新冠肺炎。中医药抗疫实用方法(中英双语版) 光明网033016:07 新冠肺炎。中医药抗疫实用方法 PreventativeMethodswithtraditionalChinesemedicineof2019Coronavirus(COVID19) 中国中医药研究促进会 From:ChineseAssociationforResearchandAdvancementofChineseTraditionalMedicine 目录 CONTENTS 一、清肺排毒汤CleartheLungsandExpelToxinsDecoction 二、艾灸预防法PreventionUsingMoxaSticks 三、艾烟烟熏消毒FumigatingwithBurningMoxa(Mugwort)toCleanseandDetoxifytheEnvironment 四、成人推拿保健预防WellnessandPreventionforAdults:TuinaMassage 五、八段锦功法ChineseHealthCultivationExercises:EightPiecesofBrocade 六、经络拍打法TappingtheChannels 一、清肺排毒汤 1、组方 麻黄9克,炙甘草6克,杏仁9克,生石膏15~30克(先煎),桂枝9克,泽泻9克,猪苓9克,白术9克,茯苓15克,柴胡16克,黄芩6克,姜半夏9克,生姜9克,紫苑9克,冬花9克,射干9克,细辛6克,山药12克,枳实6克,陈皮6克,霍香9克。 2、服用方法 传统中药饮片,水煎服。每天一付,早晚两次(饭后四十分钟),温服,三付一个疗程。 3、调护 如有条件,每次服完药可加服大米汤半碗。 4、加减 如果不发热,则生石膏的用量要小,发热或壮热,可加大生石膏用量;如果舌干津液亏虚者,药后大米汤可服至一碗。 5、疗程 3天(付)为一个疗程,若症状好转而未痊愈则服用第二个疗程,若患者有特殊情况或其他基础病,第二疗程可以根据实际情况修改处方,症状消失则药停。 6、适用范围 此方适用于轻型、普通型、重型患者,在危重型患者救治,可结合患者实际情况合理化用。 CleartheLungsandExpelToxinsDecoction 1。FormulaComposition MaHuang(HerbaEphedrae)9gZhiGanCao(HoneyfriedRadixetRhizomaGlycyrrhizae)6gXingRen(RadixetRhizomaGlycyrrhizae)9g ShengshiGao(GypsumFibrosum)1530g(precook)GuiZhi(RamulusCinnamomi)ZeXie(RhizomaAlismatis)9g ZhuLing(Polyporus)9gBaiZhu(whiteatractylodesrhizome)9gFuLing(Poria)15g ChaiHu(RadixBupleuri)16gHuangQin(RadixScutellariae)6gJiangBanXia (RhizomaPinelliaePraeparatum)9g ShengJiang(RhizomaZingiberisRecens)9gZiWan(RadixetRhizomaAsteris)9gKuanDongHua(FlosFarfarae)9g SheGan(RhizomaIridisTectori)9gXinXin(RadixetRhizomaAsari)6gShanYao(RhizomaDioscoreae)12g ZhiShi(FructusAurantiiImmaturus)6gChenPi(PericarpiumCitriReticulatae)6gHuoXiang(HerbaPogostemonis)9g 2。MethodofAdministration Traditionalbulk(raw)Chineseherbsdecoctedinwater。Oneprescriptionisthedosageforoneday。Drinkthewarmdecoction(heatupifnecessary)morningandnight,40minutesaftermeals。Acourseoftreatmentisthreepackstakenoverthreedays。 3。AdditionalTreatment Ifpossible,drinkhalfabowlofwhitericeporridge(congee)eachtimeafterdrinkingthedecoction。 4。Modifications Ifthepatientdoesnothaveafever,reducethedosageofShengShiGao(gypsum)。Ifthereisfever,especiallywithstrongsensationsofheat,ShengShiGao(gypsum)canbeincreased。Ifthetongueisdryandthefluidshavebeendepleted,drinkinguptoafullbowlofwhitericeporridge(congee)eachtimeafterdrinkingthedecoctionisrecommended。 5。CourseofTreatment Threedaysisacourseoftreatment,butifthepatienthasimprovedbutstillhaslingeringsymptoms,anothercourseoftreatmentcanbeadministered。Ifthepatienthasanyunderlyingconditionsorspecialcircumstances,theformulacanbemodifiedorchangedforthesecondroundoftreatment。Treatmentshouldcontinueuntilallsymptomshaveresolved。 6。Indications Thisformulaissuitableformild,typical,andseriouscases。Forcriticalcases,thepatient’streatmentshouldbebasedontheactualsituationandthisformulacanbeusedifappropriate。 二、艾灸预防法 PreventionUsingMoxaSticks 穴位处方:中脘、大椎、关元、足三里(双) AcupuncturePointPrescription:Ren12(zhongwan);Du14(DaZhui);Ren4(Guanyuan);ST36(zusanli) 操作方法:采用艾灸悬灸或者灸盒间接灸或艾灸简易装置治疗,刺激量以皮肤潮红为度。每个穴位10min,每日1次。 艾灸盒间接灸Moxabox(indirectmoxa) Technique:Onecanwarmthepointwiththeheatandsmokeofamoxastick,oruseamoxaboxorsimilardeviceforindirectmoxa,alwaystakingcaretoonlystimulatethepointuntiltheskinturnsslightlyred。Applymoxibustionfor10minutesoneachpoint,onceperday。 疗程:连续治疗5天,休息2天,共治疗4周,共20次。居家推荐以简易艾灸装置,如:五度艾灸、艾缘五度、隔物灸仪、五行灸条、烫熨治疗包等。 艾条悬灸MoxaStick(smokingmoxa) 艾灸简易装置SimpleMoxaDevice 艾条MoxaSticks CourseofTreatment:Treatfor5consecutivedays,thenrestfortwodays。Repeatthiscyclefourtimes〔i。e。fourweeks〕。Ifyouaredoingthistreatmentathome,werecommendusingoneofthemanysimpledevicesnowonthemarketforhomeuse,includingfivedegreemoxa,moxasourcefivedegrees,indirectmoxadevices,fivephasemoxasticks,andheatcompressmoxibustion。 三、艾烟烟熏消毒FumigatingwithBurningMoxa(Mugwort)toCleanseandDetoxifytheEnvironment 物品准备:艾叶或艾绒或者艾条Materials:moxa(Mugwort)leaves,moxawool,ormoxasticks 艾叶烟熏FumigatingwithMugwortLeaves 艾绒MoxaWool 操作方法:房间内点燃艾条或艾叶或者艾绒,进行烟熏消毒。选取质量佳艾条或艾叶或者艾绒,点燃烟熏消毒,每次约40分钟后开窗适度通风,每周一次为宜。 Technique:Burnmoxa(Mugwort)leaves,moxawool,ormoxasticksinanyroomtodisinfectbyfumigation。Choosethehighestqualitypossibleofanyofthesethreeformsofmoxaandburnitinanindoorspace。Afterfumigatingfor40minutes,openthewindowstoairouttheroom。Onceaweekisadequate。 艾绒烟熏FumigatingwithMoxawool 艾条MoxaSticks 艾条烟熏FumigatingwithStickMoxa 建议:我国自古就有用雄黄、艾叶等药物熏蒸以消毒避秽的做法。艾条的烟雾还是建议少吸为好,毕竟有颗粒,当然艾灸的时候没问题,尽量选质量好的艾条,室内有轻度烟雾和艾叶燃烧的香气,但是没有烟雾缭绕的现象为佳。 Recommendation:Beginningfromancienttimes,thepracticeoffumigatingwithmugwortandrealgartocleanseanddisinfectwasusedinChina。However,werecommendthatoneavoidinhalinglargeamountsofmoxasmoke,asthesmall,hotparticlesareharmfultothelungs。However,ifweusehighqualitymoxibustionandensurethattheroomhasonlythescentofmoxaburningandismotfilledwithsmoke,thiswillhavenosignificantinfluenceonourhealth。 四、成人推拿保健预防WellnessandPreventionforAdults:TuinaMassage 操作手法: 摩腹:取坐位或仰卧位,单手或双手交替,置于腹部,以肚脐为中心,单手或双手交替顺时针摩腹。手法轻柔,轻而不滞,每次操作35分钟即可。 AbdominalMassage:Begininasittingorstandingposition。Useonehandortwohandsmovinginoppositeareasonyourabdomen。Takingthenavelasthecenter,massageinaclockwisedirection。Usealighttouchandkeepthemotionfluid。Performfor35minuteseachday。 揉腹:双手叠掌,轻轻置于腹部,掌心吸定于脐部,以脐部为中心,全掌发力,顺时针方向揉腹。35分钟。操作时肩腕务必发力平稳,确保频率适中,带动皮下组织。 RubbingtheAbdomen:Placebothpalmsoverthenavel,onehandontopoftheother。Usetheforceoftheentirehandasyoumassageinaclockwisedirection。Theshouldersandwristsshouldbeinvolvedinthemovementsothatanappropriaterhythmisestablishedandthefasciabelowtheskinalsomoves。 在预防方面我们也以改善胃肠功能为主,通过手法揉腹增强胃肠的蠕动和吸收、分泌功能,调节肠道菌群。 Improvingthefunctionsofthestomachandintestinesisanimportantaspectofpreventingillness。Abdominalmassagecanincreaseperistalsisandimprovetheabsorptionofnutrients,endocrinefunction,andregulategutflora。 点揉风池: 风池穴位于项部,当枕骨之下,与风府相平,两条大筋(胸锁乳突肌与斜方肌)上端之间的凹陷处。 GB20(FengChi): Thispointisonthebackoftheneck,undertheocciput,evenwithDu16(Fengfu)。ItisinthedepressionbetweentheoriginsoftheSternocleidomastoidandtrapeziusmuscles。 自我保健:双手掌心对准耳尖,将拇指置于双侧风池穴出,放在风池穴上轻轻点揉,反复操作。手法一般操作30秒钟左右或者数15~20次,有助于增强免疫力,减少外感的几率。 SelfhelpTechnique:Placethepalmrightovertheapexesoftheears,thethumbswillbeonFengChiGB20我很extendedout。Usethethumbstomassageincirclesfor30seconds,repeating1520times。Thisincreasesimmunityanddecreasesthefrequencyofcoldsandflus。 互相操作: 被操作者取坐位,操作者一手拇指与食中二指对指点按双侧风池穴,或者操作者用双手拇指点按其双侧风池穴。每次点压30秒即可。 PracticewithaPartner: Theonewhoisreceivingmassageshouldsitandthepartnersitsorstandsbehind。Thepartnerspreadshisorherhandsothattheycanusethethumbononesideandtheindexandmiddlefingerstogetherontheotherside。Alternatively,onethumbfromeachhandmaybeused,bracingagainstthebackofthehead。 拿肩井穴:该方法可自我保健也可让家人互相操作。 自我拿肩井,以拿右侧肩井为例,以左手掌心对准肩井穴,以大拇指与四指对捏(或大鱼际与四指对捏),反复提拿肩井穴,操作30秒或15~20次。 MassagingGB21(JianJing)Thistechniquecanbedonebyoneselforwithapartner。Placetherighthandontheleftshoulderwiththethumborthethenareminenceinfrontandthefourfingersontheotherside。Squeezethemtogether,pullingtheareawithGB21upasyoudo。Performfor30secondsor1520times。 互相拿肩井,被操作者取坐位,操作者立于其身后,拇指与四指对捏,将肩井穴提起来,然后缓缓放下,反复操作。一般手法做30秒或15~20次。长期拿肩井穴使人不易外感。 Ifyouhaveapartner,sitinachairwithhimorherstandingbehindyou,liftuptheGB21areabysqueezingthethumbandfourfingerstogether。Gentlyreleaseandthenrepeatforupto30secondsor1520times。Doingthisregularlycanpreventcoldsandflu。 五、八段锦功法ChineseHealthCultivationExercises:EightPiecesofBrocade 两手托天理三焦:TwoHandsHolduptheSkytoRegulatetheTripleBurner 加强四肢和躯干的伸展活动确可影响胸腹腔血流的再分配,有利于肺部的扩张。Stretchingandmovingthefourlimbsandthetruckofthebodycanimprovebloodcirculationanddistributionintheabdomenandthoraciccavities。 左右开弓似射雕:DrawingtheBowtoShoottheHawk 疏通肺经,同时治疗腰腿、手臂、头眼部等疾病,加强和血液循环,有助于纠正姿势不正确所造成的病态。Thisopenandclearsthelungchannel,andtreatsconditionsofthelowerback,arms,headandeyes。Itincreasesbloodcirculationandisgoodforcorrectingpostureandconditionsrelatedtopoorposture。 调理脾胃臂单举:LiftingtheArmstoRegulatetheSpleenandStomach 增强胃肠蠕动和消化功能,久练有助于防治胃肠病。Thisincreasesperistalsisanddigestivefunctions;continuouspracticecanimprovedigestivedisordersovertime。 五劳七伤向后瞧:LookingBackwardstoRelievetheFiveFatiguesandSevenInjuries 疏通带冲二脉及胆经,消除大脑和中枢神经系统的疲劳,促进生理功能障碍的恢复。ThisopenandclearstheDaiBeltandChongCentralChannels,aswellastheGallbladderchannel。 攒拳怒目增气力:PunchingwithaFierceGaze 可刺激肝经系统,使肝血充盈,肝气疏泄,强健筋骨。Thisstimulatestheliverchannelsystem,andthereforemakesliverbloodmoreabundant,liverQismoothandabletodraindownwards,andstrengthensthesinewsandbones。 两手攀足固肾腰:TwohandsHoldtheFeettoStrengthentheKidneyandLumbarArea 双手按摩腰背下肢后方,使人体的督脉和足太阳膀胱经得到拉伸牵扯,对生殖系统、泌尿系统以及腰背部的肌肉都有增强作用。Massagefromthelumbarareadownthebacksofthelegs,stretchinggivingsometractiontotheBladderandDuGovernorChannels。Thisbenefitsandincreasesthefunctioningofthereproductivesystemandurinarysystem,andstrengthensthebackmuscles。 摇头摆尾去心火:ClearingHeartFirebyShakingtheHeadandWaggingtheTail 刺激脊柱、督脉、大椎穴,尾闾摆动,使心火下降,肾水上升,从而达到疏经泄热的作用,故有助于去除心火。Thisstimulatesthespine,theDugovernorchannel,Du14(DaZhui),andthesacrum。Thismovementcausesheartfiretodescendandkidneywatertoascend,clearingthechannelsanddrainingfiretoeliminateheartfire。 背后七颠诸病消:StandingtothetiptoesEliminatesIllnesses 利用颤足使得脊柱得以轻微的伸展和抖动,去邪扶正,接通任督二脉,贯通气血。Standingontiptoesandreleasingquicklywithathudstretchesandjarsthespine,creatingreleaseandrelaxation。ThiseliminatesevilsandsupportshealthyQi,connectstheRenConceptionandDuGovernorchannels,allowingQiandbloodtoflowfreely。 八段锦套路图解:DiagramoftheEightPiecesofBrocade 六、经络拍打法TappingtheChannels 拍打肺经、点按揉足三里:TappingandhittingtheLungChannel;MassagingStomach36(Zusanli) 手臂内侧肺经经过的地方,从手腕内侧往肘窝方向拍打,可以治疗肺疾病并且增强心脏和肺脏功能,每次拍打肺经100200下,点按揉足三里50100次,可以增强免疫力,治疗慢性肺系、消化疾病,预防呼吸道感染等。 Cuppingthehand,gentlyhittheareaofthelungchannel,startingatthewristandmovinguptoelbowcrease。Thistreatlungconditionsandstrengthenthefunctionsoftheheartandlung。Tapthelungchannel100200times。MassageST36(Zusanli)50100timestostrengthimmunity,treatchroniclunganddigestivedisorders,andpreventrespiratorytractinfections。 拍打胆经:TappingtheGallbladderChannel 拍打大腿外侧的胆经(从大腿外侧的环跳穴到膝关节上面的膝阳关穴)可以治疗胆结石、胆囊炎,胆囊息肉以及治疗失眠、白发、荨麻疹、坐骨神经痛等多种疾病,同时还有减肥美腿、补血等功效。每次100200下,每天12次,从大腿根外侧的环跳穴(治疗坐骨神经痛的特效穴)往下拍打,下面的风市穴则是治疗荨麻疹的特效穴,可以改善消化功能。 TheGallbladderChannelisonthelateralsideofbothlegs;tapfromthebuttocks(GB30Huantiaoarea)totheknee。Thiscantreatgallstones,cholecystitis,andpolyps,aswellasinsomnia,greyhair,hivesandsciatica。Overtime,thishelpswithweightloss,shapesthelegsandincreasesQiandblood。Perform100200times,12timesperday。BeginatGB30Huantiaointhecenterofthebuttocks(thisisalsoaprimarypointfortreatingsciatica)andslapyourlegasyoumovedownthepathofthechanneltotheknee。Thepointhalfwaydownonthething(GB30Fengshi)isespeciallyeffectivefortreatinghivesandcanalsoimprovedigestion。