Guidelines on the treatment with integrated traditional Chinese medicine and western medicine for severe coronavirus disease 2019

Li, Zhiyu; Xie, Zhihua; Li, Haichang; Wang, Jianjian; Wen, Xiaofang; Wu, Shouyuan; Chen, Jiao; Zhang, Juanjuan; Li, Lin; Guo, Qiangqiang; Liu, Qiuping; Lan, Hui Y.; Jiang, Yuepeng; Li, Dianming; Xu, Xiaofeng; Song, Siyue; Zhang, Ming; Fang, Shan; Lai, Weidong G.; Gao, Yi-Ni; Zhang, Fengqi; Luo, Wen-Qing; Lou, Yu; Wu, Chen; Zhang, Xia-Feng; Wang, Ke-Er; Zhou, Meijun; He, Yuanfang; Xi, Anran; Gao, Yan; Zhang, Yi; Chen, Yaolong; Wen, Chengping

doi:10.1016/j.phrs.2021.105955

Cited by 20 publications

(11 citation statements)

References 46 publications

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“…Co-administration of TCM and Western medicine has long been well-accepted to show synergistic therapeutic efficacy via taking both of their advantages, and is becoming a new trend in the treatment of disorders including COVID-19 in modern society. 37,38 In accord to the recommended COVID-19 treatment protocols in China supporting the integration of TCM and Western medicine, [9][10][11][12] the preference for using both Chinese herbal medicine and Western medicine to treat COVID-19 after disease onset was found among student respondents. When expressing their attitude toward a pilot scientific study reporting the possible role of honeysuckle decoction in COVID-19 control, most students claimed that they would take the honeysuckle for their own COVID-19 infection prevention, suggesting a certain level of confidence in Chinese herbs.…”

Section: Dovepressmentioning

confidence: 99%

Practices, Knowledge, and Attitudes of Chinese University Students Toward Traditional Chinese Herbal Medicine for the Control of COVID-19

Li¹,

Liu²,

Hu³

et al. 2022

IDR

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Background The application of traditional Chinese herbal medicine has been officially recommended and strongly promoted in China as an important complement to conventional prevention and treatment for COVID-19. Capturing the practices, knowledge and attitudes of young adult population toward using Chinese herbs for COVID-19 is important for understanding the future of Chinese herbal medicine over the coming decades. Methods This cross-sectional questionnaire-based study was conducted from May to June, 2022, among 313 student volunteers in Wuhan University of Science and Technology, a provincial comprehensive university in China. Results Results showed that only 18% of students had used Chinese herbs to prevent COVID-19. The main information sources were social media, the students’ family members, relatives, friends, etc. as well as the healthcare professionals. However, most students only sometimes paid close attention to related reports and news articles in social media. Clear pharmacological and toxicological properties of herbs were considered by 43% students as the most important factor to promote their own application of Chinese herbs to fight COVID-19. The mean knowledge score was 1.64 out of 5. Students’ overall attitudes toward application of Chinese herbal medicine to fight COVID-19 were very positive. Conclusion These data suggests most university young adults had a positive attitude but lack of practices and knowledge towards traditional Chinese herbal medicine for COVID-19 control.

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Section: Dovepressmentioning

confidence: 99%

Practices, Knowledge, and Attitudes of Chinese University Students Toward Traditional Chinese Herbal Medicine for the Control of COVID-19

Li¹,

Liu²,

Hu³

et al. 2022

IDR

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“…Only 12 CPGs (19.7%) had a score >60% and they generally did not consider requirements related to this domain well. The guideline on treating severe COVID-19 with integrated traditional Chinese and Western medicine published by the Zhejiang University of Traditional Chinese Medicine [ 28 ] received the highest score (88.9%). Contrastingly, the prevention and treatment protocols issued by the Health Commissions of Gansu [ 80 ] and Inner Mongolia Autonomous Regions [ 57 ] had the lowest scores (0%).…”

Section: Resultsmentioning

confidence: 99%

Chinese Herbal Medicine and COVID-19: Quality Evaluation of Clinical Guidelines and Expert Consensus and Analysis of Key Recommendations

Zheng

Gao

et al. 2022

Acupuncture and Herbal Medicine

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Objective: To systematically review the clinical practice guidelines (CPGs) for the treatment of patients with coronavirus disease 2019 (COVID-19) using Chinese herbal medicine (CHM), assess the methodological quality as well as clinical credibility and implementability of specific recommendations, and summarize key recommendations.Methods: As of April 2022, we conducted a comprehensive search on major electronic databases, guideline websites, academic society websites, and government websites to assess the methodological quality and clinical applicability of the included CPGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool and Evaluation-Recommendations EXcellence (AGREE-REX) instructions, respectively.Results: The search yielded 61 CPGs, which were mostly published in 2020; moreover, 98.4% of the CPGs were published in China. Only five CPGs achieved a high-quality AGREE II rating; further, six CPGs could be directly recommended, with most of the CPGs still showing much room for improvement. CPGs had a low overall score in the AGREE-REX evaluation, with the domains of clinical applicability, values and preferences, and implementability being standardized in 21.80% ± 12.56%, 16.00% ± 11.81%, and 31.33% ± 14.55% of the CPGs, respectively. Five high-quality CPGs mentioned 56 Chinese herbal formulas. Half of the recommendations had moderate or strong evidence level in the GRADE evaluation. The most frequently recommended herbal medicines were Lianhua Qingwen granule/capsule and Jinhua Qinggan granule; however, the strength of recommendation for each prescription varied across CPGs and populations.Conclusions: The overall quality of current CPGs for COVID-19 for CHM still needs to be improved; moreover, the strength of the evidence remains to be standardized across CPGs.

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“…The guidelines for integrating TCM and WM for COVID-19 have been published recently and recommend prescription granules, decoctions, patent medicines and Chinese herbal injections for treating COVID-19 [34] . The guidelines also emphasize the principle of syndrome differentiation to address different stages of the disease and conditions of individual patients [35] . Additionally, similar case reports published on PubMed have also been reviewed by us, and most of them follow the guidelines mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Integrated therapeutic plasma exchange and traditional Chinese medicine treatment in a patient with severe COVID-19: A case report

Lin

Hsu

et al. 2022

Journal of Integrative Medicine

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Guidelines on the treatment with integrated traditional Chinese medicine and western medicine for severe coronavirus disease 2019

Cited by 20 publications

References 46 publications

Practices, Knowledge, and Attitudes of Chinese University Students Toward Traditional Chinese Herbal Medicine for the Control of COVID-19

Practices, Knowledge, and Attitudes of Chinese University Students Toward Traditional Chinese Herbal Medicine for the Control of COVID-19

Chinese Herbal Medicine and COVID-19: Quality Evaluation of Clinical Guidelines and Expert Consensus and Analysis of Key Recommendations

Integrated therapeutic plasma exchange and traditional Chinese medicine treatment in a patient with severe COVID-19: A case report

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