Ang Lin, Lee Hye Won, Choi Jun Yong, Zhang Junhua, Soo Lee Myeong
Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Korean Convergence Medicine, University of Science and Technology, Daejeon, Republic of Korea.
Integr Med Res. 2020 Jun;9(2):100407. doi: 10.1016/j.imr.2020.100407. Epub 2020 Mar 29.
Coronavirus disease 2019 (COVID-19) is pandemic and has caused illness to many people worldwide. This review aimed to summarize and analyze the herbal formulae provided by the guidelines for their pattern identifications (PIs) and compositions of herbs to treat patients with COVID-19.
We searched 7 data sources for eligible traditional medicine guidelines up to March 6, 2020 and found a total of 28 traditional medicine guidelines that provide treatment measures for COVID-19.
Of the 28 guidelines, there were 26 government-issued Chinese guidelines and 2 Korean guidelines. After standardizing the terminology of the PIs and herbal formulae, there were 8 PIs and 23 herbal formulae for the mild stage, 11 PIs and 31 herbal formulae for the moderate stage, 8 PIs and 21 herbal formulae for the severe stage, and 6 PIs and 23 herbal formulae for the recovery stage in the Chinese guidelines. In the Korean guidelines, there were 4 PIs and 15 herbal formulae for the mild stage, 3 PIs and 3 herbal formulae for the severe stage, and 2 PIs and 2 herbal formulae for the recovery stage. In the frequency analysis of herbs, Glycyrrhizae Radix et Rhizoma was found to be the herb with the highest frequency of usage in the Chinese guidelines.
This review can be used as guidance for the traditional medicine treatment of COVID-19. Clinical evidence is needed in the future to evaluate the efficacy of traditional medicine.
2019冠状病毒病(COVID-19)已大流行,在全球范围内致使众多人患病。本综述旨在总结并分析指南中针对COVID-19患者的证型辨识及草药配方。
我们检索了7个数据源,以查找截至2020年3月6日符合条件的传统医学指南,共找到28份针对COVID-19提供治疗措施的传统医学指南。
28份指南中,有26份是中国政府发布的指南,2份是韩国指南。在对证型辨识和草药配方的术语进行标准化后,中国指南中,轻症阶段有8种证型和23种草药配方,中症阶段有11种证型和31种草药配方,重症阶段有8种证型和21种草药配方,恢复期有6种证型和23种草药配方。韩国指南中,轻症阶段有4种证型和15种草药配方,重症阶段有3种证型和3种草药配方,恢复期有2种证型和2种草药配方。在草药使用频率分析中,发现甘草是中国指南中使用频率最高的草药。
本综述可为COVID-19的传统医学治疗提供指导。未来需要临床证据来评估传统医学的疗效。