Li Lei, Wang Man, Chen Jikuai, Chen Juelin, Wang Yawei, Zhao Minghao, Song Qing, Xu Shuogui
Department of Emergency, Changhai Hospital, Naval Medical University, Shanghai, China.
Department of Emergency, The Second Naval Hospital of Southern Theater Command of PLA, Sanya, China.
Front Pharmacol. 2023 Sep 25;14:1228943. doi: 10.3389/fphar.2023.1228943. eCollection 2023.
As global warming progresses, heat waves are becoming increasingly frequent and intense, meanwhile the incidence of heat stroke (HS) has increased sharply during the past decades. HS is typically associated with significant morbidity and mortality, and there is an urgent need for further research to solve this difficult issue. There currently exists difficulties regarding on-site emergency treatment methods and limited in-hospital treatment approaches, and better treatments are required as soon as possible. Theories and therapies from various traditional Chinese medicine (TCM) academic groups have been widely reported. Therefore, an exploration of prevention and protection methods should consider TCM experiences as an alternative. This article primarily reviews TCM herbal therapies and external therapies that have been described in various clinical reports and demonstrated in relevant studies. Herbal therapies, including herbal formulas, Chinese patent medicines (CPMs), single Chinese herbs, and associated extracts or monomers, are summarized based on the shared perspectives of the underlying mechanisms from TCM. In addition, external therapies including acupuncture, bloodletting, cupping, Gua sha and Tui na that have rarely been rarely mentioned and considered in most cases, are introduced and discussed to offer a unique perspective in the search for novel interventions for HS. In summary, TCM may provide abundant potential clinical benefits and research directions in the fight against HS.
随着全球变暖的加剧，热浪越来越频繁和强烈，与此同时，在过去几十年中中暑（HS）的发病率急剧上升。中暑通常伴随着显著的发病率和死亡率，迫切需要进一步研究来解决这一难题。目前现场急救方法存在困难，医院内治疗方法有限，急需更好的治疗方法。各种中医（TCM）学术团体的理论和疗法已有广泛报道。因此，探索预防和保护方法时应考虑中医经验作为一种选择。本文主要综述各种临床报告中描述并在相关研究中得到证实的中医草药疗法和外治法。草药疗法包括草药配方、中成药（CPMs）、单味中药以及相关提取物或单体，基于中医的潜在机制的共同观点进行总结。此外，还介绍并讨论了针灸、放血、拔罐、刮痧和推拿等外治法，这些方法在大多数情况下很少被提及和考虑，旨在为寻找中暑的新型干预措施提供独特视角。总之，中医在对抗中暑方面可能提供丰富的潜在临床益处和研究方向。
