Covid-19 information for patients

Chinese Herbal Medicine (CHM) has proved very beneficial in the prevention and treatment of Covid-19 in China.

The CHM diagnosis has emphasised 4 phases in the evolution and treatment of the condition.

  • Prevention phase
  • Influenza phase
  • Pneumonia phase
  • Recovery phase

My recommendations as a registered CHM herbalist

Prevention phase

The purpose is to strengthen the immune system, to help alleviate early symptoms, and to shorten the duration of the virus.

I would encourage 2 types of people to take a preventative CHM formula.

  • “key workers” that are potentially exposed to Covid-19
  • people whose immune system is low (chronic conditions, older patients, overweight people since statistics have exposed their vulnerability to Coronavirus).

If you are isolating at home and are not in these categories, I would not necessarily recommend that you take a preventative formula.

Influenza phase

Clinical Manifestations: Onset of fever (mostly low-grade fever), aversion to cold and fear of cold, chills, headache, ticklish throat, soreness of muscles of limbs, no sweat or night sweats.

Anybody that has entered the “influenza phase” can take one of the formulas designed specifically for Covid-19 at this stage.
I would strongly recommended that we have a phone/video call consultation to confirm your symptoms and integrate your medical history to maybe customise the formula.

Pneumonia phase

Realistically, it is unlikely in the UK that you would be able to take herbal medicine but the NHS would be taking good care of you in hospital.

Recovery phase

If you managed to stop the coronavirus at the influenza stage, it would be a good idea to receive one of the tonic formulas to restore your resources and defences. I would also encourage you to take the preventative herbal formula once the lock down is lifted and you go out into the community again.

In case the condition had reached the pneumonia phase for you, it is likely that you will be discharged but left very weak. I would strongly advise that you take a formula designed for Covid-19 at this stage. We would need to have a phone/video call consultation to integrate your medical history and maybe customise the recommended formula.

Covid-19 Resources for Medical TCM Herbalists

Covid-19 Resources for Medical TCM Herbalists

The best resources I found for the prevention and treatment of Coronavirus Covid-19 with Traditional Chinese Herbal Medicine.

Dr. John Chen: How Coronavirus (Covid-19) is treated with TCM in China


https://www.elotus.org/content/tcm-resources-covid-19

 

Dr John Chen is the author of “Chinese Medical Herbology and Pharmacology”

Personal notes

I changed the doses to make 100g of herbal granules for convenience of use (original dose here). I proposed different alternatives to Ma Huang-Ephedra (banned in Europe) depending on the intention of each formula and provided further information on the formula Huo Xiang Zheng Qi San which was only named in the original document.

Prevention phase formula

The purpose is to strengthen the immune system, to help alleviate early symptoms, and to shorten the duration of the virus.

Huang Qi 21g, Bai Zhu 14g, Fang Feng 14g, Mian Ma Guan Zhong 14g, Jin Yin Hua 14g, Chen Pi 9g, Pei Lan 14g.

Influenza phase formulas

  • Wind-Cold Invading the Exterior
  • (Wind Cold with Spleen and Stomach Deficiency – Huo Xiang Zheng Qi San)
  • Toxic Heat Attacking the Lung
  • Damp Cold in the Lung

Wind-Cold Invading the Exterior

Clinical Manifestations: Onset of fever (mostly low-grade fever), aversion to cold and fear of cold, chills, headache, ticklish throat, soreness of muscles of limbs, no sweat or night sweats.

Examination: Tongue is pale, coating is white and thin. Floating pulse.

Flu Formula #1 (100g) Ge Gen Tang or Chai Ge Jie Ji Tang

I replaced Ma Huang (banned) with Fang Feng and increased the dose of Gui Zhi.

Ge Gen 15g, Fang Feng 10g, Gui Zhi 10g, Bai Shao 15g, Sheng Jiang 10g, Gan Cao 10g, Da Zao 10g, Jin Yin Hua 20g.

For headache add Bai Zhi 15g, for ticklish throat add She Gan 15g.

Other possible formulas to consider:

Wind Cold with Spleen and Stomach Deficiency – Huo Xiang Zheng Qi San (100g) 

Clinical Manifestations: Fever and chills, Headache, Chest and gastric fullness and oppression, Pain in the epigastrium and abdomen, Nausea and vomiting, Borborygmus, Diarrhea, Loss of taste, Aversion to Cold, Cough, Indigestion, No perspiration, Chest discomfort, Sore throat, Disorientation.

Examination: Tongue: normal, coating: greasy and white. Pulse: Moderate and soggy or floating and forceful.

Huo Xiang 12g, Jiang Chao Hou Po 9g, Chen Pi 9, Zi Su Ye 6g, Bai Zhi 6g, Zhi Ban Xia 9g, Da Fu Pi 9g, Bai Zhu 12g, Fu Ling 9g, Jie Feng 9g, Sheng Jiang 3g, Da Zao 4g, Zhi Gan Can 3g.

Toxic Heat Attacking the Lung

Clinical Manifestations: Fever, aversion to cold, sore and dry throat, dry cough, scanty sputum, sore and painful muscles in the limbs, weakness, headache

Examination: Tip and sides of the tongue are red; thin white or yellow tongue coating. Floating and rapid pulse.

Flu Formula #2 (100g) Yin Qiao San & Qing Wen Bai Du San

Jin Yin Hua 11g,  Lian Qiao 11g, Jing Jie 11g, Niu Bang Zi 11g, Bo He 11g, Gan Cao 11g, Dan Zhu 11g, Lu Gen 16g, Huang Lian 7g

Damp Cold in the Lung 

Clinical Manifestations: Aversion to cold, fever or absence of fever, dry cough, dry throat, fatigue, weakness, chest stuffiness, epigastric distention, nausea, diarrhea.

Examination
: Pale tongue, white greasy coating, slippery pulse.

Damp Cold Formula #1 (100g)

In this formula, I replaced Ma Huang (banned) with Bai Guo and Sang Bai Pi.

Cang Zhu 16, Chen Pi 11, Hou Po 11, Huo Xiang 11, Cao Guo 6, Bai Guo 6, Sang Bai Pi 6, Qiang Huo 11, Sheng Jiang 11, Bing Lang 11

I will not develop the “Pneumonia Phase” here as most patients in the UK would be hospitalised at this stage.

Check the original document if necessary.

Recovery Phase:

Clinical Manifestations: Absence of fever, dry cough, chest stuffiness, shortness of breath, shortness of breath upon exertion, dry mouth, weakness.

Examination: CT reveals inflammation begins to subside as well as pulmonary interstitial changes. Pale red tongue, thick or greasy coating, thread, rapid pulse.

Recovery Formula (100g) Sha Shen Mai Dong Tang

Sha Shen 9g, Mai Dong 9g, Wu Wei Zi 9g, Ren Shen 7g, Lai Fu Zi 9g, Si Gua Luo 9g, Ju Luo 9g, Zi Su Zi 8g, Zhe Bei Mu 8g, Ku Xing Ren 8g, Huang Qin 9g, Gan Cao 6g

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