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Diagnosis and treatment for covid19 - from classic to front line.

TCM input in fight of Covid19 treatment in Chinese hospitals.
I will continue to update this blog as the data will grow on this subject. 

Below are different research papers and articles on the TCM Patients support in Covid19 disease collected form front line Wuhan hospital and other Chinese hospitals and teams of researchers.


Please start by this artilce:
Understanding of guidance for acupuncture and moxibustion interventions on COVID-19 (Second edition) issued by CAAM 


Please watch Dr. John Chen video merging modern science with TCM research and application during the Pandemic in China and specifically Wuhan hospitals.


How Coronavirus (COVID-19) is treated with TCM in China by Dr. John Chen, PharmD, PhD, OMD, LAc


Here is my own summary of the Pathogenesis of Covid19 disease caused by SARS2nCOV19
(I hope you will enjoy my illustrations:)



Here are different articles and research from different collegues that have been coming to me via e-mails and  social media. I feel it is my responsibility to share it with others.
Below is a link to entire dissertation on Covid by front line Chinese Physicians.


Below link is to World Federation of Acupuncture that has issued on therapeutic success using Acupuncture and Moxiustion for prevention and treatment of Covid19. (It is small blue link at the bottom of the certificate, you need to click on that link (first and second edition).)

 

Excerpts below:


"Acupuncture in the Treatment of COVID-19: An Exploratory Study
Peilin Sun & Wen Sheng Zhou Abstract
The Chinese medicine understanding of epidemic disease:
The original Chinese term for epidemic, li yi (戾疫, literally ‘ferocious epidemic’), has a recorded history of over two thousand years. In 524 BCE, the Zhou dynasty king Jing was admonished for his luxurious lifestyle, which he was advised put him at risk of contracting li
(戾, ferocious qi).11 Mozi (4th Century BCE) also mentions li yi, which was interpreted by Johnston (2010) as ‘pestilence and plague’.12
Large-scale epidemics have emerged in China dozens of times since the beginning of the first millennium, often occurring in cold and damp years as defined by five-phase philosophy.13 A large number of Chinese medicine scholars produced doctrines during or after such disasters that in time became famous. Zhang Zhong jing (150-129), who suffered the loss of many family members, composed the Shang han lun (Treatise on Cold Damage) in which he expounded that cold, wind or damp can invade the human body, penetrating from the yang channels of the outer body inwards the yin channels or organs. He stated that li yi is acute and infectious, its symptoms develop much swifter than typical shang han (cold damage), and can easily progress to a critical - even fatal - stage. It is important for physicians to intervene accurately and rapidly in such diseases to reverse the patient’s situation."

"The climate in Wuhan in December 2019, with its continuous rain and abnormal warmth, led to the epidemic by fostering cold and damp qi that impairs human yang qi .
Prior to the Ming dynasty, most Chinese medicine scholars believed li yi to be caused by cold, but this idea was challenged by Ming scholars such as Wu Youke after experiencing several epidemics that swept China, such as in the major clinical manifestations of the illness as outlined in the two studies.
A fair number of patients showed atypical symptoms, such as diarrhoea and nausea.
Major complications appeared during hospitalization, such as acute respiratory distress syndrome, arrhythmiaand shock (Wang et al.).
Traditional Chinese medicine texts that describe how epidemics have been fought through Chinese history can be used to address these points. In 1641, Wu argued that cold only presents in winter, whereas warm epidemics (wen yi 温疫) can present in all seasons, and that li yi represents an extremely merciless exogenous qi that differs from the usual six exogenous forms of qi. Wu thought any acute epidemic disease related to unseasonable warmth, and should be treated with herbal medicine. He condemned some medical professionals for mistaking epidemic yi qi for shang han and therefore failing in their duty to adequately treat patients.14"

"The original Chinese term for epidemic, li yi (戾疫, literally ‘ferocious epidemic’), has a recorded
history of over two thousand years.


Journal of Chinese Medicine | Issue123 | June 2020


Acupuncture in the Treatment of COVID-19: An Exploratory Study
Warm disease theory was to cause many controversies; for instance, Qing dynasty scholars Ye Lin and Li Guanxian thought Wu may have confused his idea of warm disease with epidemic disease due to the phonetic similarity of their characters (温 warm and 瘟 epidemic – a character that did not exist in ancient Chinese).15,16 "

Regardless of whether or not Wu was correct on this point, the influence of the climate in Wuhan on the recent spread of COVID-19 can be understood using his theory. The Chinese medicine academic Tong19 as well as many other Chinese medicine scholars believe that the climate in Wuhan in December 2019, with its continuous rain and abnormal warmth, led to the epidemic by fostering cold and damp qi that impairs human yang qi, particularly in the Lung and Spleen. The facts on which this understanding is based are:"

The role of acupuncture in treating COVID-19

"The key to treatment is to identify whether the pattern is one of cold- damp toxin causing heat or heat- toxin mixing with damp ...


Sun, co-author of this article, has been practising Chinese herbal medicine and acupuncture in Europe for over 40 years. This analysis is based on his empirical observations of what is more likely to suit European patients.


All Chinese medicine academics emphasize that this epidemic is characterized by damp, cold and toxicity, which easily lead to heat and stasis. Professor Sun underlines that the key to treatment is to identify whether the pattern is one of damp-cold toxin causing heat or heat-toxin mixing with damp. In patients with constitutional yang excess, damp- cold accumulation can quickly turn to damp-heat. In such cases, the treatment principle should be to eliminate damp- cold whilst simultaneously clearing heat. Heat toxin mixed with damp represents a different scenario; even though damp is also present, the root treatment is to clear heat and remove toxin, whilst additionally eliminating damp. If the former pattern is mistaken for the latter when treating with herbal medicine, then damp toxin could be aggravated further. In general, the primary treatment principles should be to boost Stomach and Spleen qi while at the same time 1) dispersing cold and scattering damp, 2) eliminating inner toxic qi by venting the exterior, and 3) increasing qi to eliminate turbidity.


Epidemic qi attacks the body rapidly and violently, therefore clinical features can change dramatically and vary significantly between cases. Severe symptoms can develop within just a few days. The following clinical possibilities should be borne in mind:
Once damp-cold becomes significant, it can: a) block the Lungs causing dypnoea; b) attack the Pericardium causing chest tension, nausea, cold sweat and shock; c) cause Kidney yang failure, inducing haematuria, dehydration, abnormal urination and weight loss; and d) damage the Stomach and Spleen, leading to vomiting and diarrhoea.
Once damp-cold turns to heat, it will occlude the Lungs and yangming (Stomach and Large Intestine) resulting in fever, coughing, chest tension and shortness of breath, fatigue, poor appetite, nausea, vomiting, bloating".

Mechanisms

"Invasion of the Lung by damp-cold: beginning of infection with fever, chills, joint and muscle pain, fatigue, sore throat, bitter taste in the mouth, dry throat, a pale tongue with thin white coating and a slightly rapid floating pulse. Acupuncture prescription:
Lieque LU-7 + Zhaohai KID-6, Waiguan SJ-5 + Zulinqi GB-41 with even method.
Hegu LI-4, Fengchi GB-20, Zhigou SJ-6, Neiguan P-6, Feishu BL-13, Yanglingquan GB-34, Zhongwan REN-12, Fenglong ST-40 and Zusanli ST-36 with reducing method.

Damp-cold obstructing the Spleen: gastrointestinal discomfort, possibly fever, muscle pain, nausea, vomiting, diarrhoea, abdominal distension, fatigue, a pale tongue with a white greasy coating and a deep-slow or deep-delayed (chen-chi) pulse. Acupuncture prescription:
Waiguan SJ-5 + Zulinqi GB-41, Neiguan P-6 + Gongsun SP-4 with even method.
Zhigou SJ-6, Neiguan P-6, Feishu BL-13, Yanglingquan GB-34, Zhongwan REN-12, Fenglong ST-40, Tianshu ST-25, Yinlingquan SP-9, Zusanli ST-36 with even method. (...)

Ghost points
There are many methods of acupuncture practised globally, each of which has its main focus area, such as musculoskeletal issues or emotional problems.13 Ghost point needling is one method that is relevant in the treatment of epidemics. Before the 1st century CE, the term yi (疫) was associated with ghosts or demons (gui 鬼), as in the term yi gui which appears in Lunyu (Analects of Confucius) by Confucius (551–479 BCE), where it is often rendered ‘hungry ghost’ in the English translations of the text.25 Uncontrollable infectious diseases - li yi - were at this time regarded as evil qi and associated with ghosts.26 Shaman doctors commonly used the term gui (ghost) as a term for unexplained illness and disease. Of course, symptoms of mental illness can be part of the clinical presentation during acute infectious disease.


• Shao shang (Lesser Shang, also known as Gui Xin, Ghost Trust) LU-11: Clears the Lung and purges fire, expels evil, treats cough and dyspnoea due to exogenous pathogenic qi occluding the Lung, as well as sore and swollen throat, nasal congestion and epistaxis.

• Yinbai (Hidden White, also known as Gui Lei or Ghost Fortress) SP-1: The Zhenjiu Jiayi jing (Systematic Classic of Acupuncture & Moxibustion) recommends this point for treating dyspnoea, asthma, abdominal distension, heat and fullness in the chest, violent diarrhoea, dyspnoea when lying supine, cold feet, epigastric glomus, nausea and vomiting, and poor appetite. (...)

Confluent points:

The confluent points of the Extraordinary Vessels are located in the limbs and can be exceptionally effective for opening the channels and easing body tension. However, they should be treated in a strict order.30 The upper burner organs are the first targeted and obstructed by epidemic qi, followed by the middle burner and finally the lower burner. Therefore for acute infection by COVID-19, opening up the blockage in the upper burner should be the first priority. (...).


Other amazing resources:

Chloroquine inhibits Covid19







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