麻杏甘石湯肺炎的八卦，YOUTUBE和Yahoo名人娛樂都在討論

積善之家，必有餘慶

昨天晚上收到一位中國大陸病人的來函，告訴我他們把中藥方包好，寄到巴基斯坦和孟加拉，幫助那邊朋友們渡過新冠疫情的難關，這讓我很感動。

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李老師晚上好啊，有一件小事回饋給您，向您表示感謝，在這次新冠大流行中，您直接或間接的幫到了不少有緣人，我們這次是親耳聽到了有效回饋：

2020年7月份，我們陸續的安排診所的基本通方（見：疫情下的三個小故事 http://andylee.pro/wp/?p=7904 ）和國家公佈的清肺排毒湯（生半夏代替薑半夏及18g生石膏同煎），免費郵寄給巴基斯坦、孟加拉的一些朋友，想著可能在他們無助的時候，能拉他們一把。

今年5月20日突然有位巴基斯坦人和一位孟加拉人，回饋我們說，中藥包非常有效。幫助巴基斯坦的一位朋友及他們的家人快速的恢復健康，幫助孟加拉的朋友還有他們的家人1天後明顯好轉，3天內全部恢復正常。

巴基斯坦這家人一家至少3口人確認新冠陽性且有症狀，孟加拉這家人至少3人有明顯的症狀，且他們鄰居確診新冠有明顯症狀（該國普通人基本不戴口罩，人口密度很大，無有效社交距離）。 其中這位巴基斯坦人去年9月份有症狀但未做新冠檢測，1包中藥通方煮成藥茶喝了3/4天症狀基本全解除，今年3月份再次有新冠症狀並且新冠檢測陽性，再次使用1包中藥通方煮成藥茶喝了7天，症狀基本全解除。

還有4家國外朋友收到了我們送的免費中藥包，我們未和他們溝通，他們是否服用及妥善保存這一些中藥包，但希望他們都不必用這些。

從上個月這兩家國外朋友的回饋中，我們親耳聽到了中醫藥在外國人中的顯著療效，收到消息後我們也比較開心，這裡就分享給李老師，願您也多一份開心。

這得感謝李老師了，是你們的大愛才有不少人受益。藥已經郵寄晚了，去年6月份我的一位國外朋友因新冠去世了，自己不懂中醫藥，剛瞭解一點中醫和倪老師這一塊，小劉我心中是很難過的。下定決心，能幫一個是一個。儘管我們是非常普通的人家，但若能寄出去一些可靠的藥方包，有時候就是真的能幫人很多，對自己也無大傷。
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這位病人很有心，在沒有任何實質回報下，自己花錢、花時間為海外的朋友們寄送中藥包，幫助他們及家人恢復健康及正常生活。這位病人並不富裕，還剛有了小寶寶，金錢及時間都有限下，還能人飢己飢、人溺己溺地想到較不發達國家的朋友們，實在值得大家的讚許及敬佩。

疫情大爆發之下，中藥通方是沒有辦法的辦法，卻也在世界各地救治了很多新冠肺炎確診病人。診所的基本治療通方和中國國家公佈的清肺排毒湯是同一個方向，其中的故事就不再重述了。診所的基本治療通方比清肺排毒湯重一些，對急重症的效果比清肺排毒湯要好許多。之前有讀者來函問我，像台灣最近發生一兩天內就肺部大量積膿液而猝死的病例，有沒有什麼中藥方可以搶救？雖然中醫得針對個案仔細辨證論治，在不得已、非常緊急的情況下，服用加重劑量的基本治療通方可能是一線生機。

診所的「基本治療通方」：射干9克、麻黃9克、紫菀9克、款冬花 9克、細辛9克、生半夏9克、生薑4片、紅棗15克、五味子12克、葶藶子6克、石膏18克、麥門冬18克、杏仁15克、白朮12克、茯苓12克、炙甘草9克、炙黃耆18克、黨參9克、柴胡12克、黃芩9克。9碗水煮成3碗，調整火力約一小時煮好，斟酌病情嚴重情況，一次1/2～1碗，一天服用2～3次。

新冠疫情像照妖鏡一樣，讓各種不同人的本性顯露出來，有人把大愛傳四方，有人把自己的荷包填滿滿，有人深入火線救人，有人貪生怕死地搶物資，有人實實在在救一個算一個，有人只知道在網上耍嘴皮子。《易經文言傳》：「積善之家，必有餘慶；積不善之家，必有餘殃」。每個人的所作所為，不僅僅是現在的差別，更是為自己及家人的未來做了選擇。

#當張仲景遇上史丹佛
（http://andylee.pro/wp/?p=10283）

從非典到新冠肺炎

From SARS to Novel Coronavirus (COVID-19) - English version is in the second half

新冠肺炎，Novel coronavirus (2019-nCoV) 新型冠状病毒肺炎，疫情越來越嚴重，被證實可以人傳人，也在武漢以外的許多地方發現病例，造成世界各國及世界衛生組織（WHO）高度關切，當然也讓很多住在中國大陸及附近區域的華人非常緊張，就好像當年的非典肺炎疫情即將再一次大爆發一樣。

目前，現代醫學還沒有找到治療新冠肺炎的方法，只能針對某些症狀來處理，疫苗的研發更是遙遙無期。怎麼辦？每次遇到這種情況，中醫就會被搬出來，這次也不例外。新冠肺炎爆發後，網上馬上有許多中醫對付新冠肺炎的文章。當然，除非哪位中醫師看過、治好過大量的新冠肺炎病例，所有的討論都是猜想、假設。然而，有些猜想及假設值得參考，有些猜想及假設卻明顯在誤導大眾。

我還沒有治療過新冠肺炎，不能大肆評論。不過，我治好過很多禽流感、豬流感、及每年流感導致的嚴重肺炎及其它病變的病人。其中許多病人是被美國大型西醫院證實為嚴重肺炎，被要求醫院或居家隔離，偷偷溜出來找中醫看診的。也因此許多病人及討論中醫的網站，希望我能針對新冠肺炎發表一些意見。

我們以前就討論過，這些彪悍的流感病毒，經過那麼多年、那麼多次的變種（mutation），每年都不一樣，東漢時期傳下來的經典中醫，根本沒有遇到過現在的病毒，怎麼可能治療如此嚴重的肺炎呢？

中醫從來就不認識病毒，也不從病毒種類的角度來思考。中醫是探討人體受到外界因素破壞，失去平衡後，身體會有哪些現象、哪些反應，根據那些現象、那些反應來調整身體狀況，期待身體能恢復到平衡狀態，把外界因素帶來的破壞減到最小。我打個半開玩笑的比方，警匪槍戰時，我們注意到壞人哪個方向來的火力強大，造成我們部署在哪個位置的警員傷亡，這時我們會趕緊重新部署人員，或者想辦法增派警力，我們大概無暇去管壞人是用哪個牌子的槍、哪個工廠做的子彈！

雖然幾百年幾千年下來，病毒變種等等的外界因素改變了非常多，人體演化的改變卻非常有限。人體的功能，無論是怎麼被破壞的，某項功能被破壞而導致的症狀、反應、後續演變，卻依然有明顯的脈絡可循。也因為如此，在很多情況下，中醫以專注人體本身平衡狀態的治療方式，反而比西醫專注在外來敵人的治療方式來得有效許多。

依據多年累積大量的臨床病例觀察，無論是禽流感、豬流感、還是每年的流感，人體敗壞的進程依然如同傷寒雜病論探討的一樣，非常簡化的說，從一般桂枝湯證、葛根湯證等的表寒，轉變到小青龍湯證等的裡寒，津液不足、水道運化失調而化熱，變成比較嚴重的大青龍湯證，或者更嚴重肺臟的寒熱夾雜，金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇中的射干麻黃證、葶藶大棗瀉肺湯證、澤漆湯證、小青龍加石膏湯證等等混雜出現，搞得亂七八糟，也不再是什麼簡單方劑可以對應的。

然而，雖然進程很像，不同於一般外感的是，這些嚴重流感肺炎病情加重的改變速度快非常多，也來得猛烈頑強很多。一般的外感從桂枝湯證、葛根湯證等轉變到大青龍湯證或更複雜的病情，通常需要一兩週的時間。同時，還得病人自己非常不注意，或者醫生治療錯誤，一般感冒才會沒辦法自己好，反而變成嚴重的病症。這幾年的流感，從一開始覺得不太對勁，到嚴重複雜的病情，只需要三四天，而且有越來越快的趨勢。這大幅提高中醫師治療流感時，判斷功力及敏感度的要求，中醫師必須在許多症狀還沒有出現時，就得抓緊時間，趕緊行動，卻又不能預防過度，反而讓病情加重。換句話說，時機、劑量、藥材比例變得非常重要，稍有不慎，就無法反轉病情。

舉個例子，有些病人得了流感，咳嗽非常嚴重，痰非常多，呼吸困難。依照中醫的辨證，假如一致都是寒，舌苔白、小便清、怕冷等等，本來依照辨證論治，我們可能會開射干麻黃湯加減給病人。然而，因為流感的進程非常快速，中醫師得非常敏感，譬如看到舌苔白卻帶有一絲絲乾的感覺，就很可能得加上大寒的石膏來避免肺喪失津液，卻又不能加太多石膏，以免肺寒加重。又譬如聽到咳嗽聲音非常深沈，從肺的底部發出，又帶有膿痰的濁音，就很可能得加上瀉肺的葶藶來避免肺中水飲、痰飲大幅增加，卻又不能加太多葶藶，以免肺變得太虛弱。

我們回頭來看這次的新冠肺炎。根據有限的資訊，我們知道感染後有大約兩週的潛伏期，這段時間沒有什麼症狀，病人可能只會感到有些疲憊。剛開始發病時，很像一般的感冒，病人會發熱、乏力，並不嚴重，沒有什麼流鼻涕等上呼吸道的症狀，有的甚至沒有發熱。約一半的病人一週多後恢復，另一半的病人卻在一週後出現呼吸困難，有些病人會快速進展為急性呼吸窘迫綜合征、膿毒症休克、代謝性酸中毒、凝血功能障礙等等嚴重的問題，可能導致死亡。

從上面的敘述，我們不難發現，一開始很像一般中醫外感的桂枝湯證、葛根湯證，一半的病人也就自己恢復了，另一半的病人卻出現快速的入裡化熱現象，肺津液迅速流失，非常濃稠的痰飲沈積在肺部下方。同時，中醫認為肺為人體調節津液的源頭，肺金生水，好比天空下雨一般，而當肺的功能及津液調節出現嚴重障礙，很快就會拖累三焦水道、腎臟等的功能，導致上面提到的幾種嚴重病情。換句話說，新冠肺炎可以讓輕微的太陽證外感，迅速發展成嚴重的肺痿肺癰，再進一步瓦解人體其它功能的運作。

怎麼治療？在沒有直接治療武漢肺炎病人的情況下，我們也只能根據有限的資訊來推論，不過，以前大量的流感肺炎治療病例，可以讓我們比較有信心的面對新冠肺炎。當病人已經出現明顯新冠肺炎症狀時，大多已經入裡化熱，嚴重的肺痿肺癰。這個時候，得用大劑量的石膏清肺熱、加強肺津液運作。也得靠葶藶、大戟等把肺下方濃稠的痰飲及胸腔可能的積液去掉，痰飲積液不去，是無法修復肺家津液運作的。同時，肺氣不宣，就好像吸管上頭堵住了，吸管內的水無法上下，我們還得使用麻黃等宣肺、發陽的中藥來配合。另外，肺已經受損了，除了大動作急救外，比較穩定後，還得靠一些潤肺的藥來收尾，讓肺完全恢復。如果我們列一個可能加入的中藥單，大致有石膏、葶藶子、大戟、生半夏、麻黃、射干、紫菀 、款冬花、 生薑、炙甘草、紅棗、麥門冬、杏仁等等。當然，如前面所言，用藥的時機、劑量、藥材比例非常重要，每一個病人的差異也很大，嚴格考驗中醫師的功力與膽識，一旦判斷錯誤，不但沒有效果，反而可能會加重病情。

網上有些中醫師，說新冠肺炎或其它流感肺炎可以用板藍根清熱解毒來治好。也有些中醫師說可以用麥門冬湯等等的輕劑治好嚴重的肺炎。甚至還有些中醫師說多喝綠豆湯可以預防新冠肺炎！其實，真的遇過、治好過禽流感、豬流感等嚴重流感肺炎的中醫師，一看這些文章，就幾乎可以確定這些人根本沒有治療過嚴重肺炎的經驗，充其量只是在西醫治療下，在旁邊幫幫病人一些小忙而已。這樣的情況下，難怪中國政府平時大力推展中醫，真的有如同新冠肺炎這樣重大疫情爆發時，卻看不到中國政府大量使用中醫方法來治療病人、控制疫情。醫學是實戰的學問，沒有大量臨床病例，講得再好聽都是沒有用的，如果希望中醫真的在主流醫學裡站立起來，希望中醫真的能面對大規模的疫情，回歸最基本的臨床療效，才是最重要的，其它都只像是武術表演，而非實際作戰。

From SARS to Novel Coronavirus (COVID-19)

Written in Chinese by Dr. Andy Lee, January 21, 2020
Translated to English by Dr. James Yeh and Dr. Andy Lee, March 28, 2020

The epidemic from Novel Coronavirus is becoming much more serious. Transmissivity among people has been proven. (Note: It's now named COVID–19. The term “Coronavirus” will be used here.) Cases were found in areas beyond Wuhan. It has caused serious attentions from the WHO (World Health Organization) and many countries around the world. The residents in China and the surrounding regions are quite worried and wonder whether it will break out like SARS (2003). (Note: The article was written on January 21, 2020, before Coronavirus became a global pandemic.)

So far, the modern medical field has not found a cure for Coronavirus, but resorts to treating patients’ symptoms only. Any vaccine to treat Coronavirus is still no way in the sight. What do we do? Every time such a situation happens, the topic of using Traditional Chinese Medicine (TCM) is raised (at least among the Chinese communities). There is no exception this time. Many articles related to using TCM on Coronavirus have been popping up on the web. However, unless some TCM doctors who have actually treated many Coronavirus cases, all the discussion would be hypotheses or assumptions. Some hypotheses are worth considering while many others could be quite misleading.

Personally I have not treated patients cases related to Coronavirus. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully, and has published other later blogs which included his involvement in treating those patients. Please refer to his medical blog http://www.DrLee.us.) However, I did treat and cure patients inflicted by other viruses in the past, such as the Bird Flu, Swine Flu, and other influenza. A good amount of those patients were diagnosed as severe pneumonia by large hospitals and were required for isolation or self-quarantine. Hence many of patients and online medical forums online are asking for my opinions about Coronavirus.

As we discussed before, all these viruses from the outbreaks are either newly found or mutated from previous strands. The strand can be different every year. Therefore, people always ask how one can say that the TCM knowledge developed in East Han Dynasty (25-220 AD) would be any useful for treating the modern diseases, let alone the severe ones.

It turns out that TCM does not recognize any virus and does not deal with the concept of which type of virus is microscopically at work. TCM looks at how human bodies would become out-of-balance and react to external stimuli. Once the body is out of balance, what symptoms will exhibit and what reactions will be to adjust the body conditions to regain the balance, hence to reduce the damage to the body to the minimum. Let me take an example to illustrate: when there is a gunfight between the police and bandits, we want to see which direction the shots are coming from, causing casualties of the police force, so that we are able to adjust or reinforce the police power. We have no time to think about which brand of the guns or bullets the bandits use.

Over thousands of years, the external viruses have changed and evolved quite a bit, but the evolution of human beings was quite limited. The human body function, no matter how it was damaged, the symptoms due to the damage of the function, the reactions, and the following progression of the disease still follow certain paths. For this very reason, TCM’s focus on the balance of the human body often surpasses the effectiveness of Western medicine, which focuses more on external treats and the microscopic aspect of how human body’s cells are impacted by the external treats.

From the accumulation of many years of clinical treatment and observations, no matter it is Bird Flu, Swine Flu or other influenza, the bodily ‘damage’ and its progression by the viral attack still follow the description of the classic TCM literature “Treatise on Cold Damage on Miscellaneous Disease” (傷寒雜病論). In short summary, the disease usually starts with “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒), for which is matched to one of the several syndromes named with the corresponding herbal remedies such as “Gui Zhi Tang” (桂枝湯) and “Ge Geng Tang” (葛根湯). Then, the disease moves onto the next stage “Interior Coldness” (裡寒) or “Lung Coldness” (肺寒), which shows the syndromes named as “Xiao Qing Long Tang” (小青龍湯), etc. When the respiratory system is “affected by the coldness”, the body fluid function of the respiratory system gets affected. The circulation function of the lung becomes “Dry and Overheated” (燥热). This would lead to a more serious stage “Heated Interior” (入裡化熱) and would often be matched to its herbal remedy “Da Qing Long Tang” (大青龍湯). Or, even worse, it becomes so-called “mixed coldness and heat” (寒熱夾雜) in the lung. Such a complex situation was extensively discussed in Chapter 7 of the classic literature “Synopsis of Prescriptions of the Golden Chamber” (金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇). At this complex stage, the illness development varies significantly among patients of different preconditions and other variants. It is no longer the situation that a simple herbal remedy can be applied to all the situations. The TCM theory illustrates various treatments by those herbal remedies such as “She Gan Ma Hung Tang” (射干麻黃湯), “Ting Li Da Zao Xie Fei Tang” (葶藶大棗瀉肺湯), ”Ze Qi Tang” (澤漆湯), “Xiao Qing Long Jia Shi Gao Tang” (小青龍加石膏湯), and others.

However, even the disease progressions are similar, the more serious viral attacks like Coronavirus can and often do progress much faster with more severe consequences than the common flu. As described in the previous paragraph, normally the disease progression of the “External Coldness” stage to the more serious “Heated Interior” stage usually takes one to two weeks. It is also often due to the ignorance of the patient or misdiagnosis and treatment of the doctor, which prevents the patient from recovering from this “catching a cold”. In the recent several years though, the time period between the time that the patient did not feel well and the time that the patient is in a serious and complex situation can be as short as 3 to 4 days. We also see the trend that this period gets shorter and shorter. In other words, the disease progression is getting much faster. This phenomenon poses a much higher demand on TCM doctors’ ability to make a quick and proper judgment and sensitivity to the subject matter. TCM doctors must intercept the disease progression before it reaches to a more serious stage, even without obvious symptoms of the next stage. TCM doctors have to timely prescribe the proper herbal remedy in terms of the type of herbs and relative dosages of herbs. Too weak a dosage could not stop the progression while too strong a dosage could worsen the condition also. A misjudgment would not be able the turn the conditions around, but hurt the patient more.

The above can be illustrated by a simple example. A patient caught flu and has symptoms such as heavy coughing, lots of sputum, and difficulty in breathing. From the TCM dialectics, with observations of white tongue coating, clear urine, and feeling chilly, etc., it is clearly caused by “Coldness”. Such a patient typically should be prescribed with “She Gan Ma Hung Tang” (射干麻黃湯) or its variations. However, due to the fast progression of the modern flu, the TCM doctor would need to pay attention to much subtle details such as the dryness of the tongue although it still shows the white coating. In this case, Sheng Shi Gao (Gypsum, 生石膏) might need to be added to the herbal remedy to make sure that the lung would not suffer dryness. Given that Sheng Shi Gao (Gypsum, 生石膏) itself is an ingredicient that is “very cold” in nature, the dosage could not be too strong to make the lung too chilly. At the opposite end of the spectrum, if the sound of the coughing is very ‘deep’, like dense sputum coming from the bottom of the lung, the herbal remedy might need to add Ting Li (Sisymbrium indicum, 葶藶) to clear up the lung to avoid too much mucus in the lung. And again, the dosage of葶藶 could not be too much to weaken the lung. (Note: Handling the proper timing and proper remedy can be a real test to the ability and experience of the TCM doctor.)

Let’s go back to the discussion on Coronavirus. From the limited information available so far, we know that there are about two weeks of incubation period after the infection. There are little symptoms during this period and the patient may just feel more tired than usual. More obvious symptoms will start like those of common flu with fever, fatigue but not too serious. Upper respiratory symptoms like running nose are less common. Some patients may not even exhibit fever. About half of the patients infected will recover over a week or so. The other half of the patients will experience difficulty in breathing, or rapid progression to acute respiratory distress syndrome, septic shock, metabolic acidosis, coagulopathy, etc. Some patients had died due to these severe conditions.

From the above description, this Coronavirus, in the beginning, is very much like the common flu and will stay in stages of “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒). Half of the patients infected will recover by themselves as in common cold. The other half of the patients may exhibit situations of rapid penetration into inner organs and excess ‘heat’, which causes loss of fluidity of respiratory system and accumulation of dense sputum at the lower part of the lung. In the TCM theory, the lung serves as the initial “gating factor” of body fluids. When the lung fails to serve the proper function, other organs like the kidney will be adversely affected also. In other words, Coronavirus can turn a light “External Coldness” to extremely severe “Lung Atrophy” (肺痿) and “Lung Abscess” (肺癰), which in turn will impair the function of other organs.

How to treat? Without direct experience of treating Coronavirus patients, we can only postulate from our limited information available in hand. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully. The treatments were exactly as outlined in this article.) From the ample experience of dealing pneumonia cases caused by flu, we are confident that we can also treat Coronavirus successfully. When patients are showing the obvious Coronavirus symptoms, most of them would have entered the stage of “Heated Interior” (入裡化熱) with “Lung Atrophy” (肺痿) or “Lung Abscess” (肺癰) to a certain degree. At this stage, we will need large dosages of Sheng Shi Gao (Gypsum, 生石膏) to clear the heat to ensure the proper fluidity function of the lung. Also, we will rely on Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), etc. to clear up the dense mucus at the lower part of the lung and to remove the edema of the chest chamber. Without getting rid of the excess mucus and fluid, the lung cannot properly function. We need to use Ma Huang (Ephedra sinica Stapf., 麻黃), etc. to enhance the lung function (宣肺、發陽) and restore proper breathing. When the lung is damaged as in fibrosis, after the conditions stabilize, we need to “moisturize” the lung (润肺) to help the lung to recover fully. In other words, we will most likely use the herbal ingredients such as Sheng Shi Gao (Gypsum, 生石膏), Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), Sheng Ban Xia (Pinellia ternate, 生半夏), Ma Huang (Ephedra sinica Stapf., 麻黃), She Gan (Belamcanda chinensis, 射干), Zi Wan (Aster tataricus, 紫菀), Kuan Dong Hua (Tussilago farfara flower, 款冬花), Sheng Jiang (Ginger, 生薑), Zhi Gan Cao (processed Glycyrrhiza uralensis Fisch., 炙甘草), Hong Zao (Ziziphus jujube, 紅棗), Mai Men Dong (Ophiopogon japonicas, 麥門冬), Xing Ren (Prunus armeniaca, 杏仁), and others. As we discussed in previous paragraphs, the timing, dosage, the relative ratios of different herbal ingredients are very critical. Given that there are quite some variations in patient conditions, the challenges on TCM doctors’ comprehensive knowledge, judgment and courage are unprecedented.

In those articles online, some TCM doctors claimed that Coronavirus can be cured by Ban Lan Gen (Isatis tinctoria root, 板藍根), which is believed to have natural antibiotic chemicals to “clear up the heat and toxics”. Some TCM doctors suggested using a simple mild herbal remedy “Mai Men Dong Tang” (麥門冬湯), which mainly relies on the ingredient Mai Men Dong (Ophiopogon japonicas, 麥門冬). Some people even suggested that having the green bean soup could prevent Coronavirus. In fact, those TCM doctors who have good experience of treating Bird Flu, Swine Flu, and pneumonia caused by other influenza would know that the people making those claims never had the real experience of treating severe pneumonia. They at most helped in a minor way the patients under Western medicine treatments. Under such conditions, it is not a surprise that the China government has not used TCM as the primary method of treating Coronavirus, despite its big promotion of TCM in the recent years. (Note: After this writing, Coronavirus epidemic became so severe in China that the China government changed its strategy and started to use TCM extensively in treating many mild Coronaviurs cases.)

Medicine is the science based on real treatment results. Without a good amount of successful cases in clinical treatments, it is useless to promote any fancy idea of treating patients. If we would like TCM to be respected in the mainstream medicine and to be meaningfully used in a severe epidemic like Coronavirus, it is critical to focus on the most fundamental. That’s the clinical results. Like the martial arts, unless you can fight off the bad guys, it’s just a show of fancy movements.

（http://andylee.pro/wp/?p=7169）
#當張仲景遇上史丹佛

國家中醫藥管理局：清肺排毒湯治療總有效率可達90%以上

中國國家中醫藥管理局2月6日重大公佈，以東漢張仲景所著「傷寒雜病論」中多個方劑組合的「清肺排毒湯」，在4個試點救治確診病例214例，3天的治療下，60%以上患者症狀和影像學表現改善明顯，30%患者症狀平穩且無加重，總有效率可達90%以上。

「清肺排毒湯」的基本組合，可以說是大青龍湯、射干麻黃湯、五苓散等為主的藥方，是很典型的經方開藥方式，我在1月21日文章「從非典到武漢肺炎」（http://andylee.pro/wp/?p=7169） 裡討論過多年來嚴重流感肺炎的進程，列出大青龍湯及射干麻黃湯的加減，同時，這也是我們在通許人民醫院成功治癒武漢肺炎的治療方向。唯國家中醫藥管理局發佈的「清肺排毒湯」為通方，期望能同時適用於輕型、普通型、重型的患者，劑量偏輕，大青龍湯變成了麻杏甘石湯，也沒有列出葶藶子、大戟等加減，對於病情偏重，或肺積水、胸腔積液的病人，可能力度不夠。不過，這是我看過各級政府發佈中醫治療武漢肺炎的指導中，最到位的一個，也直接推崇「傷寒雜病論」的經方思維。更欣慰的是，這是中國中醫最高管理單位發出的指示，這間接肯定了我們多年來推廣經方中醫的努力。

（Facebook不准連結中國國家官方網頁，讀者得把下面分開的網址連起來，得到網址：http:// bgs .satcm.gov .cn/gongzuodongtai/2020-02-06/12866.html）

中医药有效方剂筛选研究取得阶段性进展 – 试点省份临床观察显示：清肺排毒汤治疗总有效率可达90%以上

国家中医药局坚决贯彻落实习近平总书记重要指示精神，把人民群众生命安全和身体健康放在第一位，加速推进中医药防治新型冠状病毒感染的肺炎科研攻关工作。日前，由该局组织实施的应急科研专项已取得阶段性进展，据4省试点临床观察显示，清肺排毒汤治疗新型冠状病毒感染的肺炎患者总有效率可达90%以上。

据悉，1月27日，国家中医药局以临床急用实用效用为导向，紧急启动“防治新型冠状病毒感染的肺炎中医药有效方剂筛选研究”专项，在山西、河北、黑龙江、陕西四省试点开展清肺排毒汤救治新型冠状病毒感染的肺炎患者临床疗效观察，重点观察确诊患者乏力、发烧、咳嗽、咽痛、纳差等症状及影像学表现变化情况，旨在迅速找到针对本次疫病有良好疗效乃至特效的核心方药。

据统计，截至2月5日0时，4个试点省份运用清肺排毒汤救治确诊病例214例，3天为一个疗程，总有效率达90%以上，其中60%以上患者症状和影像学表现改善明显，30%患者症状平稳且无加重。

据专家介绍，清肺排毒汤由汉代张仲景所著《伤寒杂病论》中的多个治疗由寒邪引起的外感热病的经典方剂优化组合而成，组方合理，性味平和，可用于治疗新型冠状病毒感染的肺炎轻型、普通型、重型患者，在危重症患者救治中也可结合患者实际情况合理使用。该方也可用于普通感冒和流感患者。但该方为疾病治疗方剂，不建议作为预防方使用。

清肺排毒汤

麻黄9g 炙甘草6g 杏仁9g 生石膏15～30g（先煎）

桂枝9g 泽泻9g 猪苓9g 白术9g

茯苓15g 柴胡16g 黄芩6g 姜半夏9g

生姜9g 紫菀9g 冬花9g 射干9g

细辛6g 山药12g 枳实6g 陈皮6g

藿香9g

务必使用传统中药饮片，水煎服，一天一付，早晚两次(饭后40分钟)，温服。

如有条件，每付药服用后服大米汤半碗，舌干津液亏虚者可多服至一碗。

3付一个疗程。(注意：如果患者不发烧则生石膏的用量要小，发烧或壮热加大生石膏的用量。)

（http://andylee.pro/wp/?p=7285）
#當張仲景遇上史丹佛

連花清瘟膠囊有效嗎? | 连花清瘟胶囊 | COVID-19 | 新冠病毒 | Lianhua Qingwen Jiaonang
隨著新冠肺炎疫情不斷的升溫(VUI) , 民眾產生恐慌的心情 , 急著要找救命的稻草 . 因此市面上出現許多防疫產品 , 連花清瘟膠囊就是其中一種 , 並且透過商家的炒作 , 價格水漲船高 , 它到底能不能預防或治療新冠病毒呢? 完整看完這期的影片 , 你就不會再有疑惑了 .

章節
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0:40 連花清瘟膠囊有效或無效的看法互動
0:57 連花清瘟的處方解析
1:50 連花清瘟的13味藥物性味功效介紹
4:45 中藥的定義(以黃連這味藥物舉例)-連花清瘟是中藥嗎?
6:08 上海感染科張文宏主任對連花清瘟的看法
7:00 劑量是影響藥物有效或無效的關鍵因素之一(病重藥輕)
9:55 從預防及治療的角度審視連花清瘟膠囊
10:56 麻黃在美國及馬來西亞是禁藥 , 所以連花清瘟在美國及馬來西亞......

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