ﻣﺪﻳﺮﻳﺖ ﺑﻴﻤﺎﺭﻱ COVID-19 ﺍﺯ ﺩﻳﺪﮔﺎﻩ ﻃﺐ ﺳﻨﺘﻲ ﺍﻳﺮﺍﻧﻲ

COVID-19 disease management from the perspective of Traditional Persian Medicine

ﺳﺎﺑﻘﻪ ﻭ ﻫﺪﻑ: 19-COVID ﻳﻚ ﺑﻴﻤﺎﺭﻱ ﻭﻳﺮﻭﺳﻲ ﺍﺯ ﺧﺎﻧﻮﺍﺩﺓ ﻛﺮﻭﻧﺎ ﻭﻳﺮﻭﺱ ﻫﺎﺳﺖ. ﺍﻳﻦ ﻭﻳﺮﻭﺱ ﺩﺭ ﺍﺑﺘﺪﺍ ﺑﻪ ﺳﻴﺴﺘﻢ ﺗﻨﻔﺴﻲ ﺣﻤﻠﻪ ﻣﻲ ﻛﻨﺪ ﻭ ﺳﭙﺲ ﺑﻪ ﺍﻋﻀﺎﻱ ﻣﻬﻤﻲ ﭼﻮﻥ ﻗﻠﺐ، ﻛﺒﺪ، ﻣﻐﺰ، ﻛﻠﻴﻪ، ﺧﻮﻥ ﻭ ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻲ ﺁﺳﻴﺐ ﻣﻲ ﺯﻧﺪ. ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪﻑ ﺗﻮﺻﻴﻒ ﻭ ﺗﺒﻴﻴﻦ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺍﺯ ﺩﻳﺪﮔﺎﻩ ﻃﺐ ﺳﻨﺘﻲ ﺍﻳﺮﺍﻥ ﻭ ﺗﺪﺍﺑﻴﺮ ﺩﺭﻣﺎﻧﻲ ﺑﺮ ﺍﻳﻦ ﺍﺳﺎﺱ ﺍﺭﺍﺋﻪ ﺷﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﺔ ﻣﺮﻭﺭﻱ، ﻣﻘﺎﻻﺕ ﻣﻮﺟﻮﺩ ﺩﺭ ﻣﻮﺭﺩ ﭘﺎﺗﻮﻓﻴﺰﻳﻮﻟﻮژﻱ ﺛﺎﺑﺖ ﺷﺪﻩ ﺩﺭ ﻣﻮﺭﺩ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﭘﺎﻳﮕﺎﻩ ﻫﺎﻱ ﺍﻃﻼﻋﺎﺗﻲ ﻣﻌﺘﺒﺮ ﺑﺎ ﻛﻠﻴﺪﻭﺍژﻩ ﻫﺎﻱ ﺍﻧﮕﻠﻴﺴﻲ SARS-COV -2 ﻭ 19-COVID ﺟﺴﺖ ﻭﺟﻮ ﻭ ﺑﺮﺭﺳﻲ ﺷﺪﻧﺪ ﻭ ﺍﺯ ﺁﻥ ﻣﻴﺎﻥ ﻣﻘﺎﻟﻪ ﻫﺎﻳﻲ ﻛﻪ ﺍﺷﺎﺭﻩ ﺑﻪ ﺗﻈﺎﻫﺮﺍﺕ ﺑﺎﻟﻴﻨﻲ ﻭ ﭘﺎﺗﻮﻓﻴﺰﻳﻮﻟﻮژﻱ ﺑﻴﻤﺎﺭﻱ ﺩﺍﺷﺘﻨﺪ ﺍﺳﺘﻔﺎﺩﻩ ﺷﺪﻧﺪ. ﻫﻤﭽﻨﻴﻦ ﻣﺘﻮﻥ ﻃﺐ ﺳﻨﺘﻲ ﺍﻳﺮﺍﻥ ﺍﺯ ﻗﺒﻴﻞ ﻗﺎﻧﻮﻥ ﺍﺑﻦ ﺳﻴﻨﺎ، ﺫﺧﻴﺮﺓ ﺧﻮﺍﺭﺯﻣﺸﺎﻫﻲ ﭘﻴﺮﺍﻣﻮﻥ ﻋﻠﻞ ﻭ ﻋﻼﺋﻢ ﻭ ﺩﺭﻣﺎﻥ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺍﺳﺘﺨﺮﺍﺝ ﻭ ﺑﺎ ﻣﻨﺎﺑﻊ ﻃﺒﻲ ﺟﺪﻳﺪ ﺗﻄﺒﻴﻖ ﺩﺍﺩﻩ ﺷﺪﻧﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﻭﻳﺮﻭﺱ ﻛﺮﻭﻧﺎ ﺩﺭ ﺍﺑﺘﺪﺍ ﺑﺎ ﻭﺭﻭﺩ ﺑﻪ ﺳﻠﻮﻝ ﻫﺎﻱ ﻣﺠﺎﺭﻱ ﺗﻨﻔﺴﻲ ﻓﻮﻗﺎﻧﻲ ﻭ ﺳﭙﺲ ﺗﺤﺘﺎﻧﻲ ﺭﻳﻪ ﺍﻳﺠﺎﺩ ﺳﻮءﻣﺰﺍﺝ ﮔﺮﻡ ﻭ ﺧﺸﻚ ﻣﻲ ﻛﻨﺪ ﻛﻪ ﺍﻳﻦ ﺳﻮءﻣﺰﺍﺝ ﺁﻏﺎﺯﮔﺮ ﺍﺗﻔﺎﻗﺎﺕ ﻣﺘﻌﺪﺩﻱ ﺩﺭ ﺍﻋﻀﺎﻱ ﻣﺨﺘﻠﻒ ﺑﺪﻥ ﺑﻪ ﺧﺼﻮﺹ ﻗﻠﺐ ﻭ ﻣﻐﺰ ﻭ ﻛﺒﺪ ﻣﻲ ﺷﻮﺩ ﻛﻪ ﺑﻴﺸﺘﺮ ﺍﺯ ﭘﻴﺎﻣﺪﻫﺎﻱ ﺁﻥ ﺍﺳﺖ ﻭ ﻛﻤﺘﺮ ﺑﻪ ﻋﻠﺖ ﺗﻜﺜﻴﺮ ﻭ ﺣﻀﻮﺭ ﻭﻳﺮﻭﺱ ﺩﺭ ﺍﻳﻦ ﺍﻋﻀﺎ ﺍﺳﺖ. ﻣﻘﺎﺑﻠﻪ ﺑﺎ ﺑﻴﻤﺎﺭﻱ ﻛﺮﻭﻧﺎ ﺍﺯ ﺩﻳﺪﮔﺎﻩ ﻃﺐ ﺳﻨﺘﻲ ﺩﺭ ﭘﻨﺞ ﺳﻄﺢ ﻗﺎﺑﻞ ﺑﺮﺭﺳﻲ ﻭ ﺍﻧﺠﺎﻡ ﺍﺳﺖ ﻛﻪ ﺷﺎﻣﻞ ﻳﻚ ﺳﻄﺢ ﭘﻴﺸﮕﻴﺮﻱ ﻭ ﭼﻬﺎﺭ ﺳﻄﺢ ﺩﺭﻣﺎﻥ ﺍﺳﺖ. ﻧﺘﻴﺠﻪ ﮔﻴﺮﻱ: ﺍﺑﺘﺪﺍ ﺗﻌﺮﻳﻒ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻭ ﺳﭙﺲ ﺭﺍﻩ ﻛﺎﺭﻫﺎﻱ ﭘﻴﺸﮕﻴﺮﺍﻧﻪ ﻭ ﺩﺭﻣﺎﻧﻲ ﺑﺮ ﺍﺳﺎﺱ ﻃﺐ ﺳﻨﺘﻲ ﺍﻳﺮﺍﻧﻲ ﺍﺳﺘﺨﺮﺍﺝ ﻭ ﺑﻪ ﺻﻮﺭﺕ ﺩﺳﺘﻪ ﺑﻨﺪﻱ ﺷﺪﻩ ﻭ ﻛﺎﺭﺑﺮﺩﻱ ﺍﺭﺍﺋﻪ ﺷﺪ. ﺳﭙﺲ ﺷﻮﺍﻫﺪﻱ ﺍﺯ ﭘﮋﻭﻫﺶ ﻫﺎﻱ ﺟﺪﻳﺪ ﺩﺭ ﺗﺄﻳﻴﺪ ﻓﻴﺰﻳﻮﭘﺎﺗﻮﻟﻮژﻱ ﻋﻨﻮﺍﻥ ﺷﺪﻩ ﺁﻭﺭﺩﻩ ﺷﺪ ﺩﺭ ﺁﺧﺮ، ﺑﺮﺍﻱ ﮔﻴﺎﻫﺎﻥ ﭘﻴﺸﻨﻬﺎﺩﻱ ﺩﺭ ﺍﻳﻦ ﻣﻘﺎﻟﻪ ﺩﺭ ﻣﻮﺍﺭﺩ ﺍﺛﺮﺍﺕ ﺿﺪﻭﻳﺮﻭﺳﻲ، ﺁﻧﺘﻲ ﺍﻛﺴﻴﺪﺍﻧﻲ ﻭ ﺗﺮﻣﻴﻢ ﻛﻨﻨﺪﮔﻲ ﻭ ﺳﺎﻳﺮ ﺍﺛﺮﺍﺕ ﺑﻴﻮﻟﻮژﻳﻚ ﻣﺮﺗﺒﻂ ﺑﺎ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻣﺴﺘﻨﺪﺍﺕ ﻋﻠﻤﻲ ﺍﺭﺍﺋﻪ ﺷﺪ.

Background and Purpose: COVID-19 is a virus belonging to the coronavirus (CoV) family. COVID-19 disease primarily attacks to the respiratory system and then causes severe problems in heart, liver, brain, kidney, blood circulation and immune system. This study aimed to define COVID-19 disease according to the perspective of Traditional Persian Medicine (TPM) manuscripts and suggest therapeutic measures based on its evaluation. Materials and Methods: In this review study, existing articles on proven pathophysiology of the disease were searched using valid databases with the English keywords ‘SARS-COV-2’ and ‘COVID-19’, among which articles referenced to clinical manifestations and pathophysiology of the disease were used in this paper. Also, texts of TPM such as Ibn Sinachr('39')s Qanun fi al-Tibb, Zakhireye Kharazmshahi about the causes and symptoms of the disease were extracted and adapted to new medical sources. Results: The coronavirus causes warm and dry distemperament in the upper and lower respiratory tract and lungs. COVID-19 makes some disorders in the body especially in the heart, brain and liver, which are often its consequences, not the proliferation of the virus in these organs. Based on TPM, COVID-19 can be confronted at five levels including one preventive level and four therapeutic levels. Conclusion: The definition of COVID-19, preventive and therapeutic strategies based on TPM were obtained and presented in a classified and practical manner. Then, evidence of researches has been mentioned to confirm the Pathophysiology of COVID-19. Finally, scientific documents of antiviral, antioxidant, restorative effects and other biological effects of mentioned plants have been presented.