Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs
Identifieur interne : 000883 ( 2020/Analysis ); précédent : 000882; suivant : 000884Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs
Auteurs : Hui Luo [République populaire de Chine] ; Qiao-Ling Tang [République populaire de Chine] ; Ya-Xi Shang [République populaire de Chine] ; Shi-Bing Liang [République populaire de Chine] ; Ming Yang [République populaire de Chine] ; Nicola Robinson [République populaire de Chine] ; Jian-Ping Liu [République populaire de Chine]Source :
- Chinese Journal of Integrative Medicine [ 1672-0415 ] ; 2020.
Descripteurs français
- KwdFr :
- Essais cliniques comme sujet, Grippe humaine (), Histoire ancienne, Humains, Infections à coronavirus (), Infections à coronavirus (traitement médicamenteux), Lutte contre l'infection (), Lutte contre l'infection (histoire), Médecine traditionnelle chinoise (), Médecine traditionnelle chinoise (histoire), Médicaments issus de plantes chinoises (usage thérapeutique), Pandémies, Pneumopathie virale (), Qi, Sous-type H1N1 du virus de la grippe A, Syndrome respiratoire aigu sévère (), Épidémies (), Épidémies (histoire).
- MESH :
- histoire : Lutte contre l'infection, Médecine traditionnelle chinoise, Épidémies.
- traitement médicamenteux : Infections à coronavirus.
- usage thérapeutique : Médicaments issus de plantes chinoises.
- Essais cliniques comme sujet, Grippe humaine, Histoire ancienne, Humains, Infections à coronavirus, Lutte contre l'infection, Médecine traditionnelle chinoise, Pandémies, Pneumopathie virale, Qi, Sous-type H1N1 du virus de la grippe A, Syndrome respiratoire aigu sévère, Épidémies.
English descriptors
- KwdEn :
- Betacoronavirus, Clinical Trials as Topic, Coronavirus Infections (drug therapy), Coronavirus Infections (therapy), Drugs, Chinese Herbal (therapeutic use), Epidemics (history), Epidemics (prevention & control), History, Ancient, Humans, Infection Control (history), Infection Control (methods), Influenza A Virus, H1N1 Subtype, Influenza, Human (therapy), Medicine, Chinese Traditional (history), Medicine, Chinese Traditional (methods), Pandemics, Pneumonia, Viral (therapy), Qi, Severe Acute Respiratory Syndrome (therapy).
- MESH :
- chemical , therapeutic use : Drugs, Chinese Herbal.
- drug therapy : Coronavirus Infections.
- history : Epidemics, Infection Control, Medicine, Chinese Traditional.
- methods : Infection Control, Medicine, Chinese Traditional.
- prevention & control : Epidemics.
- therapy : Coronavirus Infections, Influenza, Human, Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- Betacoronavirus, Clinical Trials as Topic, History, Ancient, Humans, Influenza A Virus, H1N1 Subtype, Pandemics, Qi.
Abstract
Since December 2019, an outbreak of corona virus disease 2019 (COVID-19) occurred in Wuhan, and rapidly spread to almost all parts of China. This was followed by prevention programs recommending Chinese medicine (CM) for the prevention. In order to provide evidence for CM recommendations, we reviewed ancient classics and human studies.
Historical records on prevention and treatment of infections in CM classics, clinical evidence of CM on the prevention of severe acute respiratory syndrome (SARS) and H1N1 influenza, and CM prevention programs issued by health authorities in China since the COVID-19 outbreak were retrieved from different databases and websites till 12 February, 2020. Research evidence included data from clinical trials, cohort or other population studies using CM for preventing contagious respiratory virus diseases.
The use of CM to prevent epidemics of infectious diseases was traced back to ancient Chinese practice cited in Huangdi’s Internal Classic (Huang Di Nei Jing) where preventive effects were recorded. There were 3 studies using CM for prevention of SARS and 4 studies for H1N1 influenza. None of the participants who took CM contracted SARS in the 3 studies. The infection rate of H1N1 influenza in the CM group was significantly lower than the non-CM group (relative risk 0.36, 95% confidence interval 0.24–0.52; n=4). For prevention of COVID-19, 23 provinces in China issued CM programs. The main principles of CM use were to tonify qi to protect from external pathogens, disperse wind and discharge heat, and resolve dampness. The most frequently used herbs included
Based on historical records and human evidence of SARS and H1N1 influenza prevention, Chinese herbal formula could be an alternative approach for prevention of COVID-19 in high-risk population. Prospective, rigorous population studies are warranted to confirm the potential preventive effect of CM.
Supplementary material is available in the online version of this article at 10.1007/s11655-020-3192-6.
Url:
DOI: 10.1007/s11655-020-3192-6
PubMed: 32065348
PubMed Central: 7088641
Affiliations:
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PMC:7088641Le document en format XML
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xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Tang, Qiao Ling" sort="Tang, Qiao Ling" uniqKey="Tang Q" first="Qiao-Ling" last="Tang">Qiao-Ling Tang</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.24695.3c</institution-id><institution-id institution-id-type="ISNI">0000 0001 1431 9176</institution-id><institution>School of Traditional Chinese Medicine,</institution><institution>Beijing University of Chinese Medicine,</institution></institution-wrap>Beijing, 100029 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Shang, Ya Xi" sort="Shang, Ya Xi" uniqKey="Shang Y" first="Ya-Xi" last="Shang">Ya-Xi Shang</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id 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Shi Bing" sort="Liang, Shi Bing" uniqKey="Liang S" first="Shi-Bing" last="Liang">Shi-Bing Liang</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.24695.3c</institution-id><institution-id institution-id-type="ISNI">0000 0001 1431 9176</institution-id><institution>Centre for Evidence-Based Chinese Medicine,</institution><institution>Beijing University of Chinese Medicine,</institution></institution-wrap>Beijing, 100029 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.24695.3c</institution-id><institution-id institution-id-type="ISNI">0000 0001 1431 9176</institution-id><institution>School of Traditional Chinese Medicine,</institution><institution>Beijing University of Chinese Medicine,</institution></institution-wrap>Beijing, 100029 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Ming" sort="Yang, Ming" uniqKey="Yang M" first="Ming" last="Yang">Ming Yang</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.24695.3c</institution-id><institution-id institution-id-type="ISNI">0000 0001 1431 9176</institution-id><institution>Centre for Evidence-Based Chinese Medicine,</institution><institution>Beijing University of Chinese Medicine,</institution></institution-wrap>Beijing, 100029 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.24695.3c</institution-id><institution-id 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()</term><term>Histoire ancienne</term><term>Humains</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (traitement médicamenteux)</term><term>Lutte contre l'infection ()</term><term>Lutte contre l'infection (histoire)</term><term>Médecine traditionnelle chinoise ()</term><term>Médecine traditionnelle chinoise (histoire)</term><term>Médicaments issus de plantes chinoises (usage thérapeutique)</term><term>Pandémies</term><term>Pneumopathie virale ()</term><term>Qi</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Syndrome respiratoire aigu sévère ()</term><term>Épidémies ()</term><term>Épidémies (histoire)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Drugs, Chinese Herbal</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="histoire" xml:lang="fr"><term>Lutte contre l'infection</term><term>Médecine traditionnelle chinoise</term><term>Épidémies</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Epidemics</term><term>Infection Control</term><term>Medicine, Chinese Traditional</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term><term>Medicine, Chinese Traditional</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Epidemics</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Influenza, Human</term><term>Pneumonia, Viral</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Médicaments issus de plantes chinoises</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>Clinical Trials as Topic</term><term>History, Ancient</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Pandemics</term><term>Qi</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais cliniques comme sujet</term><term>Grippe humaine</term><term>Histoire ancienne</term><term>Humains</term><term>Infections à coronavirus</term><term>Lutte contre l'infection</term><term>Médecine traditionnelle chinoise</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Qi</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Syndrome respiratoire aigu sévère</term><term>Épidémies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Since December 2019, an outbreak of corona virus disease 2019 (COVID-19) occurred in Wuhan, and rapidly spread to almost all parts of China. This was followed by prevention programs recommending Chinese medicine (CM) for the prevention. In order to provide evidence for CM recommendations, we reviewed ancient classics and human studies.</p></sec><sec><title>Methods</title><p>Historical records on prevention and treatment of infections in CM classics, clinical evidence of CM on the prevention of severe acute respiratory syndrome (SARS) and H1N1 influenza, and CM prevention programs issued by health authorities in China since the COVID-19 outbreak were retrieved from different databases and websites till 12 February, 2020. Research evidence included data from clinical trials, cohort or other population studies using CM for preventing contagious respiratory virus diseases.</p></sec><sec><title>Results</title><p>The use of CM to prevent epidemics of infectious diseases was traced back to ancient Chinese practice cited in Huangdi’s Internal Classic (Huang Di Nei Jing) where preventive effects were recorded. There were 3 studies using CM for prevention of SARS and 4 studies for H1N1 influenza. None of the participants who took CM contracted SARS in the 3 studies. The infection rate of H1N1 influenza in the CM group was significantly lower than the non-CM group (relative risk 0.36, 95% confidence interval 0.24–0.52; n=4). For prevention of COVID-19, 23 provinces in China issued CM programs. The main principles of CM use were to tonify qi to protect from external pathogens, disperse wind and discharge heat, and resolve dampness. The most frequently used herbs included <italic>Radix astragali</italic> (Huangqi), <italic>Radix glycyrrhizae</italic> (Gancao), <italic>Radix saposhnikoviae</italic> (Fangfeng), <italic>Rhizoma Atractylodis Macrocephalae</italic> (Baizhu), <italic>Lonicerae Japonicae Flos</italic> (Jinyinhua), and <italic>Fructus forsythia</italic> (Lianqiao).</p></sec><sec><title>Conclusions</title><p>Based on historical records and human evidence of SARS and H1N1 influenza prevention, Chinese herbal formula could be an alternative approach for prevention of COVID-19 in high-risk population. Prospective, rigorous population studies are warranted to confirm the potential preventive effect of CM.</p></sec><sec><title>Electronic Supplementary Material</title><p>Supplementary material is available in the online version of this article at 10.1007/s11655-020-3192-6.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author><author><name sortKey="Dong, X" uniqKey="Dong X">X Dong</name></author><author><name sortKey="Qu, J" uniqKey="Qu J">J Qu</name></author><author><name sortKey="Gong, F" uniqKey="Gong F">F Gong</name></author><author><name sortKey="Han, Y" uniqKey="Han Y">Y Han</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wang, C H" uniqKey="Wang C">C H Wang</name></author><author><name sortKey="P, W H" uniqKey="P W">W H 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Ming" sort="Yang, Ming" uniqKey="Yang M" first="Ming" last="Yang">Ming Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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