- 期刊
新型冠狀病毒肺炎中醫瘟疫試治
Potential Treatment for New Coronavirus Pneumonia by Traditional Chinese Medicine
摘要
從2019年12月31日武漢市衛健委公告27例肺炎後，疫情不斷延燒，世界衛生組織（WHO）在2020年1月31日史上第6度宣告新型冠狀病毒肺炎已經構成「國際關注公共衛生緊急事件」。近期疫情已擴散至全球，除中國以外，擴散至美國、巴西、印度、俄羅斯、秘魯、南非、英國、法國、義大利、伊朗、等國最為嚴重，大部分的患者會有發燒、乾咳、倦怠的症狀，約有1／3的患者會有呼吸急促的狀況，其他較少的症狀包含失去味覺或嗅覺、肌肉痛、喉嚨痛、腹瀉等，另外需特別注意，有20%～30%的感染患者是僅有輕微症狀或無症狀的。目前還沒有針對該病毒的特效藥，臨床普遍採用幫病人提高免疫力，維持機體功能的治療方式，疫苗研發也正如火如荼的進行中。新型冠狀病毒肺炎屬於中醫疫病範疇，因感受疫戾之氣所造成，也可以由五運六氣的方式解釋之，其實，中醫藥從古至今對於瘟疫的論治百花齊放，從張仲景傷寒論的麻杏甘石湯，楊栗山傷寒溫疫條辨的升降散，余師愚疫疹一得的清瘟敗毒飲，到瘟疫論大家吳又可的達原飲等，在在顯示中醫在治療戾氣上的專精，中國連花清瘟飲【連翹、金銀花、麻黃、苦杏仁、石膏、板藍根等藥物】在COVID-19的治療也有一些效果。中醫以三陰三陽、衛氣營血、三焦辨證等系統認識和治療外感病，透過調整自身陰陽氣血以正氣抗邪，中藥可能是治療新型冠狀病毒肺炎的另一種選擇。
並列摘要
Since the announcement of 27 cases of 2019-nCov by Wuhan Municipal Health Commission on December 31, 2019, the epidemic has spread all over the world. On January 30, 2020, the World Health Organization also declared the coronavirus outbreak an ＂public health emergency of international concern Global Public Health Emergency＂ for the sixth time in the history. Apart from China, the epidemic is most severe in the United States, Brazil, India, Britain, France, Italy, Iran, Russia, and Peru. Most patients have symptoms of fever, dry cough, and burnout. About one-third of patients have shortness of breath, and other less symptoms include loss of taste or smell, muscle pain, sore throat, diarrhea, and etc. In addition, 20% to 30% of infected patients have only mild symptoms or no symptom. At present, there is no specific medicine for the virus, and the clinical treatment is mainly supportive therapy. Vaccine development is also in full swing. In terms of traditional Chinese medicine, this disease belongs to the epidemic infectious diseases of Chinese medicine. As a result of feeling the epidemic qi, it can also be explained by Chinese medicine theory of the five movements and six qi. Actually, traditional Chinese medicine already had different kinds of the treatments of plague since ancient times. For example, Ma-Xing-Gan-Shi-Tang from the typhoid theory written by Zhang, Zhong-Jing, Sheng-jiang powder from Shan-han-wen-bing-tiao-bian written by Yang, Li-shan, Qing-Wen-Bai-Du-Yin from Yi-zhen-yi-de written by Yu, Shih-Yu, Da-Yuan-Yin from Plague theory written by Wu, Yu-Ke are all prescriptions of chinese materia medica in showing the expertise of traditional Chinese medicine in treatment of the epidemic qi. The team of Dr. Zhong, Nan-Shan in China also had research of Lian-hua-qing-wen-yin which includes Forsythia, Honeysuckle, Ephedra, Bitter Almond, Gypsum and Indigowoad Root, played an active role in the treatment of COVID-19. In traditional Chinese medicine, the theories of ＂Threeyin and Threeyang＂, ＂Wei-QI-Ying-Xue＂ and ＂San-Jiao Pattern Differentiation＂ could have their unique ways for analysis and treatment of exogenous disease. By adjusting people's own yin qi, yang qi and blood to fight evil qi with right qi, the Chinese medicine could be another choice for the treatment of COVID-19.
參考文獻
延伸閱讀
- 林冠良、歐世宸、蔡金川、黃建榮、張東廸、王舜德（2020）。中醫對新型冠狀病毒肺炎的思考。臺灣中醫醫學雜誌，18(1)，53-64。https://www.airitilibrary.com/Article/Detail?DocID=16841166-202006-202007280004-202007280004-53-64
- 蘇郁婷、曾元卜（2022）。新型冠狀病毒肺炎的中醫看法。臨床醫學月刊，89(2)，89-94。https://doi.org/10.6666/ClinMed.202202_89(2).0016
- 余勝揚（2020）。新型冠狀病毒肺炎疫情下消費者行為決策探討〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU202001533
- 劉虹伶、巫孟萱、李聰界（2021）。探討新型冠狀病毒肺炎指引與常用中醫處方。中醫內科醫學雜誌，19(2)，1-12。https://doi.org/10.7102/JTCIM.202112_19(2).0001
- 葉裕祥、鄭婷宜、陳瑞文、洪尚綱、郭威均（2007）。Traditional Chinese Medicine for the Treatment of Piriformis Syndrome。北市醫學雜誌，4(8_S)，762-766。https://doi.org/10.6200/TCMJ.2007.4.8.15