What is the foundation of "dynamic zero clearing"? What are the characteristics of the current epidemic in Shanghai? What is the important role of Chinese medicine in COVID-19 infected people, especially those with severe diseases? Zhang Boli, academician of the Chinese Academy of engineering and honorary president of Tianjin University of traditional Chinese medicine, responded to social concerns in an interview with reporters in Shanghai recently. Q: how do you view "dynamic clearing" and what is the foundation for China to achieve "dynamic clearing"? A: "dynamic reset" and "absolute reset" are two completely different concepts. "Dynamic clearing" is to take positive measures to find and extinguish the epidemic together. It does not mean that the epidemic will not happen. The core connotation is to quickly find the epidemic and take measures to block the continuous community transmission of the epidemic. According to China's population density and population structure, once the epidemic control is relaxed, it will face the consequences of wide spread of the virus, severe illness and huge number of deaths. It is precisely because many teams came to support the epidemic in Shanghai that the run on medical resources was avoided. If it was completely liberalized and a large number of severe patients appeared, how many medical resources would it take to deal with it? If at that time, it is hard to imagine how economic development and social exchanges should be carried out. Everyone is worried about whether they will be infected and how can life be at ease? The Disposal Practice of dozens of local aggregated epidemics in China after Wuhan has proved that we have the ability to achieve "dynamic clearing", achieve good results at a small cost, and ensure the health of the people and the steady growth of social economy. Q: from the perspective of traditional Chinese medicine, what are the characteristics of Omicron mutant and the characteristics of this round of epidemic in Shanghai? A: the Omicron mutant virus spreads rapidly and has strong concealment. Recently, the local aggregated epidemic has the characteristics of many points, wide range and frequent occurrence. Covid-19, the core pathogenesis of the new crown pneumonia of the variant is not obvious. Compared with the previous, it is still a category of TCM. It is only a little difference in syndrome characteristics due to the different factors such as climate, diet and other factors. For example, the northwest region is dry. Shanghai is still a hot wind with damp toxin. Q: what is the effect of traditional Chinese medicine on asymptomatic infections and mild cases? A: the large number and high proportion of asymptomatic infections are the obvious characteristics of this round of epidemic in Shanghai. On the one hand, it is related to the characteristics of Omicron mutant, on the other hand, it is related to timely screening, early detection of infected persons and extensive vaccination in China. For the treatment of asymptomatic infection, western medicine is asymptomatic and traditional Chinese medicine has syndrome. For example, covid-19, who has no symptoms of new symptoms, may have symptoms of weakness, weakness of tongue, greasy fur, abdominal distention and fullness. In this stage, intervention with Chinese medicine can regulate immune function, and often achieve better results. According to the principle of "New Coronavirus pneumonia diagnosis and treatment plan (trial version ninth)", the use of "three drugs and three parties" plus the prescriptions formulated by Shanghai, from the early stage of use, shows that the use of Chinese medicine in the prognosis of asymptomatic and asymptomatic patients with COVID-19 shows a good therapeutic effect in reducing the rate of turn over and reducing the time of delivery. Q: Shanghai has a high degree of aging population. What treatment plan does traditional Chinese medicine take for the elderly infected people and how effective is it? Answer: in the confirmed cases, 30% of the elderly over 60 years old, most of the elderly suffer from basic diseases, including hypertension, diabetes, coronary heart disease, stroke, dementia, cancer, uremia, etc. These factors, covid-19, will lead to serious illness, and the disease will develop rapidly, and it will easily turn to severe and critical diseases. In order to improve the effectiveness of the treatment of the elderly infected persons, aiming at the occurrence of the variant strains of the patients, combined with the characteristics of the elderly patients and past treatment experience, based on the diagnosis and treatment plan of New Coronavirus pneumonia (trial version ninth), the aim of the treatment of the elderly infected persons is to accelerate the conversion of nucleic acids to the negative, reduce the severity of the disease and reduce the mortality rate. Expert consensus on TCM treatment for elderly New Coronavirus infected patients in Shanghai is formed. In general, it is necessary to distinguish high-risk groups, pay attention to the changes of basic diseases, combine multiple disciplines, early intervention, syndrome differentiation and treatment, one person and one policy, grasp the main symptoms and core pathogenesis, and determine the clinical treatment plan and strategy of integrated traditional Chinese and Western medicine. The timing of medication should be early and fast, and the treatment strategy should be clear and clear. Attention should be paid to regulating the overall state of the body to avoid the progression of elderly patients to severe diseases, cut off the disease and reduce death. Q: what is the treatment plan of traditional Chinese medicine for patients with severe and critical diseases? A: for the treatment of critically ill and critically ill patients, we should first emphasize multi-disciplinary cooperation, including critical medicine department, respiratory department, nutritional support, nursing, traditional Chinese medicine, etc. each discipline gives full play to its own advantages and makes collective efforts to integrate traditional Chinese and Western medicine and use both traditional and Western medicine, so as to control the disease, reverse the disease and reduce the death rate. According to the factors such as basic diseases, TCM adopts the method of syndrome differentiation and targeted treatment strategies for the most dangerous factors of each patient. Specifically, "early" and "accurate", early detection, early warning, early judgment and early intervention; Targeted and precise treatment is adopted, and the method of "one policy for one person, one party for one person, one party for one day" is adopted. In order to strengthen the TCM treatment ability of critically ill patients, we have established a municipal multidisciplinary TCM expert group. In addition to participating in the joint ward rounds and consultations of Municipal Chinese and Western medicine experts, we hold consultations and discussions on critically ill cases in municipal and district designated hospitals every night, count the TCM Treatment of critically ill cases every day, and consult the cases with serious conditions or complicated basic diseases one by one. Q: what role does traditional Chinese medicine play in the follow-up rehabilitation of discharged patients? A: since the covid-19 pneumonia outbreak, people have been concerned about the sequelae. This is not the same as the name. It is also known as the new post crown condition and persistent symptoms. If the patient's nucleic acid turns negative and meets the requirements of relevant indicators, it can be discharged from the cabin. However, some people have not fully recovered their immune function, and some people are not normal because of COVID-19's damage to the heart, liver and kidneys. Therefore, covid-19 patients need a rehabilitation process for the discharged patients. To summarize the rehabilitation of patients with previous epidemics in Wuhan and later, some patients have fatigue and weakness, muscle soreness, palpitation, asthma, anxiety, insomnia, hair loss and so on. For this, we put forward the concept of "early rehabilitation, self rehabilitation and comprehensive rehabilitation", which generally adopts the method of integrated traditional Chinese and Western medicine, western medicine for health assessment, and traditional Chinese medicine for promoting rehabilitation. After active rehabilitation, the related symptoms of most people are basically eliminated within three months to half a year, and some people need a longer time to recover. Some patients can cooperate with drug treatment, and some patients can actively promote rehabilitation through physical exercise, such as Taijiquan and Baduanjin. Due to the late emergence of Omicron mutant, more observations are needed on its possible sequelae. (Xinhua News Agency)