Congratulations to Daren Tang on his official appointment as the Director General of the World Intellectual Property Organization. This is the first time a Singaporean will head a United Nations agency.
Daren will take over in Geneva on 1 October from Dr Francis Gurry, who has been DG for the last 12 years. Daren has big shoes to fill, but I am confident he will lead WIPO to shape a vibrant and progressive global intellectual property community.
COVID-19 has thrown up new IP protection issues. The right balance will have to be found between enabling discoverers and inventors to profit from their IP, and the public’s interest in quick, affordable and desperately needed drugs, tests, and treatments. I wish Daren and the WIPO team all the best in their mission to support creativity and innovation, and maximise the benefit to humanity. – LHL
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#獨家 世界衛生組織將台灣問題相關聲明稿下架!
世界衛生組織(WHO)在台灣時間今(6)日凌晨以 "How the World Health Organization works with all people, everywhere" 為題發了一篇聲明稿,試圖為排除台灣參與 WHO 辯解。不過這篇聲明卻在不到 24 小時內就被 WHO 網站下架,直至晚間6時30分仍呈現「找不到網頁」(This page cannot be found),《沃草》透過世衛網站暫存紀錄,獨家為大家揭露該篇聲明內容。
聲明中,WHO仍稱與台灣相關的事務為「中國台灣事務」( Taiwan, China issues),針對全球的種種批評,WHO 仍稱之為誤解(misunderstandings),並聲稱是有些人將「技術性的維護全球公共健康任務」與「決定 WHO 會員資格的權限」混淆,似乎打算以此來回應國際要求讓台灣加入 WHO 的呼聲。
聲明中多處重申 WHO 在 3 月 29 日公布的聲明(https://waa.tw/Qsu21N),認為 WHO 與台灣設有聯絡點、台灣專家曾參與 WHO 會議等,並表示台灣參與世界衛生大會的觀察員資格是在一次次的會員國投票中遭到否決,以及提起讓中華人民共和國取代中華民國聯合國席位的聯合國 2758 決議文,表示世界衛生大會遵循此決議及其中的一中原則。
似乎是為回應全球對 WHO 應對流行病能力的質疑,WHO 在聲明中表示「有些人可能認為 WHO 成員組成影響我們維護世界安全的能力,但更重要的是要了解我們的治理方式和實踐方式。」
暫存檔網址:https://waa.tw/dohkIm
聲明截圖:https://drive.google.com/file/d/1VP-KMgP4wb6Oy8jQkOjoSu-DWGS3Xqkb/view
原新聞稿網址:https://waa.tw/lFKd8M
(以下為世界衛生組織聲明原文)
標題:Update: How the World Health Organization works with all people, everywhere
發表時間:5 April 2020 Statement
內文:
In recent months we have seen misunderstandings in social media and the news media about how WHO manages global public health issues. In particular, there are a lot of questions about Taiwan, China issues. Some people are confusing WHO’s technical global public health mandate, with the mandate of countries to determine WHO’s membership. Countries decide this. The WHO Secretariat focuses on keeping the world safe.
WHO works to promote the health of all people, everywhere. Indeed, one of our overarching goals is Universal Health Coverage. #healthforall. We are an organization with a staff of physicians, scientists, researchers and public health experts who are committed to serving all people regardless of nationality, race, ethnicity, religion, gender.
This includes the people of Taiwan. We serve them through regular interactions with their experts and authorities on vital public health issues. This has been the case over many years, including during the COVID-19 pandemic.
It is understandable that some people might think that the composition of WHO’s membership affects our ability to keep the world safe. But it is important to understand both how we are governed and how we operate in practice.
WHO is part of the United Nations, whose membership is the mandate of countries. In 1971, countries of the world participating in the United Nations General Assembly recognized the People’s Republic of China as “the only legitimate representative of China,” in effect, a one-China policy. That is contained in UNGA Resolution 2758. In 1972, the World Health Assembly decided in WHA Resolution 25.1 to follow that.
Every year, members have a chance to discuss important proposals during the World Health Assembly, where rules and policies governing WHO are decided. For example, at different times, some countries have proposed giving Taiwan’s authorities a special status – that of observing the annual World Health Assembly.
There have been 14 times over the last 22 years (1997-2006; and in 2008, 2017, 2018, 2019) when countries discussed whether a delegation from Taiwan could attend the World Health Assembly as an observer. Each time the countries decided against it by consensus – except in 1997 and 2004 when there were votes: (by 128 votes to 19 in 1997; and by 133 votes to 25 in 2004). In 2007, the issue wasn’t observer status, but membership, and countries decided against considering that by a vote of 148 to 17.
There have been occasions when it was clear that there was general support among WHO countries for Taiwan to take an observer seat at the World Health Assembly. Between 2009 and 2016, it did so under the name “Chinese Taipei.”
But having a seat at the WHA, or not having a seat at the WHA, does not affect, in any way, whether an area or population benefits from WHO expertise and guidance. WHO helps all people, everywhere.
WHO and Taiwan’s health experts interact throughout the year on vital public health and scientific issues, according to well-established arrangements.
During the current COVID-19 pandemic, interactions have been stepped up, both through existing channels and new ones as well.
Here are examples of WHO-Taiwan interactions around the coronavirus pandemic:
-- There is an established International Health Regulations (IHR) Point of Contact (POC) for Taiwan. Taiwan’s POC receives IHR (2005) communications, provides IHR information updates from Taiwan directly to WHO Headquarters, and has access to the IHR Event Information Site (EIS) system. The EIS system is a password-protected database and information exchange platform supporting the IHR. It is the well-established platform for all IHR communications, back and forth, between WHO and IHR contacts.
-- Health experts from Taiwan participate in two of the key WHO networks set up in January 2020 to support WHO work in the global COVID-19 response. Three experts from Taiwan are part of the WHO Infection Prevention and Control Network: two are part of the WHO Clinical Network. Every week, they join some 60 to 80 other experts from around the globe through a WHO-hosted teleconference, working to advance our knowledge and guidance in this response.
-- Two public health experts from Taiwan participated in the Global Research and Innovation Forum organized by WHO on 11-12 February 2020. They took part, alongside other world scientists, in considering critical research questions and in finding ways to work together to advance the response.
-- Taiwan’s Field Epidemiology Training Program is a member of the Training Programs in Epidemiology and Public Health Interventions Network (also known as “TEPHINET”). WHO shares Global Outbreak Alert and Response Network alerts and requests for assistance with TEPHINET, and those messages are cascaded to the TEPHINET members.
-- WHO, through its technical lead, has directly briefed health authorities from Taiwan and has offered again.
--Taiwan’s health experts and authorities have open access to developments, guidance and other materials through the WHO’s website (www.who.int) and other digital platforms.
--They can access the www.OpenWHO.org platform, which hosts open online courses for decisionmakers and responders around the world. During the COVID-19 pandemic, OpenWHO usage has reached more than 1 million.
--WHO has a designated contact point with their office in Geneva. Through this channel, general questions are handled and when technical concerns arise, WHO technical responses are coordinated.
--WHO also interacts with Taiwan’s health authorities through the European Centre for Disease Prevention and Control.
Importantly, the COVID-19 caseload in Taiwan is low relative to population. We continue to follow developments closely, and WHO is taking lessons learned from all areas.
Interactions with Taiwan during the response to the pandemic is not exceptional. Here are some examples of regular interactions with Taiwan’s health authorities and WHO, over many years, through well-established arrangements, and across many different global health concerns:
Over the course of 2019, Taiwan’s experts were invited to attend 9 WHO technical meetings. They attended 8 of these meetings, contributing to WHO expert processes on issues including immunization, drug-resistant TB, assistive technologies, vaccine safety and SDG targets on NCDs and Mental Health. Prior to the Covid-19 emergency, work was underway for more expert participation from Taiwan in 2020.
On influenza, Taiwan vaccine manufacturer Adimmune contributes to the WHO Pandemic Influenza Preparedness Framework (PIP Framework) and preparations are underway for concluding an agreement between WHO and Adimmune under the PIP Framework for pandemic influenza vaccine products;
In the fight against cancer, experts from Taiwan have contributed to key publications issued by the WHO International Agency for Research on Cancer;
In support of the International Health Regulations, an expert from Taiwan has been appointed to the IHR Expert Roster; and
On a range of other issues, from WHO pre-qualification practices for pharmaceutical manufacturers to malaria, there are exchanges with WHO on practical and technical issues.
It is fair to say that the contribution of Taiwan’s health experts to WHO, and their interactions with us, are well-developed and broad-based. And these interactions add value to the work of WHO and to global health.
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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
take the lead organization 在 pennyccw Youtube 的評價
Allen Iverson's eighth career 40-point game had a nice little unexpected bonus -- a victory for the Philadelphia 76ers.
Iverson scored 41 points, upstaging Shaquille O'Neal and Kobe Bryant, as the 76ers defeated the Los Angeles Lakers, 105-90, for their fourth win in five games.
In two-plus seasons, Iverson had seven previous games with 40 or more points and the 76ers lost them all. On February 12, the NBA scoring leader had a league season-high 46 points in a 98-94 loss to the San Antonio Spurs.
"When I score 40 points, we've lost," Iverson said. "Tonight, we won, and I guess I finally got the monkey off my back. I didn't know what I had until I came out of the game at the end and looked up at the scoreboard. I saw what I had and said, `I hope it doesn't come back to haunt me.'"
Working primarily against Philadelphia native Bryant, Iverson shot 17-of-36 from the field. He scored between nine and 12 points in every period and added a season-high 10 assists and five rebounds.
"I wanted to get off to a good start," Iverson said. "Some earlier shots were going off the rim, then all of a sudden, my shots began to drop. My teammates began to get the ball to me, they did a good job as always of getting me the ball in the right spot, and I was able to make the big shots at the end."
"The little kid was phenomenal," Sixers coach Larry Brown said. "I had to take him out at the beginning just to calm him down because he was really wired. Yeah, he took a lot of shots, but for the most part, his selection was good."
With 55 seconds left, he exited to a thunderous ovation and a chant of "Beat LA" from the First Union Center crowd that recalled the rivalry between these teams from a generation ago.
O'Neal and Bryant scored 23 points each for the Lakers, who fell to 1-3 on their six-game road trip. Los Angeles has lost its last three meetings with Philadelphia, with Iverson averaging 34.3 points. The 76ers had not beaten the Lakers three straight times since the 1981-82 and 1982-83 seasons, when the teams met in consecutive NBA Finals.
"This team has come a long way," Brown said. "I hope we can keep a level head, where they can expect to play well against the good teams, as well as playing well against teams with records worse than theirs."
Lakers forward Dennis Rodman missed his fourth straight game due to an excused absence for personal reasons. With the mercurial Rodman in the lineup, Los Angeles is 9-0. Without him, it is just 8-9.
"We'll welcome him with open arms when he comes back," Lakers coach Kurt Rambis said. "But I have no idea when he's coming back."
"He's obviously a factor," O'Neal said. "He has personal problems, whatever that means, nobody really knows. I don't think about it. I know the organization will do what they have to do."
O'Neal was saddled by foul trouble, eventually fouling out with just four rebounds midway through the final period. He also missed 5-of-12 free throws and committed five turnovers.
Iverson thoroughly outplayed O'Neal and Bryant in the third quarter, when the Sixers took control. After a 3-pointer by Glen Rice -- his first basket of the game -- gave the Lakers a 56-54 lead, Iverson made a jumper and 3-pointer and set up two baskets during a 12-2 burst that gave Philadelphia a 66-58 lead with 5:50 remaining.
Iverson buried a 22-footer to trigger a 6-0 spurt. Tyrone Hill and Aaron Mckie made free throws before Iverson fed Theo Ratliff for a dunk and a 74-62 bulge with 2:02 left in the period.
"For the most part, we did what we wanted to do," Lakers coach Kurt Rambis said. "We forced him (Iverson) to take a lot of outside shots. Unfortunately for us, he made a lot of them."
"Coach Brown noticed that we didn't defend the pick-and-roll very well, so he let Allen run the pick-and-roll and they did a very good job of setting screens and getting him open," Bryant said.
O'Neal and Bryant combined for no baskets in the third quarter as the Lakers shot just 17 percent (3-of-18). Iverson scored 11 in the period, which ended with Philadelphia holding a 76-67 lead.
Iverson had a jumper and 3-pointer early in the fourth quarter before a 3-pointer by Rice and a dunk by Robert Horry pulled Los Angeles within 83-77 with 9:44 to go. Iverson made a pair of free throws and a technical foul shot on O'Neal. Matt Geiger hit a jumper and two free throws off O'Neal's fifth foul as the Sixers rebuilt the lead to 90-77 with 6:33 left.
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take the lead organization 在 Dan Lok Youtube 的評價
Knowing How To Answer The Question, “How Are You” Can Lead To More Success And Happiness! If You Want To Know More Of Dan’s Secrets To Success, Click Here To Discover Your Best High-Income Skill: http://howareyou.danlok.link
Did you know that the way you answer the question, “How are you” can determine whether you have a great life or a life of complaining, sadness, and failures? In this video, you’ll discover 15 creative ways to respond to the question, “how are you” in English.
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Dan Lok is a Chinese-Canadian business magnate and global educator known for being the founder and chairman of Closers.com - the world’s #1 virtual-closers network, Copywriters.com, and SalesCalls.com. Beyond his businesses, Mr. Lok has led several global movements to redefine modern education where he has taught individuals from 150+ countries to develop high income skills and financial confidence.
Beyond his success in business, he was also a two time TEDx opening speaker. An international best-selling author of 12+ books. A member of Young Presidents Organization (YPO) - a private group of global chief executives whose companies employ 22 million people and generate 9-trillion USD in annual revenues. He also hosts The Dan Lok Show - a series on elite business tycoons and world-leading entrepreneurs.
Today, Mr. Lok continues to be featured in thousands of media channels and publications every year and is widely seen as one of the top business leaders by millions around the world.
If you want the no b.s. way to master your financial destiny, then learn from Dan. Subscribe to his channel now.
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#DanLok #HowAreYou #English
Please understand that by watching Dan’s videos or enrolling in his programs does not mean you’ll get results close to what he’s been able to do (or do anything for that matter).
He’s been in business for over 20 years and his results are not typical.
Most people who watch his videos or enroll in his programs get the “how to” but never take action with the information. Dan is only sharing what has worked for him and his students.
Your results are dependent on many factors… including but not limited to your ability to work hard, commit yourself, and do whatever it takes.
Entering any business is going to involve a level of risk as well as massive commitment and action. If you're not willing to accept that, please DO NOT WATCH DAN’S VIDEOS OR SIGN UP FOR ONE OF HIS PROGRAMS.
This video is about How To Answer The Question, "How Are You?" Learn 15 Creative Ways To Respond To Greetings In English
https://youtu.be/ueavhuuSGL8
https://youtu.be/ueavhuuSGL8
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take the lead organization 在 pennyccw Youtube 的評價
This time, the Knicks didn't lose their cool -- or the game.
Zach Randolph had 22 points and 17 rebounds, three other players scored more than 20 points, and New York erased a series of double-digit deficits to win 119-112 Tuesday night in the Denver Nuggets' first trip to Madison Square Garden since last year's brawl.
"Coming in, you knew it was a big game," Randolph said. "Last year and the incident, guys had a lot amped up and wanted to win."
Seemingly on the verge of being run off the floor in the same way they were before their meltdown 11 months ago, the Knicks instead blew by the Nuggets with a fourth-quarter rally, then held on behind huge plays from Randolph and Eddy Curry in their best outing since being paired together.
"I think that's what Isiah had in mind when he brought Zach in here," Curry said. "I had a lot of fun tonight. This is probably the most fun I had in a basketball game."
Jamal Crawford led the Knicks with 25 points and Curry added 24, nine in the fourth quarter. Stephon Marbury had 21 points and nine assists, and Renaldo Balkman led a spirited bench effort with 11 points.
"Our whole team, I like the tenacity that we played with. I like the intensity that we played with," Knicks coach Isiah Thomas said.
Allen Iverson scored 32 points and Carmelo Anthony had 24 for the Nuggets, who led by as many as 15 and were still ahead by 10 going to the fourth quarter before dropping their second straight.
"It's early in the season and we did a lot of good stuff, but not good enough to beat a team that was hungrier than us in the fourth quarter," Nuggets coach George Karl said.
Iverson briefly had to leave the floor after bloodying his lip defending Marbury with under 2 minutes left, but everything else about the game was clean -- unlike Denver's last trip here.
In that one, the Nuggets were 1:15 away from finishing up a 123-100 victory last Dec. 16 when Knicks reserve Mardy Collins took down J.R. Smith by the neck to stop a breakaway. Nate Robinson soon jumped in, and he and Smith tumbled into the front row while fighting. Anthony, leading the NBA in scoring at the time, dropped Collins with a punch and was suspended 15 games.
Seven players were suspended, each organization was fined $500,000, and the already cold relationship between Thomas and Karl grew even frostier after Thomas accused Karl of creating a dangerous situation by leaving his starters on the floor, and Karl fired back with a profane tirade.
There were no incidents this time, even when Smith had another breakaway late in the third quarter and Robinson was forced to foul to stop him.
Down 92-82 to start the fourth, the Knicks tied it at 102 on Curry's bucket with about 5 minutes left. After a final tie at 108, Marbury put New York ahead for good with two free throws with 2:32 remaining, then Curry blocked Marcus Camby's shot on the other end and the Knicks stayed ahead from there.
"We had this game and we just gave it away tonight," Anthony said. "We had it in our hands and we couldn't maintain the lead. That was a team that played hard every possession. Maybe we took a couple of possessions off and they capitalized off that."
New York outscored Denver 37-20 in the final 12 minutes.
Robinson and Smith entered during the same stoppage with 3:56 left in the first quarter, with Smith making his season debut to loud boos following a three-game team suspension for an incident at a nightclub.
The Knicks shot 70 percent in a fast-paced first quarter, and still trailed 37-32. Linas Kleiza made all five shots and scored 12 points, Iverson had 11 in his first action at Madison Square Garden since late in the 2005-06 season, and the Nuggets shot 67 percent.
The lead grew to 50-35 when Eduardo Najera dribbled the length of the floor for a layup, bringing out the first boos directed toward the Knicks at home this season. But New York fought back to tie it at 60 before Denver ran off the final six points of the half.
"Last year we would have lost this game by 15 points," Knicks reserve David Lee said.
The Nuggets quickly restored the double-digit lead in the third, and again back came the Knicks, tying it at 82 behind a flurry from Crawford during an 11-1 spurt. The Nuggets then scored 10 straight to take a 92-82 cushion into the final period.
Game notes
Denver F Kenyon Martin sat out so he could play Wednesday at Boston. The Nuggets aren't using him in back-to-back games while he works his way back from knee surgery. ... The game featured three of the top four picks from the deep 1996 NBA draft: Iverson (No. 1), Marcus Camby (No. 2) and Marbury (No. 4). Thomas drafted Camby while he was an executive in Toronto. ... Randolph is the first Knicks player to open a season with three straight double-doubles in points and rebounds since Patrick Ewing 15 years ago. ... The Knicks have sold out their first two games at MSG for the first time since the 2001-02 season
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