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关于探索基于证据的方法以在冠状病毒大流行时期利用免疫系统的综述:现代与传统印度医学体系的精华

A review on exploring evidence-based approach to harnessing the immune system in times of corona virus pandemic: Best of modern and traditional Indian system of medicine.

作者信息

Pathania Monika, Bhardwaj Praag, Pathania Nitish, Rathaur Vyas K

机构信息

Department of Medicine, AIIMS, Rishikesh, Uttarakhand, India.

Department of Kayachikitsa, Sri Sri College of Ayurvedic Science and Research, Bangaluru, Karnataka, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):3826-3837. doi: 10.4103/jfmpc.jfmpc_504_20. eCollection 2020 Aug.

DOI:10.4103/jfmpc.jfmpc_504_20
PMID:33110775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7586565/
Abstract

Coronavirus (COVID-19) is the most dreaded pandemic of our times, which lead to a state of chaos among the mightiest nations of the world. The immune system plays a great role in response to any foreign organisms be it bacteria or viruses. Virus-based pandemics like SARS, MERS, COVID-19 have time and again been surfacing leading to mortality and morbidity worldwide. These pandemics have also resurfaced the role of public health and its modes which have been fading in the presence of lucrative hi-tech medical industry. Although Chinese system of medicine has been explored, there is still more to be done in exploring solutions from time tested Indian systems of medicine like Ayurved and Yog. Its time to rethink and explore ways to harness our immune system and look for evidence-based solutions providing the best of both medical systems to the patients, i.e., modern medicine as well as Ayurved and Yog. The present review is a narrative review wherein studies were searched from databases like PubMed, Cochrane, Scopus, and web pages. Given a paucity of studies hereby we explored existing pieces of evidence, thereby concluding that more randomized controlled trials need to be done for assessing the role of Ayurved, Yog, and other Indian systems of medicine to enrich the armamentarium in the fight against such viruses in future. Family physicians can play a vital role in not only suggesting treatment but also changes in lifestyle of the patients as well as their family. Evidence based knowledge of ancient Indian system will open a new door of integration for overall well being of patient with a scientific outlook.

摘要

冠状病毒(COVID-19)是我们这个时代最可怕的大流行病,它在世界上最强大的国家中引发了混乱局面。免疫系统在应对任何外来生物体(无论是细菌还是病毒)时都起着重要作用。像非典、中东呼吸综合征、COVID-19这样基于病毒的大流行病一次又一次地出现,导致全球范围内的死亡和发病。这些大流行病也再次凸显了公共卫生及其模式的作用,而在利润丰厚的高科技医疗行业面前,这些作用一直在逐渐减弱。虽然中国医学体系已经得到探索,但在从阿育吠陀和瑜伽等经过时间考验的印度医学体系中探索解决方案方面,仍有更多工作要做。现在是时候重新思考并探索利用我们免疫系统的方法,并寻找基于证据的解决方案,为患者提供两种医疗体系的最佳成果,即现代医学以及阿育吠陀和瑜伽。本综述是一篇叙述性综述,其中从PubMed、Cochrane、Scopus等数据库以及网页中检索了研究。鉴于在此方面研究匮乏,我们探索了现有的证据,从而得出结论,需要进行更多随机对照试验,以评估阿育吠陀、瑜伽和其他印度医学体系在未来对抗此类病毒的战斗中丰富武器库方面的作用。家庭医生不仅在建议治疗方面可以发挥至关重要的作用,而且在改变患者及其家人的生活方式方面也可以发挥重要作用。基于证据的古代印度医学体系知识将为以科学的视角实现患者的整体健康开启一扇新的整合之门。