欧洲中医基金会主席 拉蒙教授：

您知道大多数西方国家尚未对中医药进行立法，而在其它一些对中医有立法监管的国家，比如在澳大利亚，葡萄牙，智利，美国等等，甚至在中国，中医仍然被那些推崇西医者以“缺乏科学证据”为由而质疑中医药的功效。同时我们也知道，在大多数西方国家中，群众们对中医是普遍接受和高度评价的，而且，在这些国家中，从事中医专业人员百分之九十以上都不是西医执业医师。在大多数西方国家中，由于对中医（和中草药）没有立法监管，无法使用中药配方和中成药来治疗新冠肺炎患者，因为中药产品在这些国家未经注册，当地政府不允许进口，即使在目前如此特殊严重疫情下作为捐赠物资也不行。

As President of the China Academy of Chinese Medical Sciences, you know that Chinese medicine is NOT regulated in most western countries and that, in those countries where it is regulated, such as Australia, Portugal, Chile, USA, etc., and even in China, the efficacy of Chinese medicine is questioned, by defenders of Western medicine, based on its alleged "lack of scientific evidence." We also know that, in most Western countries, Chinese medicine is accepted and highly valued by citizens and that, in these countries, the majority of professionals who practice Chinese medicine (more than 90%) are NOT Western doctors. In most western countries, where Chinese medicine (and Chinese herbal medicine) are not regulated, it is NOT possible to use Chinese medicine formulas and patent medicines for the treatment of COVID-19, because the governments of these countries do not allow imports, since Chinese herbal medicine products are not registered, even though they are donations and at times as exceptional as those we are going through.

问题1: 根据您的介绍，很显然在中国中西医结合为预防、治疗和治愈新冠肺炎做出了巨大的贡献。我的问题是，您向我们介绍的这个现实是否得到中国政府本身的充分认可?

Q1: From your explanations, it is evident that, in the R.P. China, Chinese medicine has made great contributions, in combination with Western medicine techniques, in the prevention, treatment and cure of COVID-19.

My question is whether this reality, which you have explained to us is sufficiently recognized by the Chinese Government authorities themselves?

黄璐琦院士：这次我们在武汉抗击新冠肺炎疫情中所有的诊疗方案、各项救治措施，都是由中国政府来统筹组织与实施，坚持中西医并重是中国政府应对公共卫生的政策，以及刚才报告中所介绍的诊疗经验和科研成果，都得到了中国政府的充分认可，且在全国范围内进行推荐。

Prof. Huang Luqi:  All the diagnosis and treatment plans and various treatment measures in the fight against the COVID-19 epidemic in Wuhan this time are organized and implemented by the Chinese government. It is the public health policy of the Chinese government to attach equal importance to TCM and Western medicine. The diagnosis and treatment experience and scientific research results introduced in my report just now are fully recognized by the Chinese government and recommended nationwide.

问题2: 根据科学界可接受的标准，有关这一现实的文献是否可以按照“世界卫生组织2014-2023战略”文件的建议，帮助西方国家决定对中医药进行立法从而将其纳入国家卫生系统中使用?

Q2: If the documentation of this reality, based on criteria acceptable to the scientific community, can help Western countries, following the recommendations of the document of "WHO 2014-2023 Strategy", decide to regulate Chinese medicine and integrate it in their National Health Systems, as advised by the WHO?

黄璐琦院士：刚才在我的报告中，已介绍了我们所做的治疗新冠肺炎临床观察等相关经验，这些都是按照科学界可接受的标准，来研究设计如何获得高级别高质量的临床证据，我想现在我们所做的工作应该是能够获得科学界的认可，也是能够促进“世界卫生组织2014-2023战略”文件中所提出的“掌握利用传统和补充医学对健康、福祉和以人为本的卫生保健的潜在贡献”，所以在面对这样全球爆发的疫情中，我们基于中医药的临床疗效，一定能够为帮助西方国家更好地来认知中医药，从而促进中医药在所在国的立法，同时也希望像拉蒙教授一样的中医专家和同道们，能在西方国家积极宣传推荐中医，在临床中运用好中医。

Prof. Huang Luqi: In my report just now, I have introduced our relevant experience in the clinical observation of the treatment of COVID-19, which are all based on standards acceptable to the scientific community to study and design how to obtain high-level and high-quality clinical evidence. I think what we are doing now should be recognized by the scientific community and can promote “the potential contribution of mastering the use of traditional and complementary medicine to health, well-being and people-oriented health care” as proposed in the document "WHO 2014-2023 Strategy ”. Therefore, in the face of such a global outbreak, based on the clinical efficacy of traditional Chinese medicine, we can definitely help western countries to achieve a better understanding of TCM, thus promoting the legislation of TCM in the host country. At the same time, we also hope that TCM experts and colleagues like Professor Ramon can actively promote and recommend TCM in western countries and even make good use of TCM in clinical practice.

这次新冠肺炎疫情的研究是以临床研究为核心，在整个临床过程中，我们充分利用了国际上认可的现代科研方法，开展了包括临床研究、疾病机制和新药研发等各方面研究，我们已向世界卫生组织建议并提供了这些研究成果，希望世界卫生组织能组织国际专家对这些研究采取进一步评估；同时也希望通过世界卫生组织，能够把我们这些成熟的经验推广到世界各国或地区，为全球抗击新冠肺炎疫情作出更大的贡献。

The research on the COVID-19 epidemic is centered on clinical research. Throughout the clinical process, we have made full use of internationally recognized modern scientific research methods and carried out various researches including clinical research, disease mechanism and new drug research and development. We have proposed and provided these research results to WHO, hoping that WHO can organize international experts to take further evaluation of these researches. At the same time, I also hope that through WHO, we can spread our mature experience to all countries or regions in the world and make greater contributions to the global fight against the COVID-19 epidemic.

问题3: 对于我们这些在欧洲为有利于人民健康而传播促进中医教育，临床实践和科研的组织，您有什么建议?

Q3: What can you suggest to European organizations and those of the rest of the world, that we take care of promoting education, clinical practice and research in Chinese medicine, for the benefit of the citizens of our countries?

黄璐琦院士：对于欧洲这些中医教育、临床实践和科研的组织给予建议，我认为中医的教育是根本，通过中医教育做好基础，使民众认识、认知中医，对认识疾病或健康才能够更全方面地掌握。有了中医教育这样一个基础，再结合临床实践和科研，尤其是在这次新冠肺炎疫情中，如果能在当地运用中医，并体现出中医临床疗效的优势和特色，那么在欧洲一定能够更好地接受中医疗法，从而促进中医在当地的立法，为当地使用中医提供法律保障。

Prof. Huang Luqi: To give advice to European organizations of Chinese medicine education, clinical practice and scientific research, I think the education of Chinese medicine is the foundation, through which the public can have a better understanding of Chinese medicine so as to have a better understanding of diseases or health. With such a foundation of Chinese medicine education, combined with clinical practice and scientific research, especially in the COVID-19 epidemic, if Chinese medicine can be applied locally and the advantages and characteristics of clinical efficacy of Chinese medicine can be reflected, then Chinese medicine therapy will definitely be better accepted in Europe, thus promoting the local legislation of Chinese medicine and providing legal protection for the local use of TCM.

问题1：一病人疑似新冠（有和确诊新冠病人接触），经过中医药治疗，所有症状都消失，但偶尔有咳，咳时会感觉肝区脾脏区痛，有交代刮痧和热敷，但反反复复。今日大便干结，大肠绞痛（病人一个月前有得膀胱炎已痊愈）。由于交通不便，我们只能用身边所取物尽力而为。请董主任给出建议。（附三次舌诊图）

——葡萄牙康复（健康）海岸，王科

Q1: A patient of mine was suspected of having coronavirus (there was contact with confirmed case). After treatment with Chinese medicine, all symptoms disappeared, left only occasionally cough, but with pain in the liver and spleen area. Scrapping and hot compress are recommended, but cough still repeats itself. Today, the patient has dry stools and colic (the patient has had cystitis cured a month ago). Due to inconvenient transportation, we can only do our best with what we already have. Could Dr. Dong give us some advices?

——Portugal Health land, Wang Ke

董善京主任：我认为这个患者首先与确诊的新冠肺炎患者有接触史，那么我们就不能排除该患者是确诊的新冠肺炎患者的可能性，如果有条件的话，最好是通过他的临床表现、血液检查、影像学检查以及核酸的检测，来确定他是不是确诊的新冠肺炎患者。如果是确诊的新冠肺炎患者，那么在中医或针灸等外治法治疗时应特别注重防护，比如刮痧这些操作，作为医者没有做好防护，感染疾病的几率就会非常大。

我们从病人的舌苔上来看，第一次舌苔是白腻苔，可见寒湿之邪侵袭，这里没有提到最初患者的一些症状，但从描述上来讲，应该也会出现咳嗽、乏力、发烧等症状，经过治疗后咳嗽这些基本症状，或者其他严重的症状得到缓解，但偶尔有咳嗽，说明还没有痊愈。第二次舌苔是舌体胖大黄腻苔，也就是说这个疾病（没有痊愈）入里化热，舌苔表现出湿热之象。患者今天来就诊，主要症状是大便干结和腹部疼痛，如果不能到医院或诊所进行治疗，我们建议用简便的方法来指导操作，比如点按穴位，可选择支沟、合谷、天枢、足三里和太冲等穴位进行按压，起到润肠通便，调畅气机的作用；对于大便干结，也可以运用按摩手法，两手叠加放于脐部，顺时针按摩，从而促进大便的排泄，对腹部的疼痛也有一定的缓解作用。

Dr. Dong Shanjing: I think this patient first has a history of contact with a diagnosed COVID-19 patient, then we cannot rule out the possibility that this patient is a confirmed COVID-19 patient. If conditions permit, it is best to determine whether he is a confirmed COVID-19 patient through his clinical manifestations, blood tests, imaging examination, and nucleic acid tests. Once he is confirmed a COVID-19 patient, you should pay special attention to protection during external treatment methods such as Chinese medicine or acupuncture. For example, when doing operations like scraping, the risk of infection is very high if the doctor does not take good protection.

From the patient's tongue coating, we can see that the first one is white and greasy, which shows the invasion of pathogenic cold and dampness. There is no mention of initial symptoms of the patient, but from the description, there should also be symptoms such as cough, fatigue, fever, etc. After treatment, these main symptoms of cough or other serious symptoms are relieved, but occasional coughing shows that it has not been cured.

In the second one, the tongue body is fat and tongue coating is yellowish and greasy, that is to say, the disease (not cured) turns into heat, and the tongue coating shows the sign of damp heat. The patient came to see a doctor today with main symptoms of dry stool and abdominal pain.If the patient cannot go to the hospital or clinic for treatment, we suggest to use simple methods to guide the operation. For example, by pressing the acupoints such as Zhigou(SJ6), Hegu(LI4), Tian Shu(ST25), Zusanli(ST36) and Taichong(LR3). These acupoints can be selected to moisten the bowels and smooth the qi. For dry stool, you can also use massage manipulation. Put one hand on top of the other on the navel and massage clockwise to promote the excretion of stool and give some relief from abdominal pain.

问题2：在武汉已经开设了新冠肺炎康复门诊，在您接诊的这些恢复期患者主要还会有哪些症状？治疗是以纯中医疗法为主吗？疗程多久？请您介绍下相关经验，谢谢！

Q2: COVID-19 Rehabilitation Clinics have been established in Wuhan. What are the main symptoms of the patients in the recovery period? Did you treat them only with Chinese medicine? How long is the treatment? Please introduce your experience. Thank you!

周仲瑜主任：在我们湖北省中医院也是新冠肺炎康复的定点医院，来咱们医院就诊的恢复期病人，主要症状以胸闷、心慌的最多，其次是乏力、盗汗、自汗、失眠、胃脘部不适。在治疗方面，我们康复门诊是以纯中医治疗为主，我们采用的是MDT模式，也就是多学科团队协作模式，治疗采用中药、针灸、耳穴压豆、穴位敷贴、心理咨询干预、传统功法等综合疗法。

根据病人的实际情况，一般来说一个疗程是两周左右，我们会随着病人症状的改善程度进行调整。对于新冠肺炎的恢复期病人，如果这个病人住的很远，来往就医成本很高的话，我们常常会给予一些长效的治疗方法，比如说中药开10至14天；另外我们还会指导患者在家做艾灸，通过互联网的平台，实现医生对患者在线上一对一的管理，“一药一灸一功一浴”，即中药、艾灸、传统功法锻炼和足浴疗法，这是我们康复门诊最常用的治疗方法。

Dr Zhou Zhongyu: In our Hubei Provincial Hospital of Traditional Chinese Medicine, it is also the designated hospital for the rehabilitation of COVID-19. In the recovery stage, the main symptoms of those patients coming to our hospital are chest tightness and palpitation, followed by symptoms such as fatigue, night sweat, spontaneous sweat, insomnia and epigastric discomfort. These are the main symptoms. In terms of treatment, our rehabilitation clinic is mainly based on pure Chinese medicine, and we adopt MDT mode, that is, multi-disciplinary team cooperation mode. The treatment uses integrated therapies such as Chinese medicine, acupuncture, auricular acupuncture, acupoint application, psychological counseling intervention, and traditional methods. 

According to the actual situation of the patient, generally a course of treatment is about two weeks, we will adjust as the patient's symptoms improve. For the COVID-19 patients in the recovery period, if he(she) lives far away and the cost of medical treatment is high, we often give him(her) some long-term treatments, such as Chinese medicine for 10 to 14 days. In addition, we will also guide the patient do moxibustion at home with an one-on-one online management between doctors and patients through the platform of the internet. The methods of "one medicine, one moxibustion, one function and one bath", that is, Chinese medicine, moxibustion, traditional exercise and foot bath therapy, are the most commonly used treatment method in our rehabilitation clinic.

问题3：新冠肺炎患者出现的腹泻症状与普通感冒引起的腹泻是否有区别？治疗上有何异同？除了腹泻症状外，中医师如何从症状上来鉴别新冠肺炎与流感及感冒？您在用艾灸治疗新冠肺炎患者腹泻症状时有没有做空白对照组？

——中国针灸学会会员

Q3: Is there any difference between diarrhea symptoms in patients with COVID-19 and that caused by common cold? What are the similarities and differences in treatment? Besides, how TCM doctors distinguish COVID-19 from flu and cold? Was there a blank control group when using moxibustion to treat diarrhea in COVID-19 patients?

——member of CAAM

董善京主任：对于新冠肺炎患者出现的腹泻症状，与普通感冒所引起的腹泻，在临床伴随症状、腹泻的次数和大便的性状来讲的话，应该是区别不大，但是在治疗上、中医的病机上还是有所区别的，因为新冠肺炎它是寒湿疫毒邪所致，病邪比较凶猛，肺卫表症很少，而是（病邪）直中太阴所表现出脾虚症状，即脾失健运而导致的腹泻症状；但普通的感冒一般是以肺卫表症、太阳病为主，进而合并阳明，所以说他们两者病机上有所区别的，在治疗上也有区别，对于新冠肺炎所引起的腹泻，主要是以健脾化湿、温阳散寒为主，而对于普通感冒所引起的腹泻，主要是关注解表散热或祛寒，当然也要兼顾着腹泻的症状，这是关于腹泻症状、中医病机以及在治疗上的区别。

对于腹泻症状以外，新冠肺炎和流感、普通感冒都是呼吸道的疾病，也是有一定的区别的。首先，普通型感冒和流感的区别，普通感冒主要表现上呼吸道症状，比如鼻塞、流鼻涕、打喷嚏等这些卡他症状，还有一些轻微的咳嗽、低烧，它的传染性不强，没有很严重的头疼，一般情况恢复比较好，预后较好，基本上没有传染性；流感相对普通感冒来讲，症状比较重，来势比较猛，进展比较快，会出现高烧、恶寒、头疼、乏力等明显症状，同时可伴有咳嗽的症状，胸闷。新冠肺炎早期以发热、乏力、干咳为主要表现，从其症状上讲与普通的感冒并不好鉴别，新冠肺炎患者前几天症状一般较轻，往往发病一周后病情会突然加重，如出现胸闷气喘症状。另外需要特别关注的是相接触的人是否也出现相同类似的症状。

关于在方舱里使用艾灸治疗新冠肺炎患者腹泻症状时，我们没有设置对照组，我们治疗的这些腹泻患者，在施用艾灸前后进行了对照，确实有显著疗效。

Dr. Dong Shanjing: There should be little difference between the diarrhea symptoms of COVID-19 patients and the diarrhea caused by the common cold in terms of clinical accompanying symptoms, the frequency of diarrhea and the characteristics of stool, but there should be some differences in treatment and TCM pathogenesis. Because COVID-19 is epidemic caused by cold, dampness and toxin, the disease is more ferocious, there are few exterior lung symptoms, but more spleen deficiency symptoms manifested by the straight attack of the pestilence to Taiyin (spleen). That is, the symptoms of diarrhea is caused by spleen dysfunction. However, the symptoms of common cold are mainly lung-defense exterior syndrome and Taiyang syndrome, then merged with Yangming syndrome. So there are differences in pathogenesis and treatment between them. For the diarrhea caused by COVID-19, the main treatment is strengthening the spleen to dissipate dampness, and warming yang to disperse the cold. While for diarrhea caused by the common cold, it is mainly concerned with relieving the heat or dispelling cold, of course, the symptoms of diarrhea must also be considered. This is about the symptoms of diarrhea, the pathogenesis of traditional Chinese medicine and the difference in treatment.

In addition to diarrhea symptoms, COVID-19, flu, and common cold are all respiratory diseases, and there are certain differences. First of all, the difference between common cold and flu, common cold mainly shows upper respiratory symptoms, such as nasal congestion, runny nose, sneezing and other catarrhal symptoms, as well as some mild cough and low fever, which is not contagious. There is no serious headache, the general condition and the prognosis is better, and it is basically not contagious.

Compared with the common cold, flu is more severe, with more serious symptoms, stronger oncoming force and faster progress. There will be a high fever, cold, headache, fatigue and other obvious symptoms, at the same time can be accompanied by cough and chest tightness. In the early stage of COVID-19, fever, fatigue, and dry cough are the main manifestations. It is not distinguishable from common cold in terms of symptoms. The symptoms of COVID-19 patients are generally mild in the first few days. Often after a week of onset, the condition will suddenly worsen, with symptoms such as chest tightness and asthma. Also of particular concern is whether people in contact with the same symptoms. And special attention should be paid to whether the people in contact also have the same or similar symptoms.

Regarding the use of moxibustion in the temporary hospital to treat diarrhea symptoms in COVID-19 patients, we did not set up a control group. The diarrhea patients we treated were compared before and after moxibustion, and there was indeed a significant effect.

问题1：在方舱医院如何使用艾灸又不因为烟熏影响整体环境？

——时空针灸学院西班牙分院

Q1: How to avoid the smoke of moxa when using it in the temporary hospital? 

——Spanish Branch of the Space-Time Acupuncture College

常小荣教授：根据最近新闻报道和临床研究来看，艾灸在新冠肺炎治疗中得到了广泛应用。我们湖南省针灸学会寄去了很多艾条，随湖南中医医疗队带去了艾灸产品，据医疗队从前方方舱医院反馈中得知，由于院感方面的严格要求，方舱医院是封闭式，里面有酒精杀毒，明火灸的使用受限，我们就推荐使用艾灸类的产品，即没有明火的电热疗法的产品，比如扶阳罐、代温灸膏，都是热疗刺激，可以代替艾灸疗法产生温热刺激，所以我们湖南省针灸学会第一时间联合企业，为武汉江夏方舱医院提供了扶阳罐、代温灸膏，使用疗效非常好，受到患者们的喜爱。因为方舱医院里都是轻型、普通型的新冠肺炎患者，用这些灸类产品可以缓解一些症状，比如说食欲不振、乏力、呕物、胸闷等症状，达到补益肺气、健脾养胃、祛除邪气的功效，所以在方舱医院不能使用明火艾灸情况下，建议使用电子发热、有温热刺激的灸类灸具产品。

Prof. Chang Xiaorong: According to recent news reports and clinical studies, moxibustion has been widely used in the treatment of COVID-19. We, Hunan Acupuncture and Moxibustion Society, have sent (there) a lot of moxa sticks and the Hunan TCM medical team brought moxibustion products with them. According to the feedback from the temporary hospitals, because of the strict requirements for preventing nosocomial infection, the temporary hospital is closed and disinfected with alcohol, so the use of open-fire moxibustion is limited. Therefore, we recommend moxibustion products, i.e. electro thermal products without open flame, such as Fu Yang Guan and moxibustion plaster, all of which can generate thermal stimulation and replace moxibustion therapy. Therefore, at the earliest possible time, we, the Hunan acupuncture and Moxibustion Society joined some enterprises to provide the Wuhan Jiang Xia Temporary Hospital with Fu Yang Guan and moxibustion plaster. The curative effect is very good and they become popular among patients. Because all the patients in temporary hospitals belong to mild and common types of COVID-19, moxibustion products can relieve some symptoms, such as poor appetite, fatigue, vomiting, chest tightness and other symptoms, and achieve the effects of invigorating lung qi, invigorating spleen, nourishing stomach and dispelling pathogenic qi. Therefore, in the case that open-fire moxibustion cannot be used in temporary hospitals, moxibustion products with electronic heating and warm stimulation are recommended.

问题2：很多年前我在南昌的时候就认识您了。您是一位杰出的艾灸大师，我想知道您对艾灸治疗和预防无症状感染的病例的意见和建议。

——巴西中医学院 

Q2: I would like to know your opinion and suggestions for the use of moxa after the patient has been confirmed positive on COVID-19 but is not symptomatic.

—— Brazilian College of Chinese Medicine

陈日新教授：这个问题问的非常好，关键是无症状的感染者，我们要让这类感染者不发病（出现症状），通过自身免疫力来消灭病毒，按照我们长期临床经验和此次进入新冠肺炎隔离病房的临床实践，总结出这么一个规律，人体阳气足内湿轻的内环境，那么他是不容易发病的；对于阳气不足，体内有一定程度内湿的人群（易发病），我们就可以用艾灸来温阳益气、芳香化湿。我介绍一个非常有用的方案，来帮助人体温阳益气、芳香化湿，如果你是自己艾灸，就选神阙、天枢两个穴位，一定要灸出得气、透热感，温热感透到肚子（腹部）深部，甚至手心和脚心发热感。如果是有人能互灸，你还可以加一组穴位：肺俞和膏肓，隔日灸。腹部和背部的两组穴位交替灸。对于我们进入新冠肺炎隔离病房的医生，我都要求他们每天进隔离病房前，都自灸一次这些穴位，他们告诉我灸完之后整个精气神大大提升，虽然带着护目镜、穿着防护服进病房开展诊疗，但在工作中身体感到非常轻松、精力充沛，这就是阳气足。所以我们通过艾灸方法使人体阳气足内湿轻，对于无症状的病毒感染者可以做到很好的防护以及治未病。

Prof.Chen Rixin: This is a very good question, the point of these asymptomatic patients is that we should prevent such asymptomatic infections from developing (symptoms) and eliminate the virus through their own immunity. According to our long-term clinical experience and our clinical practice in the COVID-19 isolated ward this time, we summed up such a rule: it is not easy to get ill for those people who have strong yang qi and light dampness in their internal environment. However, for people with yang deficiency and a certain degree of internal dampness in the body (easy to get sick), moxibustion can be used to warm yang，replenish qi, and aromatize dampness. I'd like to introduce a very useful program to help the body. If you do self-moxibustion, choose Shen Que (CV8) and Tian Shu (ST25) acupoints. You must obtain “deqi” (sensation of qi) and feel heat penetrating deeply into the belly (abdomen), even to the palms and soles. If you do moxibustion to each other, you can also add a group of acupoints: Fei Shu (BL13) and Gao Huang (BL43), do moxibustion every other day. Alternate moxibustion for two groups of points on the abdomen and back. For our doctors who entered the COVID isolation ward, I asked them to do self-moxibustion on these acupoints before entering the isolation ward every day. They told me that after the moxibustion, the whole spirit was greatly improved. Although they entered the ward to do diagnosis and treatment with goggles and protective clothing, they felt very relaxed and energetic at work, that is, yang qi is sufficient. Therefore, we use moxibustion to replenish the body's yang qi and remove the dampness, which can protect the asymptomatic virus-infection patients and prevent the disease.

问题3: 在中国的一些报道中我们看到，有些医院采用熏艾消毒病房，在医疗环境里施用熏艾预防疫病传染；对居家隔离的民众，也建议在自家可用熏艾消毒，我想问一下艾熏消毒是否真的有意义？能介绍一下艾熏的使用方法和频率吗？

——中国针灸学会会员

Q3: From some reports in China we have seen that moxa has been used in some hospitals to disinfect the wards, or to prevent disease transmission. For people in home isolation, it is also recommended to use moxa for disinfection. I would like to ask if it really makes sense. Can you tell us about the method and frequency of moxa?

——Member of China Association of Acupuncture and Moxibustion

常小荣教授：关于艾灸用于空气消杀，一直是个争议性的话题，关键是两个问题，一是艾熏烟雾对人体是否有害？二是对人体是否有用？首先我们来看第一个方面，艾熏烟雾对人体是否有害？我们国内已做过很多研究，总结归纳起来主要是以下几点：长期暴露在高浓度的艾熏环境中，对人体呼吸系统有一定的影响，主要表现比如咽部不适、咳嗽、流泪等（这些主观上的不适），但是对肺泡肺功能的指标、疾病的相关指标并没有太大的影响，我们没有进行长期的随访。因此艾灸消杀病毒对暴露的人群来讲，是否存在着安全隐患?我们团队做过一个实验，在一个12平米的房间里，没有通风设备，用60根艾条同时燃烧后测试为微毒。目前从我们这个状况来看是不可能的，因为现在所有的艾灸门诊或病房，都有排烟装置的，即不是封闭环境中燃烧艾条产生烟雾，另外我们在使用艾灸消杀病毒的之后，都会开窗通风，所以艾熏烟雾对人体是没有损害的。

第二个方面艾熏对空气消杀到底是否有效（有用）的问题，也做了很多相关的研究，比如说我们湖南高圣集团公司专门做艾灸的，在中国疾控中心做了一个立项课题，证明了艾灸消杀空气是有效的，他们在艾灸里加了菖蒲、苍术，专门做了空气消杀的艾条，此次新冠肺炎的爆发期我们都在使用这种艾条，艾烟单独使用或者联合紫外线，可以显著的改善空气消毒的效果；南阳的一家艾条公司和广东省中医院也联合研制了此类艾条，对于空气的消杀有广谱的杀菌作用，所以艾烟具有空气消毒的作用，况且我们中国古代就有这样的记载，艾灸可以预防传染病，这是自古以来公认且流行的预防方法。

至于如何使用，建议大家在新冠肺炎疫病爆发期时，可每天一次，每次一根艾条，在点燃艾条前先把关闭门窗，艾熏约30分钟后，再开窗通风。等疫情风险级别下降之后，可以隔天一次，或每周三次，来艾熏消杀病毒。

Prof. Chang Xiaorong: Moxibustion for air disinfection has always been a controversial topic. There are two main problems. First, is the smoke of moxa harmful to human body? Second, is it useful for human body? 

First of all, let’s look at the first aspect. Is the moxa smoke harmful to the human body? We have done a lot of research in China, which can be summarized as follows: Long-term exposure to high concentration of moxa smoke has certain effects on human respiratory system, mainly manifested as throat discomfort, cough, tearing, etc (subjective discomforts), but it does not have much impact on the indicators of alveolar lung function and disease-related indicators, we did not conduct long-term follow-up. Therefore, Is there any potential safety hazard to the exposed population by using moxibustion to eliminate virus? Our team conducted an experiment in a 12-square-meter room without ventilation equipment and burned with 60 moxa sticks at the same time, the test result was slightly toxic. At present, it is impossible from our situation, because all moxibustion clinics or wards now have smoke exhaust devices, that is, the moxa sticks are not burned in a closed environment to generate smoke. And after using moxibustion to eliminate viruses, the windows will be opened for ventilation, so the moxa smoke is not harmful to human body.

The second aspect is whether moxa fumigation is effective (useful) in air sterilization. We have also done a lot of related research. For example, Hunan Gaosheng medical company specializing in moxibustion has made a project in the Chinese Center for Disease Control and Prevention, proving that moxibustion is effective in air sterilization. They added calamus and atractylodes rhizome and made special moxa sticks for air sterilization. We all used this moxa stick during the outbreak of COVID-19. Moxa smoke alone or combined with ultraviolet rays can significantly improve the air disinfection effect. A moxa stick company in Nanyang and Guangdong Provincial Hospital of Traditional Chinese Medicine have jointly developed this kind of moxa stick, which has broad-spectrum bactericidal effect on air disinfection. So the moxa smoke has the effect of air disinfection. Besides, we have such records in ancient China that moxibustion can prevent infectious diseases, which is a recognized and popular preventive method since ancient times.

As for how to use it, it is recommended that during the outbreak of COVID-19, you can use one moxa stick once a day. Before lighting the moxa stick, close the doors and windows. After about 30 minutes of moxa (burning), open the window to ventilate. After the epidemic risk level drops, you can use moxa burning to eliminate the virus once every other day or three times a week.