Corona Virus and Chinese Herbal Medicine Recommendations

Corona Virus

Jan. 29, 2020

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 attached 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, which presents much like pneumonia in Western medicine. As we know, SARS was treated successfully with Chinese herbal medicine when the outbreak occurred in China in 2002.

The attached information is for practitioners of Chinese herbal medicine. If you are in need of any of these formulas please contact us at Info@PacHerbs.com.

If you are not a practitioner and need any of these herbal formulas please contact us and we can help you find a Licensed Acupuncturist who has herbal training in your area for guidance.

Thank you to the doctors in China who have shared this information. The goal here is to help spread the knowledge of Chinese herbal formulas that are best suited to combat this virus.

Links below

Treating Corona with Chinese herbal Medicine

Sars-Corona-Virus

 

Update: Jan. 30, 2020  We now know for certain the incubation time is 14 days without any symptoms. So no one knows if they are infected or infecting others. Please be cautious. Hand washing with soap and hot water is an obvious precaution. Face masks and goggles are being worn throughout China prevent the spread. 

Sars-Severe Adult Respiratory Syndrome: Formulas for Prevention and Treatment (For TCM Herbalists)

 

Shared by Pacific Herbs

 

 

Prevention of SARS (or Corona to take prior to ANY type of exposure)

 

1.         5 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)

Make tea and drink throughout the day for 7-10 days

 

2.         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

Make tea and drink twice a day for 7-10 days

 

3.         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

Make tea and drink twice a day for 7-10 days

 

 

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

 

Possible exposure to SARS or CORONA (To take if any kind of exposure has occurred)

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

 

Chinese herbal Formulas:

1.

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)

 

For prevention and treatment

1.         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)

 

2.         *Clears heat, reduces toxins, drains dampness and dirty Qi, aromatically opens orifices

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

 

3.         Clears heat, reduces toxins, dispels Wind, pushes evil out

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

 

4.         Clears heat, releases exterior, dispels wind, takes out external evil

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)

 

5.         Tonifies Spleen, Benefits Qi, Dissolves Dampness, Reduces toxins

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

 

6.         Benefits Qi, Expels external evil, reduces toxins, dispels dampness

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

 

The three Stages of SARS and the recovery period  – (note, most formulas clear heat, toxins and damp)

1.         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

TX Principal:  Clear heat, open the Lungs, release exterior, open the meridians

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

 

2.  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.

Tx principal:  Clear heat and toxicity, drain the Lungs of turbid Qi

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

3.         Cllapse – 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

Tx principal:  Benefit Qi, release toxicity, transform phlegm and damp, open the meridians, resolve dirty phlegm, open orifices, tonify  and consolidate Qi

4.  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.