. According to WHO’s latest statistics, since the end of April this year, since the world in 74 countries and regions, found in the new 27737 Influenza A H1N1 influenza patients, 141 died. In China, the number of influenza A H1N1 influenza ill also still rising. The Ministry of Health informed the evening of June 14, at 22 o’clock the same day, the Chinese mainland rose to 196 cases of confirmed cases.
Influenza A and Influenza H1NI struggle is a global launch. How to reduce patient mortality, improve the cure rate, the world’s health workers are thinking. Worth noting that, in this epidemic, Chinese medicine practitioners to be the first time to join the Influenza A H1N1 influenza prevention and control among the role of Chinese medicine has received an unprecedented attention. In this “war of no smoke”, the performance of Chinese medicine in the end how? This reporter interviewed relevant experts.
Encouraging: Shandong’s first traditional Chinese medicine that is better in patients with
Beijing Ditan Hospital, Dr. Wang, director of melting ice is the Ministry of Health, the State Pharmaceutical Administration of Influenza A H1N1 influenza prevention and control members of the Group. May 13 morning, she should be the Ministry of Health, the National Traditional Chinese Medicine Authority, arrived in Shandong Province, Jinan City Hospital for Infectious Diseases, to participate in the first case of Shandong Province, China Mainland, the second case of Influenza A H1N1 influenza patients consultation.
Commenting on the cases when the ice-melting, Wang said: “The patient in oral Chinese medicine compound Daqingye mixture and antipyretic analgesic ibuprofen after 8 hours or alleviate the symptoms. While the adoption of such a case can not be given efficacy of Chinese medicine definitive conclusion, but this case gave us great encouragement, strengthened our confidence. “According to reports, the patient is a 19-year-old male, at 23 o’clock on May 11 at admission body temperature 38.9 ℃, immediately after oral administration of Chinese medicine compound Daqingye mixture 20 ml, and continuous use, 3 times a day, and I avoid fried Chinese herbal compound granule blunt; while taking ibuprofen 1. After treatment, the effect is very obvious, 8 hours after the morning test temperature 36 ℃, and 11 ~ 13, the two filmmakers were no obvious abnormalities in the lungs, 11 ~ 12, two blood tests showed leucopenia with normal liver function , slightly elevated creatine kinase; to 12, as early as 7 am, and 11:00 two temperature test were normal, the symptoms have mostly ease.
Thereafter, because patients with pathogenic influenza A H1N1 influenza virus nucleic acid testing positive, on the 12th afternoon, plus a local group of experts with direct antiviral drug oseltamivir, these continued use of traditional Chinese medicine.
With Zhang Wei, Yuan Chengmin 2 Jinan fellow expert group composed of Chinese medicine, the King melting ice on the 13th into the intensive care unit, by asking the patient history, checking body, reading medical records, after consulting with the competent physician, traditional Chinese medicine in the prevention and control of influenza H1N1 influenza hair, Wang melting ice and then into the intensive care unit, see the patient complained of no discomfort, body temperature 36.7 ℃, the spirit of good; check greasy yellow tongue coating, less-chun, significantly improved over the previous pulse, such as normal, instructed to continue to the decoction of Chinese medicine in order to avoid heat Yin , Huashi spleen, and then 1 to 2 days (day serving two) immediately after withdrawal.
To sum up experience, Wang returned to Beijing after you melt the ice a few traditional Chinese medicine experts in this case to be used in traditional Chinese medicine Comments. Experts believe that this case and chronic symptoms of common Fengreganmao very close, in line with national Chinese medicine treatment programs established by the Authority of the drug traffickers Lung Wei syndromes, indicating treatment is appropriate. Exogenous patients with the disease, wind-heat, however, is Wei Qi with the disease, great heat, great thirst, using Qingrejiedu rules consistent with the treatment of disease; recovering gypsum soup with bamboo can be, this thirst disease cases outstanding, Kayo Yinrun The dry goods, herbs selected properly, only used the herb to their sexual too dry, you can use Health Atractylodes; oseltamivir in the course of two days, heat has retreated, Zhu Zheng improve after the use of anti-virus has been difficult to demonstrate its advantages .
Confidence: Beijing Chinese and Western medicine in patients with healed Tongzhi week
Beijing, Beijing Ditan Hospital is admitted to the designated hospitals for influenza A H1N1 influenza, May 13 ~ June 8 were treated in the hospital ICU ward of the 11 cases of Influenza A H1N1 influenza patients. As participation in these 11 patients were treated Chinese medicine practitioners, Chinese and Western medicine hospital with Wang Yuguang, deputy director, said: “In addition to these 11 patients, application of oseltamivir, the main use of Chinese medicine-based treatment. Patients were post-oral medicine 4 ~ 9 hours sweating hot retire; hospital an average of 1 day after the heat back; cough, expectoration and other symptoms also will be improved. 11 patients were discharged on the expiry of 7 days isolation. “It can be said of Chinese medicine in fever to improve the clinical efficacy of prominent symptoms.
According to him, of these 11 patients, mostly drug TCM permit the passage of Lung Wei, wind-heat on the disturbance permit. After consultation, after taking oseltamivir, based on the given Sang Ju Yin, Ma Xing Shi Gan Tang decoction of Chinese medicine such as addition and subtraction of the CD-based treatment. 11 patients, 8 patients did not use antipyretic and analgesic drugs, in addition to application of oseltamivir, and two cases of bacterial infection combined application of oral antibacterial drugs, 1 patient was taking metoprolol, the main use of Chinese medicine-based treatment of .
Wang Yuguang analysis that combined Chinese and Western medicine treatment success in gaining a significant effect, with the proper administration of TCM is not without relevance. From the perspective of TCM Syndrome to examine, this of the influenza A H1N1 influenza and seasonal influenza in winter and spring compared to the traditional cold pack fire, that is, outside the cold heat, cold outside the beam, Hyperactivity intrinsic rare syndrome. 11 cases of confirmed cases have demonstrated the passage of Lung Wei toxic syndrome in order to wind-heat syndrome mainly choose to drink, and Sang Ju Xin Liang Xin Liang Ping agent re-agents Maxingshigan soup and Chai Ge Jie Ji Tang is the close examination of the.
Is particularly encouraging is that the first and second performance in patients with fever mainly without the use of oseltamivir before the therapeutic effects of Chinese medicine had been a timely fashion is obvious. In particular, the second patient, without the use of antipyretic analgesics circumstances, the sweating heat retreated, quickly alleviate the patient’s condition. All patients are followed in the fever heat Xuanfei, relieving cough and phlegm-based therapy, the patient coughs, throat, headache, sore throat and other symptoms are soon to alleviate.
Wang Rong Bing said: “China’s large population, density, once the popular will bring enormous health and economic impact. Therefore, on the one hand to strictly prevention and control; the other hand, the treatment should conscientiously sum up experiences, to find the most suitable for the treatment of our citizens methods to ensure a smooth recovery in patients. ”
Wang Rong-bing that modern pharmacological research and clinical All this shows that combined elements of Chinese medicine, multi-target more effective than simple antipyretics and anti-viral treatment drugs. Antiviral specificity of a large area to use, once the virus mutates, extensively drug-resistant, in the successful development of new drugs and vaccines is bound to lead to panic and before the disastrous consequences. Moreover, antiviral drugs are medication time requirements, indirect improvement of symptoms, response to a large number of patients is difficult to guarantee efficacy. Exogenous against the viral disease, Chinese medicine has a fever, improve symptoms, adjusting the body stress, as well as anti-viral effect, in recent years developed in medicine is fast and convenient, Beijing Ditan Hospital, more than half of patients admitted in the event of not feeling well on the use of of the heat kind of proprietary Chinese medicines, and more can reduce the symptoms; Chinese herbal medicine and flexible response to changes in strong, short-term safety of the use of traditional Chinese medicine. “China is a country with a population over one billion to deal with influenza should promote its own advantages, so that the CMC is not only to meet domestic demand, but also expansion of external demand, so that traditional Chinese medicine to play a bigger role.”
Outlook: Chinese and Western medicine and try first is the key mechanism for
Early intervention and the effects were obtained for the follow-up of Chinese medicine in prevention and control of influenza A H1N1 influenza laid in position. June 10, the capital of Chinese medicine system, prevention and control of Influenza A H1N1 influenza high-level seminar held in Beijing Science and Technology Commission of biological medicine and new materials, the Director of Pakistan Ji Xing said that day, the Urban Science and Technology Commission is organizing a comprehensive program of relevant experts, the proposed project of Chinese medicine in the treatment for Influenza A H1N1 influenza, the ability to function independently. Beijing Chaoyang Hospital, Ministry of Health Influenza H1N1 influenza clinical team leader Wang Chen expressed hope that the support of the Government departments, as well as patient understanding and cooperation as soon as possible to promote the research into the clinical trials — gradually mild to moderate symptoms, full use of traditional Chinese medicine treatment.
Chinese medicine has been able to in the first time to participate in treatment, and equal emphasis on the mechanism of Chinese and Western medicine are inseparable. In the learned abroad, after an outbreak of Influenza A H1N1 influenza, the Ministry of Health, the State Drug Administration issued an emergency treatment program, the first time to join the TCM treatment. “The role of Chinese medicine attaches so much importance, which in my many years of clinical experience is rare.” Ice-melting, Wang said.
According to reports, this deal with influenza A H1N1 influenza, the state advocate equal emphasis on Chinese and Western medicine, the State Council, Ministry of Health, the State Pharmaceutical Administration have done a lot of mechanisms, organizational work. The Ministry of Health announced the two laws with Chinese and Western medicine to prevent and control technology programs, the establishment of the Western Group. State of Traditional Chinese Medicine to convene a national reading and learning of Chinese medicine prevention programs for video conferencing, encouraging Chinese to actively participate in prevention and control work. In addition, there is established a consultation mechanism for the participation of Chinese experts.
Wang Rong-bing that, in this outbreak, since the country’s rapid response and Drug Administration to vigorously promote, local Chinese officials have prepared a better treatment plan, while the Ministry of Health led to the establishment of Chinese and Western medicine expert consultation mechanism. This makes Chinese medicine experts dispatched by the State of Traditional Chinese Medicine, the backing of local medical institutions and Chinese medicine experts, the active support of Chinese medicine to prevention and control of viral infection in the main battlefield of the rise of sexually transmitted diseases. Shandong’s first cases treated so successful, able to choose the right treatment first time in Chinese medicine treatment, which is attributed to the effective functioning of such a mechanism. First, the patient-doctor Yong is a graduate of Shandong University of TCM, Chinese and Western medicine for many years engaged in clinical work to do with infectious diseases, traditional Chinese medicine skills in a high sense of traditional Chinese medicine high. Secondly, is particularly worth mentioning is that in the case of treatment, in harmony with Western medicine consultation process, while the collection of medical records, etc. have been enthusiastic to help, so that consultation on the case of Chinese medicine practitioners can be an objective and comprehensive manner awareness, greatly promoted the efficacy of Chinese medicine to play.
“From SARS, to the hand, foot and mouth disease, to the influenza A H1N1 influenza, can be said that the country of Chinese medicine in prevention and treatment of infectious diseases is increasing emphasis on the role. However, due to the long-term prevention and control of infectious diseases is being marginalized, Chinese team is still difficult to reach the right position, only through the efforts of quite a long time can be achieved promising, there are jobs. “melt the ice that the King, to give play to the strengths of Chinese medicine into effect so this sentence rather than the superficial, the most important is a genuine equal emphasis on the implementation of Chinese and Western medicine, Chinese medicine participation. First of all, improve the major infectious diseases in Chinese medicine participatory mechanisms, efforts to promote its institutionalization. Secondly, we should vigorously develop traditional Chinese medicine, Chinese and Western medicine combined talents to develop awareness of Western medicine in Chinese medicine. This is a top priority.
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