A consensus guideline of herbal medicine for coronavirus disease 2019
Beom-Joon Lee1, Ju Ah Lee2, Kwan-Il Kim1
1Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee University Seoul, Republic of Korea.
Insights
Korean herbal medicine (HM) offers treatment options for SARS-CoV-2, including prevention, post-exposure, and recovery stages. Specific herbal preparations are recommended based on symptom presentation and disease progression for COVID-19 patients.
Area of Science:
- Integrative Medicine
- Pharmacology
- Infectious Disease Management
Background:
- Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) pandemic originated in late 2019.
- Analysis of SARS-CoV-2 symptoms and traditional Chinese medicine (TCM) treatment regimens.
- Recommendation of Korean medicine preparations for domestic medical insurance benefits.
Purpose of the Study:
- To develop a clinical practice guideline (CPG) for treating SARS-CoV-2 using Korean herbal medicine.
- To provide evidence-based recommendations for the use of specific herbal preparations.
- To establish a framework for treating similar infectious diseases.
Main Methods:
- Development of a CPG based on expert consensus.
- Classification of herbal medicine (HM) recommendations according to disease stage and symptoms.
- Integration of traditional Korean medicine principles with modern medical understanding.
Main Results:
- Prevention: Youngyopaedoc-san plus Bojungikgitang or Saengmaek-san.
- Post-exposure: Youngyopaedoc-san plus Bulhwangeumjeonggi-san or Bojungikgi-tang.
- Mildly symptomatic COVID-19: Youngyopaedoc-san plus Galgunhaegui-tang (wind-warmth) or Sosiho-tang plus Bulhwangeumjeonggi-san (dampness-heat).
- Recovery: Samchulkunbi-tang plus Saengmaek-san or Chungseuiki-tang.
Conclusions:
- The CPG guides the use of Korean herbal medicine for SARS-CoV-2 treatment.
- Recommendations are tailored to different stages of the disease and specific symptom patterns.
- This guideline serves as a foundation for managing future infectious disease outbreaks.
Background:
The Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2), which originated in Wuhan, Hubei Province, China in late December 2019, is the cause of ongoing pandemic. We analyzed the symptoms of SARS-CoV-2, a classification of the Chinese medicine dialectic and treatment regimen, and promptly enacted the recommendation of Korean medicine preparations in herbal medicine covered under domestic medical insurance benefits depending on the circumstances in our country.
Method:
The clinical practice guideline (CPG) for the treatment of SARS-CoV-2 was developed based on consensus from a group of experts.
Results:
Two kinds of herbal medicines (HM) were recommended for the prevention of SARS-CoV-2; Youngyopaedoc-san plus Bojungikgitang, and Youngyopaedoc-san plus Saengmaek-san. Two herbal preparations were recommended for people with a history of exposure to SARS-CoV-2; Youngyopaedoc-san plus Bulhwangeumjeonggi-san, and Youngyopaedoc-san plus Bojungikgi-tang. Three herbal preparations were recommended for mildly symptomatic COVID-19 patients; Youngyopaedoc-san plus Galgunhaegui-tang was recommended for those without pneumonia with wind-warmth disease invading the lungs; Sosiho-tang plus Bulhwangeumjeonggi-san was recommended for those with dampness-heat disease in the lungs. For the recovery stage, Samchulkunbi-tang plus Saengmaek-san, or Samchulkunbi-tang plus Chungseuiki-tang was recommended.
Conclusion:
The CPG was developed to guide the use of Korean herbal medicine in the treatment of SARS-CoV-2, and it is expected that this will be the basis for providing proper treatment of similar infectious diseases in the future.
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