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中医药防治新冠肺炎的实践与原则

Practice and principle of traditional Chinese medicine for the prevention and treatment of COVID-19.

作者信息

Zhao Linhua, Tian Chuanxi, Yang Yingying, Guan Huifang, Wei Yu, Zhang Yuxin, Kang Xiaomin, Zhou Ling, Li Qingwei, Ma Jing, Wan Li, Zheng Yujiao, Tong Xiaolin

机构信息

Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.

Beijing University of Chinese Medicine, Beijing, 100029, China.

出版信息

Front Med. 2023 Dec;17(6):1014-1029. doi: 10.1007/s11684-023-1040-8. Epub 2023 Dec 29.

Abstract

Traditional Chinese medicine (TCM) has played an important role in the prevention and treatment of Coronavirus disease 2019 (COVID-19) epidemic in China. The integration of Chinese and Western medicine is an important feature of Chinese COVID-19 prevention and treatment. According to a series of evidence-based studies, TCM can reduce the infection rate of severe acute respiratory syndrome coronavirus 2 in high-risk groups. For patients with mild and moderate forms of COVID-19, TCM can relieve the related signs and symptoms, shorten the period of nucleic-acid negative conversion, and reduce conversion rate to the severe form of the disease. For COVID-19 patients with severe and critical illnesses, TCM can improve inflammatory indicators and blood oxygen saturation, shorten the hospital stay, and reduce the mortality rate. During recovery, TCM can improve patients' symptoms, promote organ function recovery, boost the quality of patients' life, and reduce the nucleic-acid repositive conversion rate. A series of mechanism research studies revealed that capability of TCM to treat COVID-19 through antiviral and anti-inflammatory effects, immune regulation, and protection of organ function via a multicomponent, multitarget, and multipathway approach.

摘要

中医药在中国新型冠状病毒肺炎(COVID-19)疫情防控中发挥了重要作用。中西医结合是中国COVID-19防治的一个重要特色。根据一系列循证研究,中医药可降低高危人群感染严重急性呼吸综合征冠状病毒2的几率。对于轻型和中型COVID-19患者,中医药可缓解相关体征和症状,缩短核酸转阴时间,并降低疾病向重型转化的几率。对于重型和危重型COVID-19患者,中医药可改善炎症指标和血氧饱和度,缩短住院时间,并降低死亡率。在康复期,中医药可改善患者症状,促进器官功能恢复,提高患者生活质量,并降低核酸复阳率。一系列机制研究表明,中医药治疗COVID-19的能力是通过多成分、多靶点、多途径发挥抗病毒、抗炎作用,调节免疫及保护器官功能。

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