JANGAN IZINKAN IBU LAHIRKAN TUANNYA
Masa awal aku kahwin dengan isteri aku, aku dapat pakej 4 orang anak. Alhamdulillah. Yang mana 2 daripada 4 ni istimewa sikit. Dua-dua aspergers. Sorang ADD sorang lagi ADHD. Paling mencabar sekali tau tak apa? Anak-anak ni sebelum kehadiran aku, diorang ni di manjakan betul. Cukup manja! Semua nak, dapat. Tak boleh kena tegur, mesti menaangis dan membentak. 3 lelaki, sorang perempuan. Masa tu umur yang sulung 14 tahun. Yang second 12 tahun...
Continue ReadingDON ' T ALLOW MOTHER TO BORN HER MASTER
When I married my wife, I got a package of 4 children. Thank God. Which 2 of the 4 is a little special. Both aspergers. Another ADD another ADHD. It's most challenging to know it's okay? These kids before my presence, they are being pampered right. Pretty spoiled! All want, got it. Can't be told, must cry and snap. 3 men, a woman. At that time the eldest was 14 years old. The second 12 years old. Third 9 years old. Fourth of 6 years old girl.
First time entering the family, I've had a meeting done. With gangster style, long hair braids. I'm doing a LIVE FB meeting with children. In the meeting, I just entered the family, so follow my rules. I don't follow their rules.
At the beginning, many people who are nearest have started tripping and spreading stories, not saying that I will hit the kids. The swing bowl is right who reads people from this person's use.
Remember the early marriage, my wife always reminds me of me. If these kids promise anything they need to be fulfilled, they will cry badly and scream. Hard to persuade. Sometimes I want to break my breath and cry. The other one is ADHD if he cries, he can't be angry, he has to say it carefully. Because later he will be raging and coming hyper. The one who added is his own attitude. It's just his problem that he doesn't take the port. The eldest is the most pamper. Ask for whatever the confirmation gets. After that it's urgent to work.
I really don't feel like I'm suitable at all. What should I do? Wash his mother first. My wife cried when she washed her first. I said it's simple. I don't want my son to grow up to die and get everything he wants to wear. Nothing, tomorrow won't be given, he rebel like going crazy.
Everything that my wife says can't do, I prove it to my wife, everything that she thinks is wrong. I made it. I didn't see anyone doing what my wife said. I just tried to bring MCD, then I parked at the Tomyam shop. Look at all the faces that are slammed. But no one is crying.
That's where it all started. Until one part I saw my wife still wrongly. I said it's simple.
′′ Want something big, need a big sacrifice. If you maintain like this, it's too wrong that you have to follow all your child's wishes, you're afraid to say NO and then you're crying and tired of your brother Trust me. Just like this, you'll lose your brother. Choose. ′′ ′′
Hah my wife was shaking at that time.
Yes, it's not easy to fight the mother's instinct. I really understand. But have to remember, you want to be sad until when you just want to entertain the extreme motherhood instincts? How do you want your child to grow up? What's he doing today, he's already big tomorrow. You're poor, he asks for something you can't fulfill. You think he got it? That's the wrong time he just said this sentence.
′′ Why is my mom not like someone else's mom. It's okay. I am not important ′′
Heart was shaking at that time. He didn't tell me 100 times, once didn't let him release such a painful sentence?
I'm nothing, kids like this even more men, have to grow up to be men. Not a bapok, not a Kpop. Man. The world will come far more evil. Responsibility is far bigger. It is compulsory to grow up to be a man. I repeat.
MEN.
That's when my wife slowly became a mad mother. Kah kah kah. The kids were shocked at that time. Suddenly mom is good at screaming? Suddenly mom is good at tunjal head? Suddenly mom is good at slapping? Suddenly mom dares to throw her phone against the wall?
Most power if a child I say near her mother,
′′ Mom doesn't love me, I hate mom.."
If my wife used to hear this verse, she will feel sinful and crying. Now you know what my wife answer?
′′ Once you hate me, 100 times I hate you.."
Stunned again child. Feels like the tactical of playing sentiment is not going to be. Continue to continue doing homework.
After that the scene of running away from the middle of the night, haa my wife is already cuak. Look for me to tell my child to run home. Cleaning up the bag. If you're as a mother, are you rocking? 10-year-olds when they were running home. Other siblings are busy trying not to run away, they insist on running.
I told my wife I'm happy je.
′′ Do not persuade. Just ask him to run the house faster. Go help her pack the bag. Do not worry. I used to threaten my mother like this when I was small. When my mother is stupid, I stay outside for a while and then I will go home because it's scary outside the dark.. if you persuade, don't run away, believe Tomorrow he's busy threatening to run again."
My wife went down and asked her to leave her house faster. This kid won't go out after opening the door. Look at the dark outside. He immediately opened the saji headscarf, making him hungry. It's so hard to look at it.
Want to turn into a Lion, it looks evil. Many will talk about this. You say you don't love your children. If this part is not strong, it will be stupid to be eaten by these words. But you have to believe one thing. This mother and father knows her child better than all of you. He knows so much. Know which limit he can make or not. We who watch from outside don't pretend to teach other people's children, teach our own children first to let go. Look at our children today he appreciate us how.
I was worst being criticized at that time.
He said since my wife married me, my wife's attitude has changed. Getting harder. Fierce with the kids. And many more lah. I'm lazy to take a port. The one who speaks is a woman who has never tasted anything. Work is great. So bored listening to it. But I'm cooking so much, it's normal that the sound of this person's confirmation since childhood has never lived hard, the child and the one that is like diva is usually the same. Just deaf the ear. Focus on the mission for the good of the child to come.
After 3 years, I recently had a meeting with all my children. I ask, did you notice that mom used to be different from now?
All bobbing. Getting more ferocious and crazy people say.
I'm so happy to hear. Let go of that I said.
′′ Try all of you to look back at this day. What's the difference? Neno 8 years old can be brushed by school clothes. Already able to wipe Ayra out. Luth 10 years can wash everyone's dishes. Hoze is the most improvement. From my own world today, you are the most helping to work in your house. 13 years old, washing clothes, hanging clothes, sleeping ayraa, bathing ayraa. And many more. Anish, you are the eldest brother. Thank God. No more pushy. See you already understand the reality of being a brother. Every morning sitting in the kitchen helping mom cook.. that's okay. Proud for a while Dedi. Dedi is nothing, you ask Dedi's siblings if they are rude to his mother, what happens to them. Must eat Dedi's feet. You become a son, you have to be a protector to your mother. Don't make it a slave mother."
All sighs. I'm connecting again.
′′ Do you know why this Seremban house Dedi doesn't install air conditioner near Indeed Dedi doesn't let mom install air conditioner. Let me sleep hot. Learning how to use a fan. Dedi used to grow up but never sleeps in air conditioner, thank God I grew up healthy. Dedi wants anything can't just get like that. So men have to learn how to feel hard. So that tomorrow, you will learn to be grateful. I will remember your parents when they are happy. You'll be close to siblings, tomorrow this is what you'll laugh back when you tell the story. Trust me. All of these are the sweetest memories. Mother and father don't know when will die. Maybe tomorrow we die, at least Anish can take care of the younger siblings."
Everyone was laughing at that time. My eldest child will interrupt in a while.
′′ Dedi, but honestly Anish likes the current mother from mother before. Even though it's fierce, but it's true when I remember it again. All of us are good at all. I just noticed that someone else is 8 years old but doesn't even know how to take care of the baby who is a year old and shower and defecate. Luth has changed a lot. No more crying. Hardworking. Hoze has changed a lot of crazy. Playing with the phone. There's only one problem, when you have a relative, you can come, don't sit in the Just sit down once. Anyway, I swear, Anish loves the mother who was now from the old times. Even though the current mother is crazy saiko! Haha. Mom, you are Queen Of My Heart! Mother is crazy, before Anish didn't understand a lot. When Anish sees mom struggle, Anish becomes a pity. Just saw all the sacrifices of the mother for all of us."
Others bobbing heads agree and laugh with what brother anish he said.
All impressed when I remember back. Until neno's turn, she keeps crying. She really apologizes near her mom.
The most powerful, they are siblings when their aunt wants to ask them to come out. Each one has completed the job of who managed his / her sister's clothes this year, who will beat his / her younger sibling's pampers, who will manage his / her sister's pampers. All of them think for themselves. Talk to each other and manage the equipment of his little brother who is a year old. No need to have a mother with her dedi.
Power, isn't it? Two Aspergers, an ordinary person. The eldest has entered MRSM. It means that the number two child of ADD is taking over.
Even when I'm going back to hometown, my wife just gave me an order. They all clean up their own bags. My wife doesn't even mix a single dust. My wife looks like a big boss today. All homeworks are managed by the child. My wife's duty is to cook. Wash clothes, dry clothes, wash dishes, wash toilets, throw away garbage, shower ayra for a year, all the kids who manage it.
If I don't move, I won't let my wife shout out to other children. But mad at the eldest child. Let the eldest child be stressed. Whatever happened to the younger siblings, I told her mother to kill her eldest child. So when the younger siblings aren't working, fighting, the eldest brother already knows that he needs to be tiaw with his mother later. Didn't say much, he just settled his younger siblings. That's it brother!
Thank God. The story is only one. Our children, we know each other. There's a part of being fierce, there's a part that needs to be There's a part that can laugh. This mother has one veto power, but many are afraid to use it because she is not in other s' language and is so afraid that her child will hate It doesn't mean anything! It's boring to entertain the sentiment of pity that is extreme. You used to be your mother who hit your face, do you hate your mother to big? Nothing. We're fierce because we just want to educate. Not fierce all the time. More than firm. When you see your child hardworking, listen to it, there's a day that will give you a surprise Chocolate or what? Taking a walk to the park. Time with family has to be there.
If you're too spoiled, you can make your child become responsible and the person who will defend your family, I think that the Malay soldiers won't even be training hard as hard as possible. It's better for them to just pray for all the new soldiers. What do you want, everything is given. Wake up late, swipe your hair and then kiss your forehead. Even eating time is delicious. Sleeping at night comfortably, installing air conditioner. Put on the wifi.
What was it?
Before you want to say this person, ask ourselves first. Our 7-year-old child eats, is he good at washing his own dishes? Do you know how to follow your time schedule? Can you brush your own school clothes?
If you're not good at anything, don't make me feel bad about the way other father's mother educate someone's child.
The hardest episode in educating children at this age. Believe me, this will all be a longing for the kids when they leave the house later. And this also makes them siblings get closer.
Patience, victory day is coming! Early sacrifice is the most important. Fight all the wrong feelings that always play in the soul. Only one thing you have to remember, as long as you don't fight with religion. Mom is never wrong! Angry, fierce lah. Do not worry. Continue to educate our ways. Don't forget the power of Veto!
Eh forgot, waimah is a special child. What the doctor said put number two. Accompanying kids like normal kids before but there's a limit. Don't teach him to be a special child since you were young. We know our children again, right? Because I always believe, crazy people when we clap their hands twice when they want to take our food, the third time they will understand and won't take it anymore. That's the crazy person. So, Don't let the child know he's special. Don't disturb her brain. Just entertaining the same thing.
Everyone is like that. If he feels like there are advantages, there is someone who defends more, he will start to get a chance. Can't believe it? You try to pamper your child crazy. Let go of the try in front of you, someone tease him less, you see how he has torn to tears later he will get your attention.
Anyway..
Only one thing I'm still failing. Failed to change their name call among siblings. No call Along, Angah, Bangde. I feel strongly, calling this name also has a certain advantage to put the difference between the younger brother and brother. There is a family aura.
Don't forget, Father's role in psychology is important to be crazy. Because with this mother, no matter how fierce it is, the child is brave to fight. Dad must be good at playing roles. No need to touch, you need to know when you want to have a high voice. When you want to call your child, sit down and talk about others.
Become a child idol.
Trust me, step child and biological child two things that are impossible. Because the power of VETO only exists in biological children. This step child has a risk that you need to face. What happened to them, people will say that you don't love them because it's not your biological child. Painful and sad that sentence is for me. Allah knows how I love them.
I wrote it,
Mr Amir Lake
P / s: In the past my wife was criticized by the Aspie group when my wife said she educated her aspie's child in the way she was a little firm. All sorts of people are teasing, he said that this aspie child will take revenge and kill him. Have to be teased every day. Poor. My wife doesn't agree with my actions early because she holds the doctor's order. Today, I'm asking my child aspie. Tomorrow if mom gets disturbed by someone else in front of you what will you do? What did he answer? I'll hit him enough! And I asked my wife, how about the person who teased her child? He said his child is under control but sometimes he's raging badly until he's about to breath. At the same time today my child aspie is good at cooking, can do all homework and love his siblings so much.
Mr. Amir Lake creditTranslated
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TCM Treatments of COVID-19
Written in Chinese by Dr. Andy Lee, March 7, 2020 (http://andylee.pro/wp/?p=7660)
Translated to English by Dr. James Yeh, March 13, 2020
I published an essay “From SARS to Novel Coronavirus” in Chinese on January 21, 2020 (http://andylee.pro/wp/?p=7169). At that time, I tried to discuss possible Traditional Chinese Medicine (TCM) treatments of Novel Coronavirus based on my clinical experience of treating many severe cases of pneumonia caused by various influenza and other diseases. Since then, I have directly and indirectly participated in treating patients of Novel Coronavirus successfully, had discussions with many doctors fighting the epidemic at the front line and many researchers conducting related researches, and read many reports on this subject. Although the “Novel Coronavirus Pneumonia” has been renamed to “COVID-19” (coronavirus disease 2019) and the name of the virus has officially named from “2019-nCoV” to “SARS-CoV-2”, I now firmly believe that my original judgment, views, and interpretations are correct. For the sake of easiness for people to read and share, in this essay, I am reorganizing my previous discussions and including some explanations on certain confusions as well.
First, there are numerous provinces and cities in China using TCM to fight the “COVID-19” (I will use the term “Coronavirus” from now on.) No matter whether the treatments were primarily using TCM or the combination of TCM and the methods of Western medicine, there have been a significant amount of positive outcomes. On the other hand, the views of how to use TCM to treat and the use of corresponding herbal formulas vary quite a bit. Even when TCM remedies were effective, why did some patients fully recover and were discharged from the hospitals but other patients still could not get the virus-free “negative confirmation” from virus DNA tests?
Many TCM doctors participating in the treatments and discussions often look at the Coronavirus issue from a single “Point” or the condition of the patient at that specific moment. Some interpreted the disease as “Dampness” (濕), “Dryness” (燥), “Cold” (寒), or “Heat” (熱). (Translator’s note: These interpretations are often the opposite ends of the spectra, like Dampness is opposite to Dryness; and Cold is opposite to Heat.) From the clinical practice point of view, those treatments based on such conflicting interpretations all had positive effects to some degrees. Then, which interpretation is the “correct one”? In fact, those simple interpretations all have some merits but don’t fully cover the subject in hand. Although TCM is based on “Dialectical Treatment” (辯證論治), i.e. treatment is derived from “observation and diagnosis” of patients’ complex symptoms, the most important thing is that disease shouldn’t be viewed as an isolated problem at a specific time, but the whole development of symptoms along a timeline. Not only we need to observe and diagnose the current ailment but also we have to understand the development history of the disease and to project how the disease will develop in the future. For a single patient, we might be able to focus on the clinical results of this patient. But for epidemics, we have to look at a bigger picture and take into account how this Coronavirus develops health issues inside the human body from TCM’s perspective. And, in clinical treatments, we also need to consider many variants caused by each patient’s preconditions and one’s strength to fight off the disease.
From my experience of curing many patients who were inflicted with flu-induced pneumonia and complications, and the recent participation in treating and curing Coronavirus patients, it is proper to summarize that no matter whether the virus is Coronavirus, bird flu, swine flu, or the “common” flu, we found that the bodily deterioration caused by the virus, in general, follows the description from the TCM theory first covered in the ancient literature “Treatise on Cold Damage on Miscellaneous Disease ” (傷寒雜病論). However, the progressions of the disease from such special viruses are much faster, more severe, and/or more persistent than that of the common flu. Patients’ own original “health” condition also complicates the progression. (Translator’s note: For example, the infliction rate of young children is much smaller than that of adults for Coronavirus.)
As I explained before, the TCM theory discussed that for the common flu or “catching a cold”, the disease starts with “Exterior Deficiency or Weakness” (表虛). That is, the “exterior” of the body is invaded by the “External Pathogen” (外邪), like virus, and has adverse reactions. (Translator’s note: Here the exterior doesn’t mean just the outside surface of the body like the skin, but all the surfaces topologically exposed to the outside like lining of throat, nose, and bronchus of the body.) This is the first stage of the whole episode and often can be effectively treated with the herbal prescriptions such as “Gui Zhi Tang” (桂枝湯). If the patient is not properly treated, the body fluids within the surface and muscles could not function properly. It will cause the transition to the next stage “Exterior Excess” (表實). (Translator’s note: The word Excess has various meanings: excessive reactions all the way to neoplasm, excessive wasteful things, etc.) Viral infection at this stage is matched to one of the several syndromes named with the corresponding herbal remedies such as “Ge Geng Tang” (葛根湯), “Ma Huang Tang” (麻黃湯證), and others. The TCM theory calls this stage “Exterior Coldness” (表寒). In history, many TCM doctors considered this stage as the body being hurt by outside coldness (傷於寒) or in plain words “Catching Cold”. However, that is a misunderstanding. While outside coldness is one of the causes leading to the stage “Exterior Coldness”, it is not the only cause. When the body fluids could not function properly, the normal body fluids which had proper fluidity to circulate and to fulfill vital functions (活水) became a pot of “Dead Water” (死水), i.e. wasteful water which can’t fulfill vital functions. In other words, the ancient literature “Treatise on Cold Damage on Miscellaneous Disease” (傷寒雜病論) is much beyond the simple interpretation of how to treat the ailment caused by “cold damage”, but a classical literature of explaining both the physiology and pathology of human body functions.
Normally, the ailment or symptoms of the common flu would be limited at this stage of “Exterior Coldness”. Even without any treatment, the human body often could fight off the virus with an immune response and fully recover. But when the effects of Exterior Coldness started to penetrate into the interior of the body, the first common organs to be affected will be the organs that have a short path to the outside. (Translator’s note: Topologically, trachea and lung are only a membrane distance away from the outside air.) Then the Exterior Coldness gets transformed into the next stages such as “Interior Coldness” (裡寒) and “Lung Coldness” (肺寒). (Translator’s note: Here “Lung” means the whole respiratory system, not only the lung organ.) Clinically, the patients start to show symptoms of the syndrome named after its herbal remedy “Xiao Qing Long Tang” (小青龍湯). At this stage, the patients have serious coughing and running nose. When the respiratory system is “affected by the coldness”, the body fluid function of the respiratory system gets affected. Just like when the cooling system of a car malfunctions, the engine would overheat. The circulation function of the lung becomes “Dry and Overheated” (燥热). This would lead to the next stage of “Heated Interior” (入裡化熱) and often be matched to its herbal remedy “Da Qing Long Tang” (大青龍湯). At this stage, it does not mean that the whole lung is “dry and heated”. In fact, many pneumonia patients exhibit “mixed coldness and heat” (寒熱夾雜) in the lung. For example, while the upper part of the lung is “dry and heated”, the lower part of the lung might suffer excessive mucus of a high density. Pleural effusion and hydronephrosis might start to develop quickly.
Such a complex situation was extensively discussed in Chapter 7 of the ancient literature “Synopsis of Prescriptions of the Golden Chamber” (金匱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. It doesn’t mean that one of the herbal remedies should be selected to treat a patient directly. Instead, the TCM Theory used these herbal remedies to teach its practitioners how to “think” and create a proper herbal remedy based on the conditions of a specific patient.
For example, the Coronavirus has quite a puzzling situation that many Western medicine doctors haven’t yet fully understood. Some severely affected patients exhibited fibrosis of the lung like the SARS phenomenon. Other severely affected patients did not have SARS-like lung fibrosis but had massive liquid cumulated in the lung, which even “drown” some patients to death. From the TCM point of view, it is not strange at all. Fibrosis of the lung is the typical following stage of Heated Interior matching to “Da Qing Long Tang” (大青龍湯). It was named as “Lung Atrophy” (肺痿) in the TCM theory. And the situation that one suffers from massive dense liquid accumulation is matched to symptoms of severe development after the stages matched to “She Gan Ma Hung Tang”( 射干麻黃湯) , “Ting Li Da Zao Xie Fei Tang” (葶藶大棗瀉肺湯), and others as discussed earlier. The TCM theory called it “Lung Abscess” (肺癰). In the TCM theory, Lung Atrophy and Lung Abscess are two progression paths of this virus depending on which path develops faster or even simultaneously. From the past and current reports, SARS virus tilts toward the path of Lung Atrophy, while the Coronavirus tilts a little more toward Lung Abscess.
The above explained the progression of flu and other epidemic virus infections. Now you might understand how different TCM doctors had different views or treatment methods, but all of the treatments had some partially positive effects. If a TCM doctor’s diagnosis at one particular moment was slight hotness of the lung, some mild herbs to “clean up the heat” (清熱解毒輕劑), often used by the “Southern School” doctrine (溫病派), might relieve the patient’s symptoms. But if a TCM doctor’s diagnosis at a different point of the progression was massive mucus accumulation, heavy dosage of strong herbs, often used by the “Northern or Classic School” doctrine (經方派) might be needed to treat Lung Abscess (肺癰). That is why we saw some reports that the “Pneumonia Formula One” (肺炎一號) used in Guangzhou city, which was based on mild herbs to reducing the “heat”, had some positive effects in Guangzhou but not so effective in Shanghai. In Shanghai, many TCM doctors had to switch to stronger herbal ingredient often found in “Da Qing Long Tang” (大青龍湯) and “She Gan Ma Hung Tang”( 射干麻黃湯) as discussed earlier. This was due to different weather patterns and different patients, i.e. different progression paths described in the previous paragraphs. In other words, from the specific moment of the doctor’s diagnosis, both views were correct. But neither of them grasped the progression timeline of this severe illness.
Another point raised earlier was why did some patients fully recover while others did not? According to the information given by the doctors on the front line, there were so-called “Western medicine and TCM combined treatments” in which Western medicine drugs were continuously given to the patients and TCM herbs were used as supplements. When adding TCM herbs had a positive effect and made a speedier recovery, it was all goodness. But when adding TCM herbs did not have positive results, then what? According to the doctors on the front line, the medical team did not really think through the stages of disease progression as discussed earlier and switch to different TCM remedies, but only increased the dosage of Western medicine drugs such as Interferon (干擾素), Chloroquine phosphate (磷酸氯喹) used to treat malaria (抗瘧疾藥物), Arbidol (阿比多爾) used to treat influenza (抗流感藥物), and others. Heavy dosages of such drugs had severe side effects and sequelae. In those “combined” treatments, the medical teams didn’t have enough TCM expertise to make sound decisions on herbal remedies. Instead, they simply used TCM herbs as “extra help”.
How about treatments primarily with TCM remedies? The chief Western medicine expert who leads the fight against the Coronavirus, Dr. Nanshan Zhong, admitted under political pressure that TCM was useful against light or even medium threat situations of Coronavirus but insisted that TCM could not cure severe cases. His statement was based on his belief that there is no ingredient in TCM herbs that could kill Coronavirus. I am sorry to say that Dr. Zhong is incorrect in this aspect. With solid patient cases as proof, TCM can actually cure severe cases of Coronavirus infection and other flu-related infections. When it did not, it is the particular TCM doctors who had not mastered the whole theory and methodology of TCM. But one thing that Dr. Zhong said correctly was that no ingredient in TCM herbs can “kill” the virus. However, the TCM treatment isn’t based on the ability to kill the virus. (Translator’s note: Western medicine drugs could not kill the virus either.) Many people still have the level of limited understanding that TCM can only improve the immunization ability or some herbs such as the root of Isatis tinctoria (板藍根) has some natural antibiotic chemicals. Such understanding is unfortunately poor and very limited. Although modern medical science still could not fully comprehend TCM theory and its clinical outcome, against Coronavirus, the better explanation is that TCM remedies can “improve the internal environment of the human body”. (Translator’s note: So that the patient would not fall into the adverse conditions that the organs fail to function.) In plain words, when the virus causes more mucus, TCM remedies reduce the mucus. When the virus causes fibrosis, TCM remedies reduce the “heat level” of the lung. TCM remedies tend to push the body and organs back to the original healthy states. Once the environment is unfriendly for the virus to keep replicating, the patients will have higher chances to eradicate the virus by themselves and recover. One can probably say that this explanation and method is similar to the idea of using Western medicine Interferon but without severe side effects. That is, TCM can cure not because it has the ability to “kill” virus by some ingredients but to help to restore patients’ “internal environment” to healthier conditions that prevent the virus from replicating quickly. (Translator’s note: If one buys the same argument made by Dr. Zhong that a medication needs to have ingredients to kill the Coronavirus, then all the medications used today would not qualify. Then do we give up? In fact, why TCM was not selected to treat severe cases was because those stronger and less commonly used herbs were not applied properly or the TCM doctors at hand had less confidence for doing so. )
Now, we can go back to discuss how clinically TCM can treat and cure Coronavirus patients. For light to mild cases, most of the different TCM treatment methodologies could help. For medium to severe cases, as I discussed in my previous essay, we need to utilize the strength of certain herbs:
- Sheng Shi Gao (Gypsum, 生石膏): To reduce heat inside the lung (清肺熱) and enhance the liquid circulation in the respiratory system (加強肺津液運作)
- She Gan (Belamcanda chinensis, 射干)、Zi Wan (Aster tataricus, 紫菀) 、Kuan Dong Hua (Tussilago farfara flower, 款冬花)、Sheng Ban Xia (Pinellia ternate, 生半夏)、Ting Li (Sisymbrium indicum, 葶藶)、Da Ji (Euphorbia pekinensis Rupr., 大戟), etc.: To reduce accumulation of excessive mucus and wasteful fluids inside the respiratory system (去肺下方濃稠痰飲、肺積水、胸腔積液等)
- Ma Huang (Ephedra sinica Stapf., 麻黃), etc.: To enhance the lung function (宣肺、發陽)
- Mai Men Dong (Ophiopogon japonicas, 麥門冬)、Xing Ren (Prunus armeniaca, 杏仁): To moisturize the lung (潤肺)
That is, we need to combine the theory and targeted responses of the various herbal remedies such as “Da Qing Long Tang” (大青龍湯), “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)“, etc. as discussed earlier, and properly adjust the dosages and ratios of ingredients to fit the requirements of individual patients based on their conditions. In addition, if the patients have other ailments, those conditions need to be taken into account also, such as:
- For “Coldness and Wetness of the Middle and Lower Abdomen“ (中下焦寒濕) or “Deficient Kidney Function” (腎陽不足): Add Bao Fu Zi (processed Aconitum carmichaelii Debx root, 炮附子)、Xi Xin (Asarum sieboldii, 細辛), etc.
- When the liver function is weak or damaged by heavy dosages of Western medicine drugs such as interferon: Add Chai Hu (Bupleuri Radix, 柴胡)、Huang Qin (Scutellaria baicalnsis Geprgi root, 黃芩), etc.
There is no question that it is very challenging to fight off the Coronavirus. The clinical treatments will seriously test TCM doctors’ thorough understanding of TCM and their ability and courage to call the right shots under a great amount of pressure. On the other hand, it is also a good time to prove that TCM can be effectively used to fight various viruses in a superb and speedy fashion with little sequelae and at a much lower cost.
For fighting such a new and aggressive virus epidemic, there is no single TCM herbal formula that can treat all situations. One must have deep knowledge of the stages of the disease, along with close examinations on patients’ preconditions, so one can use the most effective prescription to intercept and turn the symptoms around. On the other hand, many provinces and cities in China provided TCM guidelines on Coronavirus treatments and pre-fixed herbal formulas to address people’s demands on a herbal remedy for “common usage”. Among them, I found the current recommendation from the Chinese National TCM Administration the most appropriate for a good percentage of Coronavirus patients. The herbal remedy was recently named as “Qing Fei Pai Du Tang” (清肺排毒湯), which could probably be translated to “clean up the lung and get rid of the toxic”. In line with the discussion above, this specific herbal formula includes Ma Huang (Ephedra sinica Stapf., 麻黃), Zhi Gan Cao (processed Glycyrrhiza uralensis Fisch., 炙甘草)、Xing Ren (Prunus armeniaca, 杏仁)、Sheng Shi Gao (Gypsum, 生石膏)、Gui Zhi (Ramulus Cinnamom, 桂枝)、Ze Xie (Alisma orientalis, 澤瀉)、Zhu Ling (Polyporus umbellatus, 豬苓)、Bai Zhu (Atractylodes macrocephala Koidz., 白朮)、Fu Ling (Poria, 茯苓)、Chai Hu (Bupleuri Radix, 柴胡)、Huang Qin (Scutellaria baicalnsis Geprgi root, 黃芩)、Jiang Ban Xia (Pinellia ternate, 薑半夏)、Sheng Jiang (Ginger, 生薑)、Zi Wan (Aster tataricus, 紫菀)、Kuan Dong Hua (Tussilago farfara flower, 款冬花)、She Gan (Belamcanda chinensis, 射干)、Xi Xin (Asarum sieboldii, 細辛)、Shan Yao (Dioscorea oppositifolia, 山药)、Zhi Shi (Citrus aurantium, 枳實)、Chen Pi (Citrus reticulata Blanco, 陳皮)、and Huo Xiang (Pogostemon cabin, 藿香). Since such an herbal remedy was designed for “common usage”, it has to consider all degrees of disease severity. Therefore, the dosages can’t be too heavy, as the majority of the patient cases are light to mild. As the result, “Da Qing Long Tang” (大青龍湯) discussed earlier became a lighter herbal formula named as “Ma Xing Gan Shi Tang” (麻杏甘石湯). The stronger herbal ingredients such as Ting Li (Sisymbrium indicum, 葶藶) and Da Ji (Euphorbia pekinensis Rupr., 大戟) to treat pleural effusion and hydronephrosis are not included. Hence, for severe cases, the herbal remedy from the Chinese National TCM Administration needs to be enhanced with additional ingredients and larger dosages.
In summary, as long as the TCM doctors have sufficient knowledge and clinical experience, by applying the proper methodology, TCM alone is capable of dealing with severe Coronavirus infections. (Translator’s note: There is much to do to develop a comprehensive diagnostic and treatment methodology which can help many TCM doctors to pinpoint the patient’s condition and stages of the infection to make the proper decision, especially when fully qualified TCM doctors are of short supply.) At this moment, there is no “special drug” in Western medicine to cure Coronavirus, but to resort to cortisone, antibiotics, interferon, anti-malaria, anti-flu drugs to maintain the lives of patients and passively wait and hope that the patients’ bodies can find their own way to turn the situation around. Even then, the Western medicine drugs mentioned above all potentially have significant side effects and sequelae. Patients with severe cases might be able to get out of the deathbed but most likely live with some permanent damages to the body. Dr. Zhong, China’s chief Western medicine expert on the Coronavirus epidemic, also warned that the current path of developing the “special drug” would most likely lead to severe sequelae to the patients. Given that is the case, why don’t we put much more effort to fully develop the TCM treatment of viral infection, not just for Coronavirus but also for future viruses which will bound to happen in the future?
(Translator’s note: As China is getting good control of the virus spread and gradually recovers from this epidemic, the knowledge learned will be invaluable to the rest of the world. Europe and the United States are on the exponential rise of new cases as of the writing on 3/14/2020. Various models predict that in the US alone Coronavirus infections can reach millions, as discussed in the Opinion Column of New York Times, “How Much Worse the Coronavirus Could Get, in Charts” by Nicholas Kristof and Stuart A. Thompson, March 13, 2020. China should continue to put efforts to develop TCM diagnostic and treatment methodology so that millions of people in the rest of the world can be helped and saved. TCM is not just for science, it is for humanity.)
(http://andylee.pro/wp/?p=7729)
#當張仲景遇上史丹佛
running sound in words 在 當張仲景遇上史丹佛 Facebook 的最佳貼文
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
running sound in words 在 Gina music Youtube 的最佳解答
Don't forget to turn on the bell icon for future uploads 🔔✔️
西洋音樂愛好者✨這裡不會有冗長的介紹文卻是個讓你挖歌的好地方😎
追蹤Gina music社群挖掘更多音樂🌹
facebook👉 https://www.facebook.com/Ginamusicland
instagram👉https://www.instagram.com/ginamusic_yujia/
spotify 歌單👉https://open.spotify.com/playlist/2EfPjFfdqN8NzUwj1XNoZC
🌺贊助GINA讓頻道走得更長久•̀.̫•́✧👉https://p.opay.tw/WSwM8
Donate and support my channel (PayPal) 👉https://paypal.me/ginamusic?locale.x=zh_TW
想讓更多人認識你的聲音嗎?歡迎投稿😎
Submit your music 👉ginamusictaiwan@gmail.com
For business inquiries about copyright issues, photos and song submissions,
please contact👉 https://www.facebook.com/Ginamusicland
____________________________________________________
Social Media:
▶ Download / Stream link : https://johnk.lnk.to/incaseyoumissme
👑John K
https://www.instagram.com/johnkmusic/
https://www.facebook.com/musicbyjohnk/
https://twitter.com/johnk
---------------------------------------------------------------------------
Lyrics:
Tears, running down your face
淚 從你臉頰落下
When you feel the weight
你感到周圍的重量
Closing in around you
靠近你
Breathe, take another breath
呼吸 再次呼吸
'Til there’s nothing left
直到什麼都沒剩下
Nothing but the sound off
什麼都沒剩下
Your high heels hitting the stairs on your way out
除了你的高跟鞋在樓梯上敲出的離別鐘聲
Why'd I let those words come out my mouth?
為什麼我會說出那些話
How'd I let you leave like that?
我怎麼讓你就那樣離開
Know you’re never coming back
明知你將不再回來
Only a fool could let you go
只有傻子能眼睜睜看著你離開
Let you go, oh, oh, oh-oh
離我遠去
If I could turn back time
如果能回到從前
I'd hold your hand mine
我會握緊你的手
'Cause only a fool could let you go
只有傻子能眼睜睜看著你離開
And now I'm a fool alone
我就是個形單影隻的傻子
(Fool, fool, I'm a)
我怎麼那麼蠢
Please, take away the pain
求求你帶走我的痛苦
'Cause when I hear your name
因為只要聽到你的名字
I miss everything about you
我就會想念與你有關的一切
Like the sound of your voice at the end of my phone
比如你在掛電話前的低語
Say, "I need you, I want you, I'm all alone"
你說著我需要你 我想要你 我孤單一人
No, it's not the same without you, ooh
沒有你的一切是那麼不同
How'd I let you leave like that? (Like that)
我怎麼讓你就那樣離開
Know you’re never coming back (Coming back)
明知你手裡拿的是單程車票
Only a fool could let you go
什麼樣的傻子就這麼放棄你
Let you go, oh, oh, oh-oh
放棄你
If I could turn back time
如果我能回到從前
I’d hold your hand in mine
我將緊握你的手
'Cause only a fool could let you go
什麼樣的傻子就這麼放棄你
And now I'm a fool alone
我現在就是那個傻子
Fool, fool, I’m a fool, ooh, ooh
我怎麼那麼蠢
Losing you, ooh-ooh, ooh, ooh-ooh, ooh
我還愛著你
And now I'm a fool alone
我現在就是那個孤獨的傻子
Fool, fool, I'm a fool, ooh, ooh
又愚蠢
Losing you, ooh-ooh, ooh, ooh-ooh, ooh
又渴望愛
Now I'm a fool
不折不扣的傻子
How’d I let you leave like that?
我怎麼就那麼讓你離我遠去
Know you're never coming back
明知你不再回來
Only a fool could let you go
只有傻子才會讓你走
And now I'm a fool alone
只有我這個傻子
歌詞翻譯:LL
#JohnK #foolalone #Lyrics #incaseyoumissme #西洋歌曲推薦
![post-title](https://i.ytimg.com/vi/-4QO5y3KupU/hqdefault.jpg)
running sound in words 在 渡辺レベッカ ☆ Rebecca Butler Watanabe Youtube 的精選貼文
二度目の「前前前世」です(*'ω'*)
前回は弾き語りでMovie Ver.をお届けしましたが、今回は、BRAND gNu recordsのKen YamaguchiさんにアレンジしていただいたOriginal Ver.をお届けします。
Enjoy!
BRAND gNu records:
https://www.youtube.com/channel/UCwgvtAOVnEb3hYItaQ9sj2g
~♪~♪~♪~♪~♪~
曲情報 / SONG INFO
~♪~♪~♪~♪~♪~
RADWIMPS / Zen-zen-zense (Past-Past-Past Life)
Released 2016
Music/Lyrics: Yojiro Noda
English Lyrics: Rebecca Butler Watanabe
~♪~♪~♪~♪~♪~
リンク / LINKS
~♪~♪~♪~♪~♪~
■HP⇒ http://BlueEyedUtaUtai.jimdo.com
■Facebook⇒ http://facebook.com/blueeyedutautai
■Twitter⇒ @BlueEyedUtaUtai
~♪~♪~♪~♪~♪~
歌詞/LYRICS
~♪~♪~♪~♪~♪~
So finally you’ve opened your eyes
So, now, tell me why you’re too afraid
To even look me straight in mine
You angrily tell me that I’m late
Well, that may be so, but, baby,
I came running at my fastest pace
Yeah, my heart outran my body
As it flew to find you in this place
Seeing your hair flowing and your bright eyes glowing
Cuts me to the very core
After all the days we spent inside the same dream
I don’t want to let you go
Now that I am finally faced with
The voice I’ve known for so long
I don’t know what the words should be
The very first I say to you
Back in your past-past-past life I set out in search of you
And I’ve been looking every day
I followed the sound of your floundering laughter
And I let it lead me in the right way
Even if all-all-all of you disappeared
And pieces scattered everywhere
No, I wouldn’t waver, I would start back at one
And look for you all over again
Or maybe instead we’ll take the whole universe
Right back to zero where we begin
Where should I begin the story?
Wanna tell you everything that happened
While you were fast asleep
I flew through dozens of skies
To tell you of hundreds of millions
Of light years’ worth of prior lives
But now that I’m here and finally
See you reflected in my eyes
I just want to know you, play around and show you
Who it is that you can be
I just want to love you, every fragment of you
Right down to the pain you feel
Now that we have finally met
At many galaxies’ end
I don’t know how to hold your hand
So that I don’t break it
Back in your past-past-past life I set out in search of you
And I’ve been looking every day
Oh, I let the sound of your unfettered voice
And the shedding of tears lead me this way
So tell me, who’s gonna stop the two of us
On this the eve of our revolution
No more hesitation, I will put up a flag
To stake my claim on your heart tonight
‘Cause you took away from me the will to give up
My resignation to lose the fight
I wonder if we can push our way through
The countless difficulties waiting
In the future just beyond our view
Side by side, no way we can lose
We’ll beat destiny at its own game
And make it follow our own rules
And there isn’t any weapon besides you
That I will need to use
前前前世から僕は
zenzenzense kara boku wa
君を探しはじめたよ
kimi wo sagashi-hajimeta yo
そのぶきっちょな笑い方をめがけて
sono bukiccho na waraikata wo megakete
やってきたんだよ
yatte kita n' da yo
君が全然全部なくなって
kimi ga zenzen zenbu naku natte
チリヂリになったって
chiri-jiri ni nattatte
もう迷わない
mou mayowanai
また1から探しはじめるさ
mata ichi kara sagashi-hajimeru sa
何光年でも
nan-kounen demo
この歌を口ずさみながら
kono uta wo kuchizusami-nagara
![post-title](https://i.ytimg.com/vi/0_IUouESBeU/hqdefault.jpg)
running sound in words 在 YYTV 許洋洋媽媽說 Youtube 的精選貼文
♬【背景音樂6歲童創作曲】許洋洋嬰兒小小時候 | BABY Before 2 years old ♬ creation song | 赤ちゃん小さい頃 ♬小学一年生創作曲
☞ 訂閱 YYTV/許洋洋愛唱歌 https://goo.gl/kNUv4c ♫ 6Y8M 小一生
――――――――――――――――――――――――――――
㊥ 關於英文及日文,我是參考Google翻譯。
若是有錯誤,請大家留言給我。
讓我也可以學好英文及日文!
Ⓐ About English, I refer to Google translation.
If there is an error, please leave a message to me,
then I can learn English!
㊐ 日本語について私はGoogleの翻訳を参照しました。
間違いがあれば、私にメッセージを残してください。
私は日本語を学ぶことができます.
―――――――――――――――――――――
【影片主題 / Topic / テーマ】
【許洋洋小小時候】♬ 背景音樂:小一生不太成熟之新創作曲「L.O.V.E 」 |【Before 2 years old】♬ first grade student creation song「L.O.V.E 」 |【許洋洋小さい頃】♬ 小学一年生創作曲「L.O.V.E 」
【影片内容 / content / 内容】
【許洋洋嬰兒小小時候】♬ 背景音樂:小一生新創作曲「L.O.V.E 」 |【BABY Before 2 years old】♬ creation song |【許洋洋赤ちゃん小さい頃】♬ 小学一年生創作曲
內容為出生至2歲的影片
背景音樂是許洋洋新創作曲「L.O.V.E 」,不太成熟,但小一能作出這種歌應該算很棒了吧!
歌詞是從他自己認識的字寫的,沒什麼意思,請忽略!
Content is before 2-year-old video
The background music is Young Young Xu new creation song "L.O.V.E",
not mature, but he can make this song should be considered great,
and the lyrics are from his own words to write, no meaning, please ignore!
内容は許洋洋2歳前の動画です
バックグラウンドミュージックは、許洋洋の新しい創作曲「L.O.V.E」です。
成熟していないが、彼はこの曲が作れてすごいと思います。
歌詞は彼が認識する言葉で意味がないです。
無視してください!
00:00:04
出生
Born
誕生
00:00:11
滿月剃胎毛
Shaving lanugo
シェービングラングーゴ
0:00:32
開始發出PAPA MAMA的聲音
The sound of PAPA MAMA
パパママの音
0:00:49
寶寶爬行比賽
Baby crawling game
赤ちゃんクロールゲーム
0:00:57
抓周
Draw lots
選び取り
0:01:09
開始愛唱歌
Began to love to sing
歌うのが好きになった
0:01:10
終於會走路了
Can walk
歩くことができる
0:01:21
從小就愛唱歌
Since childhood love to sing
子ども時代から歌うのが好きです。
0:01:40
"媽媽我愛你"
"Mom, I love you"
“ママ、大好き"
【影片目的 / Purpose /目的】
㊥ 我是YYTV 許洋洋的媽咪,
一轉眼愛唱歌表演的許洋洋已經上小學了!
為了用影像留下每個成長時刻,
配合許洋洋上小學開始學習中文國字,
我將此頻道定義為 台灣小學生活 + 活學中文,
並將影片加上中英日字幕翻譯,
讓正在學習中文的外國朋友們也能一起簡單學中文!
Ⓐ I am YYTV Young Young Xu's Mommy,
Little singer Young Young Xu has been in elementary (primary) school!
In order to leave each growth moment with the image,
And Young Young Xu began studying elementary school Chinese characters,
I defined this channel as Taiwan elementary (primary) school life + study Chinese,
The film with subtitles in English, Japanese translation,
So that is learning Chinese foreign friends can learn easy Chinese !
㊐ 私はYYTV 許洋洋 (Young Young Xu)の母です。
歌が好きな息子は小学生になりました。
成長の画像を残すために、
それに小学校で中国語漢字を学んでいるから、
このチャネルは台湾の小学校生活と中国語勉強と定義されています 。
そして、ビデオは英語や日本語字幕翻訳されます。
皆さん、一緒に簡単な中国語を勉強しましょう!
【關鍵字/ Keyword /キーワード】
https://goo.gl/SmDwLm, https://goo.gl/AWZ2mA,https://goo.gl/Uiwpzb
出生,BABY,嬰兒,剃胎毛,小時候,背景音樂,創作,L.O.V.E ,creation song,小さい頃,創作曲,
台灣,小學,小學生,一年級,生活,學中文,YYTV,許洋洋,愛唱歌,中文,英文,英語,日文,Taiwan, Chinese, Mandarin, Easy Chinese, Study Chinese, Chinese characters, Primary school, elementary school, English, Japanese, children,台湾,簡単,中国語,中国語勉強,小学,小学生,学校,生活,漢字,意味,,一年生,英語,日本語,子供,歌
(YYTV一日DJ) https://goo.gl/SmDwLm
(YYTV翻唱黃明志泰國情歌) https://goo.gl/AWZ2mA
(YYTV 翻唱四葉草冷冷DER聖誕節) https://goo.gl/Uiwpzb
【相關影片/ Related Videos /関連動画】
【喜歡的Youtube 頻道/ Like Youtube Channel /好きなYoutube チャネル】チャネル
♥NyoNyoTV妞妞TV https://www.youtube.com/channel/UCWGGwv7agoMmd3BAu4Fv3jQ
♥NyoNyoTV妞妞TV第二頻道 NyoNyo日常實況
♥安啾咪 https://www.youtube.com/user/anjouclever
♥直播紀錄 安啾Live
♥Sunny&Yummy的玩具箱kids toys
♥Sunny & Yummy 跟玩具一起奔跑吧 Running Toy
♥北美玩具 Toy Show
♥凯利和玩具朋友们
♥小伶玩具 (Xiaoling Toys)
♥親子營地
![post-title](https://i.ytimg.com/vi/0fyJxLq98gY/hqdefault.jpg)
running sound in words 在 Word for the sound produced while walking down the stairs 的推薦與評價
If you're looking for a single word that specifically means the sound of human footsteps while walking down the stairs, I suspect that ... ... <看更多>
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