Comparison
of main prevention and control strategies
of COVID -
19 in Canada and China
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加拿大 Canada
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中国China
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健康人
healthy
people
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勤洗手，
减少外出，
Wash
your hands frequently and go out less
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戴口罩，
勤洗手，
公共环境消毒，
减少外出，
新冠病毒肺炎中医自我预防保健法
1、穴位自我按压
2、灸法
3、气功一八段锦
4、食疗
Wear
a mask, wash hands frequently, disinfection in public environment, reduce
going out, Chinese medicine self-prevention health care method 1 points
self-compression 2 moxibustion method 3 qigong 1 ba duan jin 4 diet therapy
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加拿大 Canada
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中国China
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Contact with novel coronavirus pneumonia
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居家自我隔离14天
Home self - isolation for 14 days
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密切接触者专门隔离点进行隔离观察14天
戴口罩，勤洗手，公共环境消毒，
新冠病毒肺炎中医自我预防保健法
1、穴位自我按压
2、灸法
3、气功一八段锦
4、食疗
Close contacts special isolation points for
isolation observation 14 days, wear a mask, wash hands frequently, public
environment disinfection, Chinese medicine self-prevention health care method
1 acupoints self-compression 2 moxibustion
method 3 qigong 1 ba duan jin 4 diet therapy
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加拿大 Canada
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中国China
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发热病例和疑似病例者
Febrile
cases and suspected cases
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居家自我隔离14天
Home
self - isolation for 14 days
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疑似病例者专门隔离点进行隔离观察14天和核酸检测，CT检查
戴口罩，勤洗手，公共环境消毒，
中成药1藿香正气胶囊（丸、水、口服液）
中成药2金花清感颗粒、莲花清瘟胶囊（颗粒）、疏风解毒胶囊（颗粒）
The
suspected case is specially isolated for observation 14 days and nucleic acid
detection, CT examination, wear mask, wash hands frequently, public
environment disinfection,
Chinese
patent medicine 1 huoxiangzhengqi capsule (pill, water, oral liquid) Chinese
patent medicine 2 jinhua qinggan granules, Lian hua qingwen capsules (granules) shufeng jiedu
capsules (granules)
新冠病毒肺炎中医自我预防保健法(同上)
Novel
coronavirus pneumonia self - prevention health care method of Traditional
Chinese Medicine (the same above)
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我们对102例轻型和普通型新冠肺炎患者金花清感颗粒临床对照研究，结果显示，金花清感颗粒组较西医组治疗，转重症率明显下降（11.8%VS29.4%）；退热时间缩短（1.5天VS3天）；淋巴细胞复常率提高（74.5%VS64.7%）。这一结果表明金花清感颗粒治疗轻症和普通型具有确切的疗效。因此，中医治疗新冠肺炎疗效是确切的。
We
conducted a clinical control study on 102 patients with COVID-19 (+), mild and
common type with jinhua qinggan granules. The results showed that the rate of
severe illness in jinhua qinggan granules group was significantly lower than
that in western medicine group (11.8% vs 29.4%). The time of fever is
shortened (1.5 days VS3 days); Lymphocyte reactivation rate increased
(74.5%VS64.7%). The results showed that jinhua qinggan granule had a definite
effect on the treatment of mild disease and common type. Therefore, the effect
of Chinese medicine on COVID-19 was definite.
“政府搭台+中医通治方+互联网”的武昌模式—14天中药服用，阻断疾病继续发展。针对武汉武昌区有144个社区, 125万人，众多的新冠肺炎轻症，普通型，疑似病人和居家隔离的发热病人，仝小林：“1号方”使用就达到将近80万付，覆盖5万多人。之后的“2号方”使用量60万副，接近三万多人。这两个方子加上张伯礼院士的方子，应该说整个把武汉基本上覆盖了。
Wuchang mode <Governments set up the stage
and support + The prescription of traditional
Chinese medicine free gives to every person + online volunteers doctors services
(consulting and instructing) from whole china>
Wuchang
district, WuHan, 14 days of traditional Chinese medicine to block the disease
continued to develop. There are 144 communities in wuchang district, WuHan,
with 1.25 million people. Many covid-19 patients are mild, common, suspected
and isolated at home. Academician Tong Xiao Lin: the use of Formula 1
reached nearly 800,000 doses, covering more than 50,000 people, after the use
of Formula 2 with 600,000 doses, close to 30,000 people. These two
prescriptions plus the prescription of Academician Zhang Bo Li, it
should be said that the whole WuHan basically covered
当时覆盖的是发热，疑似加上轻型和普通型病人，所以对整个社区治疗起到了很好的作用。效果非常显著，一方面，已经被诊断为轻型和普通型的322例里边，全部的治愈，无一例转为重症。
At
that time, the fever patient, suspected patients, mild type and common types
of patients, it had a very good effect on the treatment of the whole
community. On the one hand, all the 322 cases diagnosed as mild and normal were
cured, and none of them became severe.
“我们的后台数据显示，武昌的疑似病人确诊率在不断下降。1月28日的确诊率高达90%多，2月2日隔离点1号方全覆盖之后，2月6日的确诊率就降到30%多，到现在3月13日只有3%了。仝小林院士的1号方发挥了重要作用！
Our
background data shows that the rate of diagnosis of suspected patients in
wuchang has been falling steadily. On January 28, the rate of diagnosis was
as high as more than 90%. After the total coverage of formula 1 on the
isolation areas on February 2, the diagnosis rate on February 6 was reduced
to more than 30%, until March 13 now only 3%. The Formula 1 of academician Tong XiaoLin
played an important role.
On the other hand, the death rate has
dropped precipitously dramatically based on the data for the whole of WuChang
from February 3rd to February 18th during the distribution free Formula 1 x
14 days dosages to everybody in the communities.
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加拿大 Canada
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中国China
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新冠病毒肺炎确诊病例者
confirmed
cases of novel coronavirus pneumonia
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中药通治方—清肺排毒汤
The
Traditional Chinese Medicine QingFei Detoxification Decoction
清肺排毒汤治疗新型冠状病毒肺炎机制的网络药理学探讨
赵 静(上海中医药大学交叉科学研究院), 田赛赛(海军军医大学药学院)
结论: 清肺排毒汤(QFPDT) 通过多成分、多靶标对机体起到整体调控作用。其首要作用部位是肺，其次是脾；通过调控若干与
ACE2 共表达的 蛋白以及与疾病发生发展密切相关的一系列信号通路，起到平衡免疫、消除炎症的作用；靶向病毒复制必需的蛋白——核糖 体蛋白而抑制病毒 mRNA 翻译，并抑制与病毒蛋白相互作用的蛋白而起到抗病毒作用。
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Investigating
mechanism of Qing-Fei-Pai-Du-Tang for treatment of COVID-19 by network pharmacology
ZHAO
Jing1 , TIAN Sai-sai2
1.
Institute of Interdisciplinary Integrative Medicine Research, Shanghai
University of Traditional Chinese Medicine, Shanghai 201203, China
2.
School of Pharmacy, Second Military Medical University, Shanghai 200433, China
Results
The top meridian tropism of herbs in QFPDT was lung meridian. Among QFPDT’s
790 putative targets, 232 targets were co-expressed with ACE2, the receptor
of novel coronavirus (SARS-CoV-2). The targets included seven densely
interacting ribosomal proteins. Important targets were enriched on two
classes of disease pathways, i.e., virus infection and lung injury. In
addition, many targets interacted with six proteins of HIV virus. Important
targets regulated a series of pathways belong to translation, endocrine
system, immune system, nervous system and signal transduction. Conclusion The
main targeting organ of QFPDT is the lung and the second is the spleen. By
regulating a series of proteins co-expressed with ACE2 and a series of
signaling pathways closely related to the occurrence and development of
diseases, it plays a role in balancing immunity and eliminating inflammation.
It may act as an antiviral agent by targeting ribosomal proteins that are
necessary for viral replication to inhibit viral mRNA translation and
inhibiting a group of proteins that interact with viral proteins.
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加拿大 Canada
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中国China
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轻型和普通型患者
The
Mild and common types of patients
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居家自我隔离，
西医疗法（氧疗，抗病毒，对症治疗）
Home
self-isolation,
western medicine therapy (oxygen therapy,
antiviral therapy, symptomatic treatment)
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专门定点医院隔离治疗.
西医疗法（氧疗，抗病毒，对症治疗）.
中药--
（1）寒湿郁肺证方药
（2）湿热蕴肺证方药
针灸
Special
hospitals for confirmed patients with isolation and treatment
Western
medicine (oxygen therapy, antiviral therapy, symptomatic treatment)
Prescription
for traditional Chinese medicine –
(1)
The Formula for syndrome with cold-dampness stagnation in the lung
(2)
The Formula for syndrome dampness-heat accumulation in the lung
Acupuncture
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江夏方舱医院为中医方舱医院，张伯礼院士任院长，2月14日17时30分，收治首位新冠肺炎患者，到3月10日休舱，江夏方舱医院共收治567名患者。他和北京中医医院刘清泉教授共同研制的宣肺败毒颗粒（抗冠II号方）治疗500多例轻症和普通型患者，发热、咳嗽、乏力症状明显减轻，治疗后CT影像显著改善，临床症状明显缓解，无一例转为重症。除了改善临床症状，也能改善相关血液细胞分类计数和免疫学指标。病人零死亡、零回头、无一转为重症，医护人员零感染。
Jiangxia fanggang hospital is a traditional
Chinese medicine fanggang hospital with academician zhang boli as its
President. At 17:30 hours on February 14, the first COVID-19 patient was admitted,
It was closed on March 10. A total of 567 patients were admitted to the
hospital. He and professor liu qingquan of Beijing hospital of traditional
Chinese medicine jointly developed xuanfei fudu granules (anti-crown II
prescription) to treat more than 500 mild and common types of patients. Symptoms
of fever, cough and fatigue were significantly relieved, CT image of the
patients was significantly improved after treatment. The clinical symptoms
were significantly relieved. None of the cases became severe. In addition to
improving clinical symptoms, it can also improve the relevant blood cell
classification count and immunological indicators. None of the patients died,
none of them became severe, Zero infection among health care
workers。
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加拿大 Canada
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中国China
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重型和危重型患者
Severe
and critical patients
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住院隔离治疗
Inpatient
isolation treatment
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专门定点医院ICU隔离治疗
中西医结合治疗
西医疗法（氧疗，抗病毒，对症治疗和生命支持疗法）
中药—回阳救逆，清肺排毒，
（1）扶正救肺汤
（2）生脉散注射剂
（3）参附注射剂
（4）血必净注射剂
ICU
department of Special hospitals for confirmed patients with isolation and treatment
Western
medicine therapy (oxygen therapy, antiviral therapy, symptomatic treatment
and life support therapy)
Prescriptions
of Traditional Chinese medicine: save
life from Severe and critical conditions, clear the lungs and detoxification
(1)
fuzheng save lung decoction
(2) shengmai powder or injection
(3) shenfu injection
(4) clearing blood injection
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张伯礼认为，当细胞因子风暴来临，血必净注射液可强力阻拦、延缓病情发展。“所以说，虽然重症以西医为主，但中医也可以力挽狂澜。”
Zhang
BoLi believes that when the cytokine storm happens, blood bijing injection
can strongly block delay the development of the disease.
Therefore,
although western medicine plays a major role in the treatment of severe
diseases, Chinese medicine can also help turn the tide.
Acupuncture:
to save life with the nine needles
2月15日，广东省中医院重症医学专家邹旭教授在武汉市汉口医院呼吸一区开展中医查房时，刚好遇到一重症新冠肺炎患者出现气促、烦躁，呼吸困难。广东医疗队的西医同行们立即予无创机械通气，当时患者大汗淋漓、烦躁，难以配合呼吸机，气促，呼吸30-40次/分，血氧饱和度59%，心率130-140次/分，病情危急。西医医生马上邀请邹旭教授帮忙查看患者。
紧急了解病情后，邹旭教授立马取出针灸针，在患者双下肢的太溪穴位施针，一边安抚患者，一边捻转着细针，患者的烦躁情绪慢慢地得到缓解，邹旭教授遂在患者双上肢的止喘穴位予以施针，10余分钟后患者逐渐安静下来，生命体征渐趋稳定，呼吸频率降至25次/分，心率也下降到90次/分，外周血氧上升到80%以上。再过30分钟，血氧升至90%以上。
邹旭教授指出，新冠肺炎患者的肺部炎症导致其氧合功能变差，除了通过外界力量提高供氧量，还可以通过针灸降低患者的耗氧量。运用回阳针、腹针、平衡针等手法，可以缓解患者气促气短、呼吸困难、失眠焦虑、心悸心慌、胃肠功能紊乱等各种症状，从而使得他们的供氧与耗氧达到动态平衡点，患者血氧饱和度改善，病情就不会朝着危重症方向发展。同时还可以结合一些补脾胃、益肝肾、调气血的针法，帮助患者恢复受损的元气。
On February
15, professor Zou Xu, an expert of critical care medicine in Guang Dong
provincial hospital of traditional Chinese medicine, was carrying out TCM
ward rounds in the respiratory zone 1 of WuHan, HanKou hospital，A patient with severe type developed shortness
of breath, dysphoria, dyspnea. The western doctors of the Guang Dong medical
team were immediately given noninvasive mechanical ventilation. The patient
was sweating profusely and agitated, Difficulty with cooperation with ventilator
machine. Shortness of breath, 30-40 breaths/min, blood oxygen saturation of
59%, heart rate of 130-140 beats/min, critical condition. Western doctors
immediately invited professor Zou Xu to help check the patients.
After
quick inquiring patient’s condition, Professor zou xu immediately took out
the acupuncture needle. Acupuncture was administered at the taixi acupoint of
the patient's lower limbs. While comforting the patient. While comforting the
patient, Twirling the fine needle. the patient's irritability was gradually
relieved. Professor Zou Xu then in the patient's double upper limb
anti-asthma acupuncture point to give acupuncture, after about 10 minutes the
patient gradually quieted down, Vital signs are stabilizing. The respiratory
rate dropped to 25 beats per minute, the heart rate also dropped to 90 beats
per minute, and the peripheral blood oxygen increased to more than 80%. After
another 30 minutes, the oxygen level rose above 90 percent.
Professor
Zou Xu pointed out that, in patients with COVID-19, lung inflammation
leads to poor oxygenation. It usually increases oxygen supply through outside
forces, but Acupuncture can also be used to reduce oxygen consumption. The use
of back – Yang nine needle, abdominal needles, balance needle and other
techniques to relieve shortness of breath, dyspnea, insomnia, anxiety,
palpitation, gastrointestinal disorders and other symptoms. Then the patients
are not going to develop into a critical illness.
At
the same time, it can also be combined with other points to needling to
enrich the spleen, stomach, liver and kidney to regulate qi and blood, to
help patients recover damaged vitality.
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加拿大 Canada
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中国China
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患者出院后康复期
Rehabilitation
period after discharge
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居家自我隔离14天
对症治疗
Home
self - isolation for 14 days symptomatic treatment
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康复期门诊和专门隔离点医学观察14天，
以促进身体机能康复，也防止复发（香港(专题)专家跟踪10多例复阳病人，并在P3实验室培养病毒，但没有培养出活病毒。这说明，核酸检测可能就是病毒的核酸片段。接下来，对复阳病人还要继续观察。）
仝小林说“有80%的病人属恢复期，20%的人还残留一些症状。要按照以下四个证型来治疗：余毒未清证、肺脾气虚证、气阴两虚证、痰瘀阻络证。采取中西医结合，以中医为主。”
Rehabilitation
period outpatient and special isolation point medical observation for 14 days
To
promote physical rehabilitation, also prevent recurrence (Hong Kong (special
subject) experts followed more than 10 cases of patients who tested negative
turn to positive, and culture the virus in P3 laboratory, but no live virus
was developed. This suggests that nucleic acid detection may be from the
nucleic acid fragment of the virus. Next, we will continue to observe the
patients.)
80%
of patients are convalescent, 20% still have some symptoms. It should be
treated according to the following four types of syndrome: syndrome of
remained toxicity, syndrome of Deficiency of lung and spleen, syndrome of both
Qi and Yin deficiency, syndrome of Obstruction of collaterals by phlegm and blood
stasis. It should take treatment
with the combination of Chinese and western medicine, but mainly
Chinese medicine.
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1，张伯礼：到3月底，武汉有希望新增病例基本
“清零” 作者：张意轩 王坎 乔外 王翔宇 来源：人民日报客户端 发布时间：2020/3/6 10:49:43
2， 广东省中医院战疫日记：救治危重症新冠肺炎患者，一根银针显奇效 家庭医生在线 2020-02-28
13:51:24
3， 大医张伯礼——长者，父亲，更是共产党员 网信南开03-16 13:29
4，在抗疫火线炼制 “灵丹妙药”
——记奋战在武汉一线的中国中医科学院首席研究员仝小林院士
作者：蔡闯等 来源：光明日报 发布时间：2020/3/13 10:55:29
6， 中央指导组专家张伯礼在武汉切除胆囊，笑称 “肝胆相照”
来源：上观新闻 作者：经济日报 2020-03-12 12:08
2020-03-12 17:22
10，清肺排毒汤治疗新型冠状病毒肺炎机制的网络药理学探讨_赵静等 中草药(Chinese Traditional and Herbal Drugs )第51 卷 第4 期 2020 年2 月 829-835
11，新型冠状病毒治疗第七版
12, 中西医结合治疗新型冠状病毒肺炎34 例临床研究 夏文广1刘清泉3，张伯礼2 (1.
湖北省中西医结合医院，湖北省武汉市江汉区菱角湖路11 号，430021; 2. 天津中医药大学; 3. 首都医科大学附属北京中
医医院) 中医杂志2020 年3 月第61 卷第5 期 Journal of
Traditional Chinese Medicine，2020，Vol． 61，No． 5 P375-382
13, 51 例新型冠状病毒肺炎患者应用中药连花清瘟疗效分析：多中心回顾性研究 程德忠1（1. 武汉科技大学附属普仁医院，武汉430081）[J/OL]．天津中医药.
14, 14 Mar 多语种中医抗疫经验全球分享 Ontario College of
Traditional Chinese Medicine
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