中药冠状病毒治疗新进展(4)

5.2 Classic prescriptions

A comprehensive analysis of novel coronavirus pneumonia diagnosis and treatment plan (trial version third) and regional diagnosis and treatment plan was made. The commonly used classic names include Ma Xing Yi Gan Tang，Sheng San，Da Yuan Yin，Yinqiao San，Xuan Bai Chengqi Decoction，Huanglian Jiedu Decoction，Jiedu Huoxue Decoction，Four Inverse Plus Ginseng Decoction，Angong Niuhuang Pill，and Purple Snow Powder.

5.3 Chinese patent medicine

The novel coronavirus pneumonia diagnosis and treatment plan (trial version Eighth). The recommended Chinese medicines used in the medical observation period are："Xiang Xiang Zheng Qi Capsule" (pills，water，oral liquid)，Jinhua Qinggan Granule，Lianhua Qingwen Capsule (granule)，Shu Feng Jiedu Capsule (granule)；during the clinical treatment period，the recommended severe Yanyanping Injection，Xuebijing Injection，Reuonning Injection and Tanreqing Injection are recommended. Xingnaojing Injection；Xuebijing Injection，Reduning Injection，Tanreqing Injection，Xingnaojing Injection，Shenfu Injection，Shengmai Injection and Shenmai Injection are recommended for critical patients. Among the diagnosis and treatment programs in different regions，Angong Niuhuang Pill was the most frequently used，followed by Xuebijing Injection and Lianhua Qingwen Capsule (granules). Traditional Chinese medicine injections such as Xuebijing Injection，Shenfu Injection，Shengmai Injection and Xiyanping Injection have significant curative effect on critical illness，and have been adopted by many local diagnosis and treatment programs.

5.4 Traditional Chinese medicine decoction

The novel coronavirus pneumonia diagnosis and treatment plan(trial version Eighth) will be divided into light，general，heavy，critical and recovery stages. In addition to the general prescription "Qingfei Paidu Decoction"，the prescriptions for each syndrome type were recommended respectively. ① Light：recommended prescription for cold dampness stagnation lung syndrome：Raw Ephedra 6g，Gypsum 15g，Almond 9g，Notopterygium 15g，Tinglizi 15g，Guanzhong 9g，Dilong 15g，Xuchangqing 15g，Huoxiang 15g，Peilan 9g，Atractylodes Lancea 15g，Yunling 45g，Shengbaizhu 30g，Jiaosanxian 9g，Magnolia 15g，Jiaoareca 9g，Simmered Caoguo 9g，Ginger 15g；recommended prescription for dampness heat accumulation lung syndrome：Areca 10g，Caoguo 10g，Magnolia Officinalis 10g，Anemarrhena 10g，Scutellaria Baicalensis 10g，Bupleurum 10g，Radix Paeoniae Rubra 10g，Forsythia Suspensa 15g，Artemisia Annua 10g (lower back)，Atractylodes Lancea 10g，Folium Isatidis 10g，Glycyrrhiza Uralensis 5g. ② Common type：recommended prescription for dampness toxin stagnation lung syndrome：Raw Ephedra 6g，Bitter Almond 15g，Raw Gypsum 30g，Raw CoixSeed 30g，Atractylodes Lancea 10g，Pogostemon Cablin 15g，Artemisia Annua 12g，Polygonum Cuspidatum 20g，Verbena 30g，Dried Reed Root 30g，Tinglizi 15g，Huajuhong 15g，Raw Licorice 10g；recommended prescription for cold dampness obstructing lung syndrome：Atractylodes Lancea 15g，Tangerine Peel 10g，Magnolia Officinalis 10g，Huoxiang 10g，Cao Guo 6g，Raw Ephedra 6g，Notopterygium 10g，Ginger 10g，Areca 10g. ③ The recommended prescriptions for the syndrome of Qi Ying two burnt diseases are as follows：Raw Ephedra 6g，Yaoren 9g，Gypsum 15g，Liquorice 3g，Huoxiang 10g，Magnolia Officinalis 10g，Atractylodes Macrocephala 15g，Caocao Fruit 10g，Rhizoma Pinelliae 9g，Poria Cocos 15g，Rhubarb 5g (lower part)，Astragalus Membranaceus 10g，Tinglizi Seed 10g，Chishao 10g；Qiying Liangshao recipe：Shenggypsum 30 ～ 60g (first decoction)，Anemarrhena 30g，Shengdi 30 ～ 60g，Buffalo Horn 30g (first fried)，Red Peony 30g，Scrophularia 30g，Forsythia Suspense 15g，Cortex Moutan 15g，Coptis Chinensis 6g，Bamboo Leaves 12g，Tinglizi 15g，Raw Licorice 6g. ④ The recommended prescription for critical illness (internal closure and external debonding)：Ginseng 15g，Heishun Tablet 10g (first fried)，Cornus Officinalis 15g，Suhexiang Pill or Angong Niuhuang Pill.

6 Novel coronavirus pneumonia: advantages and prospects

The academic contentions of doctors greatly promoted the development of TCM disease theory. The inclusion of lungclearing and detoxifying decoction as a universal prescription in the national diagnosis and treatment scheme means that TCM is showing its sharp sword to COVID-19. Academician Zhang Boli pointed out that traditional Chinese medicine can play a role in the whole process of COVID-19 treatment，fully highlighting the characteristics and advantages of traditional Chinese medicine. At present，the advantages of traditional Chinese medicine are mainly reflected in the following aspects：(1) For light and common patients，it can not only improve symptoms，shorten the course of disease，but also reduce the possibility of light and common patients transforming into heavy or critical type；(2) for patients with severe and critical diseases：Chinese medicine plays a role in reducing lung exudation，inhibiting the release of inflammatory factors，stabilizing blood oxygen saturation，reducing the intensity of respiratory support and the use of antibiotics；(3) for patients in the convalescent period：although the virus nucleic acid test is negative，but lung inflammation is not completely absorbed，there are residual evil，Qi and Yin deficiency，the use of Chinese medicine to help qi，remove residual evil，dredg-up collateral and remove blood stasis，can reduce adhesion，promote inflammation absorption，speed up the recovery process. (4) Traditional Chinese medicine has a significant advantage in improving human immunity，which can stimulate the body's ability to resist disease and recover as soon as possible. Academician Zhang Boli pointed out that TCM prevention and treatment of COVID-19 has changed from a participant to a major force. The participation of traditional Chinese medicine helps to shorten the length of hospital stay，improve symptoms such as fever，cough，fatigue，dry throat and loss of appetite，improve immunity and reduce mortality，etc. Therefore，early and whole-course intervention should be taken in the treatment of COVID-19 with traditional Chinese medicine. At present，a large number of clinical studies on the prevention and treatment of COVID-19 with traditional Chinese medicine are also under way. Most of the research designs are based on interventional experimental studies. Intervention measures include Chinese patent medicine (more than 10 kinds of Lianhua Qingwen Capsule，Huoxiang Zhengqi Drop Pillue，etc.)，decoction and Taijiquan therapy. I believe that with the further publication of the research results，the advantages of TCM in the prevention and treatment of infectious diseases will be more and more recognized. In addition，due to the multicomponent and multi-target characteristics of traditional Chinese medicine，the combination of network pharmacological analysis，experimental verification and multi-omics can be used to further clarify the specific mechanism of action of traditional Chinese medicine.

文章来源：《现代中医药》 网址: http://www.xdzyyzz.cn/qikandaodu/2021/0712/1301.html