State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR 999078, China.
Int J Biol Sci. 2020 Mar 15;16(10):1708-1717. doi: 10.7150/ijbs.45538. eCollection 2020.
Currently, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2, formerly known as 2019-nCoV, the causative pathogen of Coronavirus Disease 2019 (COVID-19)) has rapidly spread across China and around the world, causing an outbreak of acute infectious pneumonia. No specific anti-virus drugs or vaccines are available for the treatment of this sudden and lethal disease. The supportive care and non-specific treatment to ameliorate the symptoms of the patient are the only options currently. At the top of these conventional therapies, greater than 85% of SARS-CoV-2 infected patients in China are receiving Traditional Chinese Medicine (TCM) treatment. In this article, relevant published literatures are thoroughly reviewed and current applications of TCM in the treatment of COVID-19 patients are analyzed. Due to the homology in epidemiology, genomics, and pathogenesis of the SARS-CoV-2 and SARS-CoV, and the widely use of TCM in the treatment of SARS-CoV, the clinical evidence showing the beneficial effect of TCM in the treatment of patients with SARS coronaviral infections are discussed. Current experiment studies that provide an insight into the mechanism underlying the therapeutic effect of TCM, and those studies identified novel naturally occurring compounds with anti-coronaviral activity are also introduced.
目前,严重急性呼吸综合征冠状病毒 2(SARS-CoV-2,以前称为 2019-nCoV,是 2019 年冠状病毒病(COVID-19)的病原体)已迅速在中国和世界各地传播,导致急性传染性肺炎爆发。目前尚无针对这种突发且致命疾病的特效抗病毒药物或疫苗。只能提供支持性护理和非特异性治疗来改善患者的症状。在这些常规疗法中,中国有超过 85%的 SARS-CoV-2 感染患者接受了中医药(TCM)治疗。在本文中,我们彻底审查了相关的已发表文献,并分析了 TCM 在 COVID-19 患者治疗中的应用。由于 SARS-CoV-2 和 SARS-CoV 在流行病学、基因组学和发病机制上具有同源性,以及 TCM 在 SARS-CoV 治疗中的广泛应用,讨论了 TCM 在治疗 SARS 冠状病毒感染患者方面的临床证据。还介绍了目前为深入了解 TCM 治疗作用的机制而进行的实验研究,以及鉴定出具有抗冠状病毒活性的新型天然存在的化合物的研究。