What we know is that a 100 plus strong team of Traditional Chinese Medicine (TCM) experts were dispatched to Wuhan, China, on January 25, 2020 to examine patients in hospitals with the Corona virus. The below information has been presented by a number of TCM Doctors and is comprehensive listing of TCM diagnostics and Chinese herbal formulas suggested for treatment of the Corona virus. As we know, SARS was treated successfully with Chinese herbal medicine when the outbreak occurred in China in 2002.
SARS-Severe Adult Respiratory Syndrome: Formulas for Prevention and Treatment (For TCM Herbalists)
Shared by Pacific Herbs5 q Jin Yin Hua Lonicerae Japonicae, Flos
5 q Lian Qiao Forsythiae Suspensae, Fructus
3 q Chan Tui Cicadae Periostracum
3 q Bai Jiang Can Bombyx Batryticatus
2 q Bo He Mentae Haplocalycis, Herba
2 q Sheng Gan Cao Glycyrrhizai Uralensis, Radix (raw)
4 q Cang Zhu Atractylodis, Rhizoma
5 q Bai Zhu Atractylodis Macrocephalae, Rhizoma
5 q Huang Qi Astragali Membranacei, Radix
3 q Fang Feng Ledabouriellae Divaricatae, Radix
4 q Huo Xiang Agastaches seu Pogostemi, Herba
5 q Bei Sha Shen Adonophorae seu Glehniae, Radix
6 q Jin Yin Hua Lonicerae Japonicae, Flos
4 q Guan Zhong Guanzhong, Rhizoma
2 q Guan Zhong Guanzhong, Rhizoma
3 q Jin Yin Hua Lonicerae Japonicae, Flos
3 q Da Qing Ye Daqingye, Folium
3 q Zi Su Ye Perillae Frutescentis, Folium
3 q Ge Gen Radix Puerariae
3 q Huo Xiang Agastaches seu Pogostemi, Herba
3 q Cang Zhu Atractylodis, Rhizoma
5 q Tai Zi Shen Pseudostellariae Heterophyllae, Radix
3 q Pei Lan Eupatorii Fortunei, Herba
Other preventative measures:
*Chew on Xi Yang Shen (Panacis Quinquefolii, Radix) or make tea to drink throughout the day.
*Xi Yang Shen 1-2 q and Jin Yin Hua 5 q tea to drink once a day.
*Keep warm, don’t catch cold
*Sleep well
*Moderate stress factors
*Drink more water
*Take vitamin C
*avoid constipation
Soup:
Cong Bai – Green Onion
Fresh Chinese Daikon
½ of a tangerine peel
Sheng Jiang – Ginger – 3 slices
Cilantro bunch, maybe 10 sprigs
Make a soup and drink often
5 q Huang Qi Astragali Membranacei, Radix
5 Jin Yin Hua Lonicerae Japonicae, Flos
3 Chai Hu Bupleuri, Radix
3 Huang Qin Scutellariae Baicalensis, Radix
5 Ban Lan Gen Isatidis seu Baphicacanthi, Radix
5 Guan Zhong Guanzhong, Rhizoma
3 Cang Zhu Atractylodis, Rhizoma
5 Yi Yi Ren Coicis Lachryma-jobi, Semen
3 Huo Xiang Agastaches seu Pogostemi, Herba
3 Fang Feng Ledabouriellae Divaricatae, Radix
1.5 Sheng Gan Cao Glycyrrhizai Uralensis, Radix (raw)
Tonifies Qi, transforms damp, clears heat and toxins
3 Huang Qi Astragali Membranacei, Radix
5 Bai Jiang Cao Bombyx Batrytiatus
5 Yi Yi Ren Coicis Lachryma – Jobi, Semen
2 Jie Geng Platycodi Grandiflori, Radix
1 Sheng Gan Cao Glycyrrhizai Uralensis, Radix (raw)
5 Yu Xing Cao Houttuyniae Cordatae, Herba cum Radice
2 Ye Ju Hua Chrysanthemi Indici, Flos
5 Yin Chen Hao Artemisiae Yinchenhao, Herba
3 Pei Lan Eupatori Fortunei, Herba
1 Cao Guo Amomi Tsao-Ko, Fructus
5 Pu Gong Ying Taraxaci Mongolici cum Radice, Herba
*2 Jin Lian Hua – like Chuan Xin Lian
3 Da Qing Ye Daqingye, Folium
3 Ge Gen Radix Puerariae
2 Zi Su Ye Perillae Frutescentis, Fructus
5 Lu Gen Phragmitis Communis, Rhizoma
3 Jin Yin Hua Lonicerae Japonicae, Flos
3 Lian Qiao Forsythiae Suspensae, Fructus
2 Bo He Menthae Haplocalycis, Herba
1.5 Sheng Gan Cao Glycyrrhizai Uralensis, Radix (raw)
3 Sheng Huang Qi Astragali Membranacei, Radix (raw)
2 Bai Zhu Atractylodis Macrocephalae, Rhizoma
3 Fang Feng Ledabouriellae Divaricatae, Radix
2 Cang Zhu Atractylodis, Rhizoma
3 Huo Xiang Agastaches seu Pogostemi, Herba
3 Bei Sha Shen Adenophorae seu Glehniae, Radix
3 Jin Yin Hua Lonicerae Japonicae, Flos
2 Guan Zhong Guanzhong, Rhizoma
5 Tai Zi Shen Pseudostellariae Heterophyllae, Radix
2 Guan Zhong Guanzhong, Rhizoma
3 Jin Yin Hua Lonicerae Japonicae, Flos
3 Lian Qiao Forsythiae Suspensae, Fructus
3 Da Qing Ye Daqingye, Folium
2 Zi Su Ye Perillae Frutescentis, Fructus
3 Ge Gen Radix Puerariae
3 Huo Xiang Agastaches seu Pogostemi, Herba
2 Cang Zhu Atractylodis, Rhizoma
3 Pei Lan Eupatori Fortunei, Herba
Early stage – starts as a Wind Heat or Wind Cold cough with Shortness of breath
A. Heat and Toxins attack the Lung
B. Damp heat obstruction occurs
C. There is external cold and internal heat combined with Dampness
Formulas: Based on Yin Qiao San combined with Ma Xing Shi Gan Tang modified with herbs as appropriate for patient’s condition.
*If there is more Damp Heat blockage give San Ren Tang – (3 seeds Xing Ren, Bai Dou Kou, Yi Yi Ren to drain damp) or Huo Xiang Huo Po Tang (Huo Xiang, Hou Po, Ban Xia, Fu Ling to dissolve phlegm)
*If there is more external cold and interior heat with damp use Ma Xing Shi Gan Tang with modifications
*To assist in reducing toxins can add herbs like Yu Xing Cao, Lu Gen, Jie Geng, Chuan Xin Lian
Disease progressing – Congestion in body becomes worse, fever goes up and down, lung condition worsens, coughing with blood. This is more heat attacking the Lung causing External and internal heat congestion combined with Damp Heat toxins, and evil obstructs the Shao Yang Channel.
Formulas:
A. Heat toxin attacking the lungs – high fever, coughing with blood
Qing Wen Bai Du San with modifications
B. External and Internal heat congestion with toxicity Qing Fei Jie Du Tang
C. Damp heat congestion and toxicity Gan Lu Xiao Du Dan with modifications
D. Damp heat obstruction in the Shao Yang channel
Hao Qin Qing Dan Tang
Collapse – Shock like state with severe sweating, respiratory failure. Here there is heat toxicity obstructing the Lungs, the Evil Qi is much more strong, the Zheng
Qi is severely deficient, there is severe Yin deficiency and internal obstruction with external collapse “Tou Zhen”
A. Phlegm Damp obstruction with heat toxicity –
Huo Xue Xie Fei Tang or Yi Fei Hua Zhou Tang
B. Obstruction of Lung Channel
C. Damp heat obstruction of the Lungs
D. Qi and Yin Xu
E. Evil excess, Zheng Qi deficiency
F. Internal obstruction – respiratory failure – here is where you need to open
Open the orifices, tonify and consolidate Qi
Sheng Fu Tang with modifications
Recovery stage – Pt is still weak with Qi and Yin deficiency, Lung and Spleen deficiency. Damp heat and toxins are still in the body
A. Qi and Yin Xu – tonify Qi, Nourish Yin, transform dampness in the meridians. Qing Shu Yi Qi Tang with modifications
B. Spleen and Lung Deficiency – Tonify Lu and Sp, clear heat and toxins, clears damp Sheng Ling Bai Zhu San
The Corona virus main cause or disease is damp toxicity, not heat toxicity with dampness. In treating heat toxicity with dampness, the strategy is usually to clear heat, resolve toxins and dispel dampness. However, when treating dampness toxicity that transforms into heat or retained dampness heat toxin, if you clear heat and resolve toxins using cold herbs to early this will inevitably exacerbate the dampness and lead to cold enveloping heat. Which then creates an adverse effect on treatment outcomes. So, in treating this disease, the focus should be on resolving turbidity with aroma out thrusting through the exterior and upbearing and down bearing the spleen and stomach. As dampness is resolved, depressed heat can disperse and toxicity will be unable to form – in this way symptoms will gradually resolve.
Transforming heat can progress into yangming brightness bowel repletion, which would exacerbate lung qi depression and block qi. Once yangming brightness bowel repletion is significant, dampness can very easily transform into damp toxicity, heat, toxicity and stagnation, eventually leading to severe qi reversal and the onset of MODS. (Multi organ dysfunction syndrome).
In some of the more severe cases where the patient is already on a respirator or ECMO (extracorporeal membrane oxygenation) the stomach and chest are always hot to the touch while the extremities are cold. This is a symptom of sepsis. So, a key aspect of treatment is resolving dampness, unblocking the bowels and draining turbidity in the early phase. In keeping with the above discussion, we selected Ma Xing Yi Gan Tang, Sheng Jiang San, D Yuan Yin, Hou pu Xia Ling Tang, Huo Xiang Zheng Qi San and Yin Qiao San as our base formulas and implemented a Chinese Medicine Protocol.
