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Fever and Antipyretic Supported by Traditional Chinese Medicine: A Multi-Pathway Regulation
Le-Le Ma1, Hui-Min Liu1, Chuan-Hong Luo1
1State Key Laboratory of Southwestern Chinese Medicine Resources, Pharmacy School, Chengdu University of Traditional Chinese Medicine, Chengdu, PR China.
Insights
Traditional Chinese Medicine (TCM) effectively treats COVID-19 symptoms and reduces mortality. This study explores TCM
Area of Science:
- Integrative Medicine
- Pathophysiology
- Pharmacology
Background:
- COVID-19 presents significant global health challenges.
- Fever is a primary clinical manifestation of COVID-19.
- Traditional Chinese Medicine (TCM) has demonstrated efficacy in managing COVID-19 patients in China.
Purpose of the Study:
- To elucidate the pathophysiological mechanisms of fever.
- To analyze the antipyretic mechanisms of TCM based on its chemical constituents and pharmacological actions.
- To provide a scientific basis for developing TCM-based antipyretic therapies for COVID-19.
Main Methods:
- Review and synthesis of existing literature on fever mediators and signaling pathways.
- Analysis of the chemical composition and pharmacological properties of relevant TCM.
- Connecting scattered evidence to deepen understanding of fever from pathological and physiological perspectives.
Main Results:
- Detailed analysis of pyrogenic cytokines and fever mediators.
- Description of humoral and neural pathways involved in fever signal transmission.
- Identification of multiple mechanisms through which TCM exerts antipyretic effects.
Conclusions:
- TCM offers a multi-faceted approach to fever management in COVID-19.
- Understanding TCM's antipyretic actions can guide the development of novel therapeutic strategies.
- Further research into TCM compound preparations holds potential for COVID-19 prevention and treatment.
Abstract:
The coronavirus disease, 2019 (COVID-19), has spread rapidly around the world and become a major public health problem facing the world. Traditional Chinese medicine (TCM) has been fully committed to treat COVID-19 in China. It improved the clinical symptoms of patients and reduced the mortality rate. In light of the fever was identified as one of leading clinical features of COVID-19, this paper will first analyze the material basis of fever, including pyrogenic cytokines and a variety of the mediators of fever. Then the humoral and neural pathways of fever signal transmission will be described. The scattered evidences about fever recorded in recent years are connected in series. On this basis, the understanding of fever is further deepened from the aspects of pathology and physiology. Finally, combining with the chemical composition and pharmacological action of available TCM, we analyzed the mechanisms of TCMs to play the antipyretic effect through multiple ways. So as to further provide the basis for the research of antipyretic compound preparations of TCMs and explore the potential medicines for the prevention and treatment of COVID-19.
Related Concept Videos
Methods of reducing fever
Pharmacological Methods of Reducing Fever:
Increased Body Temperature
Patterns of Fever
Types of Fever
Here are the different types of fever:
Thermoregulation
Thermosensation

