nose mucus的八卦，Yahoo名人娛樂都在討論

ไม่เคยติดเชื้อไวรัส! นักข่าวลงพื้นที่กว่า 30 ครั้ง
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ท่ามกลางภาวะ COVID-19 ระบาดไปทั่วเช่นนี้ เราน่าจะได้ยินคำแนะนำจากผู้เชี่ยวชาญหลายๆ คนถึงวิธีการปฏิบัติตัวไม่ให้สุ่มเสี่ยงต่อการรับเชื้อ และนี่คือคำแนะนำจาก ลอรี การ์เร็ตต์ (Laurie Garrett) ผู้สื่อข่าวด้านสาธารณสุข เคยคว้ารางวัล Pulitzer จากงานเขียนด้านวิทยาศาสตร์ เคยใช้ชีวิตอยู่ในประเทศจีนและฮ่องกงนานหลายเดือนในช่วงที่โรคซาร์ส (โคโรนาไวรัส SARS-CoV) ระบาดเมื่อปี 2003

การ์เร็ตต์เดินทางมายังจีนและฮ่องกงเพื่อสัมภาษณ์ผู้คนที่ติดเชื้อ หมอและพยาบาล ตลอดจนรัฐบาลหรือตำรวจที่มีส่วนเกี่ยวข้องกับไวรัสนี้ การ์เร็ตต์ใช้เวลาอยู่ในประเทศจีนนานหลายเดือนเพื่อเก็บข้อมูล และไม่ติดเชื้อไวรัสซาร์สเลย แม้กระทั่งเมื่องานเสร็จและเธอเดินทางกลับตะวันตก

“ฉันไม่กังวลแม้สักนิดด้วยซ้ำว่าตัวเองจะมีโอกาสติดเชื้อหรือเปล่า ทั้งที่ใช้เวลาอยู่กับผู้ป่วยแบบตัวต่อตัวเยอะมาก” เธอว่า “นั่นเพราะฉันรู้ว่าควรป้องกันอย่างไร และนี่คือสิ่งที่ฉันอยากแนะนำค่ะ”

นี่คือ ’10 ข้อควรทำ’ ที่ช่วยให้การ์เร็ตต์รอดพ้นจากการติดโรคซาร์สเมื่อปี 2003 มาได้

1. สวมถุงมือทุกครั้งเมื่อออกจากบ้าน – อาจจะเป็นทั้งถุงมือยางหรือถุงมือสำหรับใส่ในฤดูหนาวก็ได้ สวมทุกที่ทั้งเมื่อใช้บริการรถไฟสาธารณะ รถเมล์และในสถานที่ต่างๆ

2. ถ้าอยู่ในสถานการณ์ที่ต้องถอดถุงมือออก – เช่น ต้องจับมือหรือกินอาหารในร้าน จำไว้ว่าห้ามยกมือขึ้นมาจับใบหน้าหรือดวงตาเด็ดขาด ไม่ว่าจะเกิดการคันหรือระคายเคืองแค่ไหน จงเอามือให้ห่างจากใบหน้ามากที่สุด และก่อนจะสวมถุงมือก็อย่าลืมล้างมือด้วยสบู่และน้ำอุ่นเสมอ ถูระหว่างนิ้ว แล้วจึงสวมถุงมือกลับไปใหม่ได้

3. เปลี่ยนถุงมือทุกวัน – ระหว่างนี้ก็ซักถุงมือไว้ได้ หลีกเลี่ยงการใช้ถุงมือที่ยังไม่แห้งด้วย

4. หน้ากากไม่ค่อยมีประโยชน์เมื่ออยู่นอกอาคาร และก็ไม่ค่อยช่วยอะไรเหมือนกันเมื่ออยู่ในตัวอาคาร – หน้ากากส่วนใหญ่เสื่อมสภาพลงหลังจากใช้แล้วหนึ่งหรือสองครั้ง การใช้หน้ากากซ้ำๆ กันจึงให้ผลลบยิ่งกว่าไม่ใช้เลยเสียอีกเพราะมันสกปรกไปแล้วทั้งยังเต็มไปด้วยแบคทีเรียที่อยู่แถวๆ จมูกและปากคุณ โดยส่วนตัวแล้วฉันแทบไม่ได้ใช้หน้ากากเลยในช่วงที่ซาร์สระบาด แถมฉันยังเคยผ่านการระบาดของโรคต่างๆ มาแล้วกว่า 30 ครั้งด้วย

อันที่จริง ฉันพบว่าวิธีที่ดีกว่าคืออยู่ให้ห่างจากฝูงชน และรักษาระยะหางกับทุกคนที่เข้ามาเสมออย่างน้อยก็ครึ่งเมตรหรือ 1.5 ฟุต เป็นมาตรฐานเลย แล้วก็ถ้ามีใครไอหรือจาม ฉันก็จะให้หน้ากากเขาไปสวมเพื่อป้องกันตัวเองจากละอองเสมหะที่หลุดออกมา แล้วจึงจากไป และอย่าไปจับมือหรือกอดคนเด็ดขาด ความสุภาพเป็นเรื่องรอง บอกเขาไปว่าการไม่จับมือหรือกอดน่าจะเป็นการดีสำหรับทั้งคุณและอีกฝ่ายมากกว่าในช่วงที่มีการระบาดแบบนี้

5. สำหรับเครื่องใช้ในบ้าน เอาผ้าเช็ดตัวหรือผ้าขนหนูใช้แล้วออกมาจากห้องน้ำและห้องครัวทันทีเมื่อใช้เสร็จ – และค่อยเอาผืนใหม่ที่สะอาดแล้วไปแทน ระบุชื่อของสมาชิกในครอบครัวลงไปแต่ละผืนด้วย ให้ทุกคนในบ้านใช้ผ้าของใครของมัน อย่าไปจับผ้าของคนอื่นๆ ในบ้านเด็ดขาด ซักผ้าเช็ดตัวเหล่านี้สัปดาห์ละสองครั้ง ผ้าเช็ดตัวชื้นๆ นี่แหละที่เป็นแหล่งเพาะพันธุ์อันดีของเหล่าไวรัส ทั้งหวัด ไข้หวัดใหญ่ รวมถึงโคโรน่าไวรัสด้วย

6. ระวังการใช้ลูกบิดอยู่เสมอ – เป็นไปได้ให้ปิดหรือเปิดประตูด้วยข้อศอกหรือไหล่เสมอ หากไม่ได้ก็ให้สวมถึงมือก่อนจับประตูหรือไม่ก็ล้างมือให้สะอาดหลังจับลูกบิด ถ้าใครในบ้านมีอาการป่วยขึ้นมา ก็ต้องเช็ดลูกบิดประตูอย่างสม่ำเสมอ อย่าลืมแถวๆ ราวบันได หน้าต่าง โทรศัพท์ ของเล่น คอมพิวเตอร์ หรืออะไรก็ตามที่มือคนเราจับได้ ตราบใดก็ตามที่คุณเป็นคนใช้อุปกรณ์ชิ้นนั้นคนเดียวก็ไม่เป็นอะไรหรอก แต่ถ้าต้องไปใช้โทรศัพท์ เครื่องครัว หรือคีย์บอร์ดคอมพิวเตอร์ของคนอื่น ก็ระวังอย่าเอามือมาแตะหน้า และอย่าลืมล้างมือในทันทีด้วยนะ

7. หากต้องกินอาหารร่วมกัน ใช้ตะเกียบและอุปกรณ์การครัวทุกอย่างแบบของใครของมันในการตักอาหารจากจานเสิร์ฟ – บอกเด็กๆ ว่าห้ามดื่มน้ำหรือนมจากภาชนะของคนอื่นเด็ดขาด แล้วโดยทั่วไปแล้ว ชาวจีนนิยมใช้ตะเกียบดึงกับข้าวจากจานกลางมาตักใส่จานของตัวเอง จำไว้ว่าห้ามทำเช่นนี้เด็ดขาดจนกว่าโรคระบาดจะหมดไป ให้ใช้ช้อนตักเสิร์ฟอาหารแต่ละชนิดลงในจานของใครของมัน อย่าใช้ตะเกียบหรืออุปกรณ์การครัวที่ต้องเข้าปากร่วมกับคนอื่น จากนั้นอย่าลืมทำความสะอาดห้องครัวทันที หลีกเลี่ยงการไปกินอาหารในร้านที่ดูไม่ถูกสุขลักษณะ

8. ไม่บริโภคเนื้อสัตว์แบบดิบๆ – รวมถึงเนื้อปลาด้วย จนกว่าจะรู้ว่ามันเป็นแหล่งกำเนิดของไวรัสหรือเปล่า

9. หากสภาพอากาศเป็นใจ อย่าลืมเปิดหน้าต่าง – ไม่ว่าจะในที่ทำงานหรือในบ้าน ให้อากาศได้ถ่ายเทบ้างเพราะไวรัสมีชีวิตอยู่ได้ไม่นานนักที่สถานที่โปร่ง แต่ถ้าวันนั้นอากาศหนาวหรือไม่ดีนัก ก็จงอยู่ในที่อบอุ่นและปิดหน้าต่างไว้ดีกว่า

10. หากมีสมาชิกในบ้านหรือเพื่อนที่เป็นไข้ – อย่าลืมสวมหน้ากากที่ป้องกันได้ดีเมื่อต้องอยู่ใกล้พวกเขา และถ้าต้องเอาหน้ากากใช้แล้วของผู้ป่วยไปทิ้งก็ต้องระมัดระวังให้มากๆ เพื่อผลประโยชน์ของคุณเอง อย่าลืมว่าหน้ากากนั้นเต็มไปด้วยเชื้อไวรัส หากต้องจับมันอย่าลืมสวมถุงมือยาง ทิ้งลงในถุงแล้วจึงปิดปากถุงให้สนิทแล้วค่อยทิ้งลงถังขยะ

หากต้องดูแลผู้ป่วย ให้สวมถุงมือยางระหว่างเช็ดเนื้อเช็ดตัวให้พวกเขาด้วยน้ำอุ่นและสบู่ ใช้ผ้าเช็ดตัวแบบใช้แล้วทิ้ง (อย่าลืมทิ้งในถุงแล้วปิดปากให้สนิท) สวมเสื้อแขนยาวและกางเกงขายาวระหว่างดูแลผู้ป่วย ทำความสะอาดทุกอย่างที่ผู้ป่วยสวมหรือใช้ด้วยน้ำร้อนและสบู่ หากมีพื้นที่ก็ให้แยกผู้ป่วยออกไปอยู่ในห้องหนึ่งเป็นพิเศษหรืออยู่ตรงมุมห้องที่พวกเขาไม่อึดอัดเพื่อกันไม่ให้สมาชิกคนอื่นๆ ของบ้านติดไวรัสไปด้วย หากอากาศดีก็เปิดหน้าต่างจากอีกฝั่งหนึ่งของห้อง เพื่อที่ลมจะได้พัดผ่านผู้ป่วย แต่ถ้าอากาศไม่ดีก็ปิดหน้าต่างดีกว่าเพื่อไม่ให้พวกเขาป่วยหนักยิ่งกว่าเดิม



อ้างอิงข้อมูลจาก:
foreignpolicy.com

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Never been infected with the virus! More than 30 reporters on the ground.
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In the midst of this COVID-19 epidemic, we've heard several expert advice on how to take action from randomly taking leavening. Here's a recommendation from Lori Garrett (Laurie Garrett), a public health reporter. Used to win Pulitzer from Science Writing, living in China and Hong Kong for months during the SARS (Coronavirus SARS-CoV) epidemic in 2003

Garrett traveled to China and Hong Kong to interview people infected with doctors and nurses, government or police involved with this virus. Garrett has spent months in China to collect information and not infected with the SARS virus. Even when work is done and she travels back west

′′ I don't even worry if I have a chance to get infected, even I spend a lot of time with my own face-to-face patients She says That's because I know how to protect and this is what I want to recommend

Here are ' 10 Should Do s' that helped Garrett get rid of SARS in 2003

1. Wear gloves every time when you leave home - it may be rubber gloves or winter gloves. Wear anywhere when public rail service, buses and places.

2. If you are in a situation where you have to take your glove off - such as holding hands or eating food in a store. Remember, you can't put your hands on your face or eyes. No matter how itchy or irritating you are, take your hands off your face as long as you want. Don't forget to wash your hands with soap and warm water. Rub between your fingers and fingers and wear gloves back.

3. Change gloves every day - while washing gloves. Avoid using gloves that are not dry.

4. Masks are not useful when you are indoors and don't help anything. When you are in the building - most of the masks deteriorate after one or two uses. Repeatedly using the mask, it gives you more negative results than not using it. Because it's dirty, it's full of them. The bacteria around your nose and mouth. I personally don't have a mask during the SARS epidemic. And I've been through 30 of these diseases.

Infact, I found a better way to stay away from the crowd and keep the tail between everyone who comes in, at least half a meter or 1.5 ft. And if anyone coughs or sneezes, I'll put their mask on to protect themselves. From a mucus drizzle, go away and don't hold hands or hug a person. Courteousness is a second. Tell him that no handshake or hug would be better for you and the other than during this outbreak.

5. For home appliances, take a towel or towel immediately out of your bathroom and kitchen when you're done - and take a clean new one instead. Identify your family member's name. Let everyone in their home use their clothes. Don't go. Catching other people's clothes in the house. Washing clothes. Twice a week. Humid towel. This is a good breeding source of viruses. Influenza and coronavirus.

6. Always be careful of using knobs - it's possible to close or open the door with elbows or shoulders. If you don't get it, you should wear it before you hold the door or wash your hands. If anyone in the house has an illness, you need to be Always wipe your door knobs. Don't forget around the row, stairs, windows, phones, toys, computer, or whatever your hand can handle. As long as you're the only one using that device, it's okay. But if you have to use your phone, cookware or computer keyboard, please be careful. Don't touch your face and don't forget to wash your hands immediately.

7. If you have to eat together, use chopsticks and kitchen supplies. Anyone else's type to scoop food from a serving plate - tell kids that you don't drink water or milk from other people's containers. Chinese people generally use chopsticks to pull rice. From medium to medium plate, let's take it on your own plate. Remember, don't do this until the plague is gone. Use a spoon to serve each food in its own plate. Don't use chopsticks or kitchen equipment to join other people. Don't forget to clean your kitchen immediately. Avoid eating in a restaurant that doesn't look hyg

8. not consuming raw meat - including fish meat, until you know if it's a viral source.

9. If the weather is a heart, don't forget to open the window - either at work or in the home, let the weather be temporarily because the virus is not alive at all. But if it's cold or bad, stay warm and close the window. It's better to keep it.

10. If you have a home member or friend who has a fever - don't forget to wear a mask that protects well when you are near them. If you have to put away your patients, you need to be very careful for your own benefit. Don't forget that the mask is full of virus. Don't forget to put rubber gloves in your bag and close your mouth to the bag and then throw it in the garbage.

To take care of patients, wear rubber gloves between wiping them with warm water and disposable towel soap. (Don't forget to leave them in the bag and close your mouth). Wear long sleeve shirts and trousers while taking care of their patients. Wear or use with hot water and soap. If you have space, separate patients in one room or in a corner of a room where they are uncomfortable. Other members of the house are infected with virus. If the weather is good, open the window from the other side. One of the rooms so that the wind can blow through the patients. But if the weather is bad, better close the windows so they won't be sick even more.



Reference from:
foreignpolicy.com

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I’m not religious but I’d like to share a testimony today with everyone. I just flew from Taipei to Kuala Lumpur and earlier when I was at KLIA immigration queuing to get my passport stamped, there was a boy who looked to be around 14-16 years old in front of me. He was with his father and they were both Singaporean. The boy looked decent and was well-spoken but then something really disgusting happened.

He started digging his nose with his index finger and eating, YES eating the “gold” that he dug out from his nose. And mind you he did this not once but multiple times while having a deep discussion about flight miles and seat arrangements on different airlines with his Dad. His Dad could see what his son was doing, but did not stop him and continued talking. I was like WTFFF if that’s my son I’m immediately telling him off for being such an unhygienic prick and we’re in KL there’s so much good food that awaits can you not wait and not makan your freaking pi sai and please behave your Singaporean ass can dont not throw our damn face eh sai bo 😫

What really irked me was that when you go through immigration, they require your index fingerprints to be scanned and I was really afraid I’d end up at the same counter as the boy and have to place my index fingers on the damn scanner that he just placed his disgusting, sticky, mucus-stained index fingers on. I prayed that I wouldn’t be at the same counter but to my dismay, his father asked him to go first and I seemed doomed to end up at the same counter as the gold digging boy. But all of a sudden just as I was about to walk to that doomed mucus stained counter, a new immigration officer turned up and OPENED A NEW COUNTER and immediately gestured for me to come over.

I WAS SOOOO RELIEVED & ELATED but at the same time felt really bad for the Angmor dude behind me. Oh well! Hope you guys enjoyed my testimony. My prayers were answered today 🙏🏻

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）
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These few days, I’ve either been running after Isaac with a tissue or running away from him from smearing his mucus on me. It got to a point that I just let myself use my sleeve to wipe the guy's nose. He gets so aggravated so I have to swipe like a ninja because he knows when I reach for a tissue. He's still very cheerful compared to his father who is struck down with the same thing. We like to call it man flu. We’re quite excited since we got a lot to look forward to this month. We’ll be saying hello to our new home and new car soon! Can't wait to share with you guys soon. The best part is, hopefully Chubbi and Domo will be joining us next month too!! *throws glitter*

Love, the Bubz family xo




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- This video goes over the types of over-the-counter drugs (and other drugstore items like condoms and birth control!) that are available in Japan, as well as their current price as of March 22, 2012, and their price converted to US dollars at the current exchange rate of $1 to ¥82.71. I apologize for any inconsistencies with the exchange rate--I edited this video over the course of a few days so the rate may have changed marginally throughout that time!

As for the drugs that are illegal to bring: anything that contains more than 10% pseudoephedrine. To summarize wikipedia: Pseudoephedrine can be found in antihistamines, anti-mucus drugs, anti-cough drugs, pain relievers and NSAIDs (like aspirin or ibuprofen). Because pseudoephedrine can be used to make meth, many drug companies have begun producing products with reduced amounts or no pseudoephedrine, so not all of the above listed types of drugs will contain it. Just make sure you check before you bring any medicine to Japan!

Link to pictures: http://www.photobucket.com/japandrugs

Video Contents:
0:57 - Three levels of over-the-counter drugs
1:18 - Vitamins
2:06 - Colds
2:22 - Hay fever (allergies)
2:36 - Placenta?
2:45 - Sleep/Wake Aids, Children's, Travel Sickness
3:03 - Athlete's foot/Rash creams
3:17 - Contact lens solutions
3:24 - Eye drops
3:28 - Indigestion
3:34 - Probiotics
3:51 - Overeating (heartburn/gas)
3:59 - Constipation
4:04 - Runny nose
4:09 - Sore throat
4:15 - Women's health
4:52 - Nicotine patches/gum
4:57 - Muscle pain
5:06 - Condoms/Pregnancy tests
5:11 - Protein/Energy powder drinks
5:17 - Chinese(?) energy drinks
5:29 - How I smuggled prescription drugs into Japan

Spanish subtitles thanks to: Ricardo J. Alvelo Guerrero
Want to help us subtitle videos?
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【You can also find us:】
×Gaming channel: http://www.youtube.com/user/RachelandJunGame
×Extra videos: http://www.youtube.com/user/RachelandJunExtra
×Jun's Kitchen: http://www.youtube.com/user/JunsKitchen
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×Our blog: http://rachelandjun.blogspot.com/

2012年5月6日/2歳11ヶ月　Rino playing with a big stuffed toy of Anpan-Man.
The mom said "The stuffed toy is size same as you!" to her.
She while embraced a stuffed toy and sits down on a chair together while saying "I can have a stuffed toy!".
Then she sneezed suddenly.
Mucus has flowed from her nose.
A mom was funny and has laughed.
She has laughed, too :)

何度も見てきた光景（笑）

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