由“COVID-19本该是中国的切尔诺贝利,却成了西方的滑铁卢”所引起的思考  

Thinking from“COVID-19 was supposed to be China’s Chernobyl.It’s ended up looking more like the West’s Waterloo”

作　　者：罗超应 罗磐真[3] 王孝武 王贵波 LUO Chaoying;LUO Panzhen;WANG Xiaowu;WANG Guibo(Sichuan Qiang Mountain Agriculture and Animal Husbandry Science&Technology Co.,Ltd,Mianyang 621000,China;Lanzhou Institute of Husbandry&Pharmaceutics Science,Chinese Academy of Agricultural Sciences/Center of Traditional Chinese Veterinary Medicine of Gansu Province,Lanzhou 730050,China;Huyi Hospital of Traditional Chinese Medicine,Xi’an 710300,China)

机构地区：[1]四川省羌山农牧科技股份有限公司,四川绵阳621000 [2]中国农业科学院兰州畜牧与兽药研究所/甘肃省中兽药工程技术研究中心,甘肃兰州730050 [3]西安市鄠邑区中医医院,陕西西安710300

出　　处：《医学争鸣》2021年第4期5-12,共8页Negative

基　　金：中国农业科学院科技创新工程(CAAS-XTCX2016011-02);科技部科技基础性工作专项(2013FY110600-8)。

摘　　要：有鉴于美国《纽约时报》网站“新型冠状病毒肺炎(COVID-19)本该是中国的切尔诺贝利,却成了西方的滑铁卢”的观点与分析,在对COVID-19防治的有关事件,如特朗普对COVID-19防治的“独到解读”(宁可无药也反对用中医药,尽管有疫苗美国每年仍有数万人死于流感等)进行综述与探讨的基础之上笔者认为:①由于感染性疾病的新发与病原变异,无疫苗与无特效抗病原药物的防治也许将愈来愈多见;②由于感染性疾病的发生并非仅是由病原微生物感染所致,对其防治既要重视疫苗或特效抗病原药物的开发与应用,但也不能唯其是用或唯其是等而错失良机;③特朗普“独到解读”并非空穴来风,西方国家“滑铁卢”也并非仅仅全是由政治与社会方面的原因所致, 还与学术界简单化的认识错觉与片面经验不无关系;④转变科学观念,以复杂性科学为指导,以辨证与辨病相结合为方法,来完善感染性疾病的临床认识与防治,也许才是应对愈来愈复杂的临床实际病情,提高与改善其防控效果的必由之路。In view of the opinion and analysis on the website of New York Times,“COVID-19 was supposed to be China’s Chernobyl.It’s ended up looking more like the West’s Waterloo”,and on the basis of a review and discussion on the events related to the prevention and treatment of COVID-19,such as Trump’s“unique interpretation”(would rather have no medicine than traditional Chinese medicine,and despite the vaccine,tens of thousands of people still die of influenza every year in the United States),it is thought that:①because of the new onset of infectious diseases and increasing variability of their pathogen,their prevention and treatment situation of no vaccine and no specific antimicrobial agents may be more and more common;②because the occurrence of infectious diseases is not only caused by the infection of pathogenic microorganisms,it is necessary to pay attention to the development and application of vaccines or special antiviral drugs,but cannot only use them or wait for them so as to miss the opportunity;③Trump’s“unique interpretation”is not groundless,nor is the“Waterloo”of western countries only caused by political and social reasons,but also by simplistic cognitive illusions and one-side experiences in academia;④changing scientific concepts,taking complexity science as the guide,and combining Zheng condition differentiation with disease differentiation as the method,may be the only way to deal with more and more complex clinical diseases and to improve the clinical understanding and prevention of infectious diseases.

关 键 词：新型冠状病毒肺炎 新型冠状病毒 感染性疾病 认识错觉 复杂性科学 疫苗/特效抗病原药物 辨证与辨病相结合 

分 类 号：R563[医药卫生—呼吸系统]