Practice and principle of traditional Chinese medicine for the prevention and treatment of COVID-19

Linhua Zhao, Chuanxi Tian, Yingying Yang, Huifang Guan, Yu Wei, Yuxin Zhang, Xiaomin Kang, Ling Zhou, Qingwei Li, Jing Ma, Li Wan, Yujiao Zheng, Xiaolin Tong

PDF(1348 KB)
PDF(1348 KB)
Front. Med. ›› 2023, Vol. 17 ›› Issue (6) : 1014-1029. DOI: 10.1007/s11684-023-1040-8
REVIEW

Practice and principle of traditional Chinese medicine for the prevention and treatment of COVID-19

Author information +
History +

Abstract

Traditional Chinese medicine (TCM) has played an important role in the prevention and treatment of coronavirus disease 2019 (COVID-19) epidemic in China. The integration of Chinese and Western medicine is an important feature of Chinese COVID-19 prevention and treatment. According to a series of evidence-based studies, TCM can reduce the infection rate of severe acute respiratory syndrome coronavirus 2 in high-risk groups. For patients with mild and moderate forms of COVID-19, TCM can relieve the related signs and symptoms, shorten the period of nucleic-acid negative conversion, and reduce conversion rate to the severe form of the disease. For COVID-19 patients with severe and critical illnesses, TCM can improve inflammatory indicators and blood oxygen saturation, shorten the hospital stay, and reduce the mortality rate. During recovery, TCM can improve patients’ symptoms, promote organ function recovery, boost the quality of patients’ life, and reduce the nucleic-acid repositive conversion rate. A series of mechanism research studies revealed that capability of TCM to treat COVID-19 through antiviral and anti-inflammatory effects, immune regulation, and protection of organ function via a multicomponent, multitarget, and multipathway approach.

Keywords

traditional Chinese medicine / COVID-19 / SARS-CoV-2 / clinical evidence-based study / mechanism / integrated traditional Chinese and Western medicine

Cite this article

Download citation ▾
Linhua Zhao, Chuanxi Tian, Yingying Yang, Huifang Guan, Yu Wei, Yuxin Zhang, Xiaomin Kang, Ling Zhou, Qingwei Li, Jing Ma, Li Wan, Yujiao Zheng, Xiaolin Tong. Practice and principle of traditional Chinese medicine for the prevention and treatment of COVID-19. Front. Med., 2023, 17(6): 1014‒1029 https://doi.org/10.1007/s11684-023-1040-8

References

[1]
Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y, Bai C, Gao T, Song J, Xia P, Dong J, Zhao J, Wang FS. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020; 8(4): 420–422
CrossRef Google scholar
[2]
ZhengYJinDLinJZhangYTianJLianFTongX. Understanding COVID-19 in Wuhan from the perspective of cold-dampness: clinical evidences and mechanisms. Front Med (Lausanne) 2021; 8: 617659 doi:10.3389/fmed.2021.617659
Pubmed
[3]
Qiao Y, Xu X, Zhou F, Wang K, Li M, Liu C, Chen Z, Yin P, Shi Y, Wang Y, Liu Q. Effect of Lianhua Qingwen capsules on the positive rate of COVID-19 close contacts: a retrospective analysis of a large-scale population-based cohort study. Phytomedicine 2023; 112: 154690
CrossRef Google scholar
[4]
HuangBLiN. Wuchang model: traditional Chinese medicine guards the community gate. Chin News Tradit Chin Med (Zhongguo Zhong Yi Yao Bao) 2020; 2020-04-01(01) (in Chinese)
[5]
Shah MR, Fatima S, Khan SN, Ullah S, Himani G, Wan K, Lin T, Lau JYN, Liu Q, Lam DSC. Jinhua Qinggan granules for non-hospitalized COVID-19 patients: a double-blind, placebo-controlled, and randomized controlled trial. Front Med (Lausanne) 2022; 9: 928468
CrossRef Google scholar
[6]
Liu Z, Li X, Gou C, Li L, Luo X, Zhang C, Zhang Y, Zhang J, Jin A, Li H, Zeng Y, Li T, Wang X. Effect of Jinhua Qinggan granules on novel coronavirus pneumonia in patients. J Tradit Chin Med 2020; 40(3): 467–472
[7]
LinTPHLauEMCWanKHZhongLLeungEKoCNLuAShahMRBianZLamDSC. Initial observations of Jinhua Qinggan Granules, a Chinese medicine, in the mitigation of hospitalization and mortality in high-risk elderly with COVID-19 infection: a retrospective study in an old age home in Hong Kong. Front Med (Lausanne) 2022; 9: 948149 doi:10.3389/fmed.2022.948149
Pubmed
[8]
Li H, Lv WL, Sun YN, Xiao Y, Yang W, Yang HJ, Gao QH, Yang ZQ, Lv WL, Ling RJ, Shou ZX, Hu JC, Zhao XF, Ma YG, Liu MY, Luo ZW, Cheng BJ, Liu L, Shen F, Zhang SY, Zeng JQ, Xiang Y, Huang CQ, Yang Q, Ding X, Qing LX, Wang RL. Real-world clinical study of traditional Chinese medicine treatment for 749 patients with coronavirus disease 2019. Chin J Tradit Chin Med Pharm (Zhonghua Zhong Yi Yao Za Zhi) 2020; 35(6): 3194–3198
[9]
Tian J, Yan S, Wang H, Zhang Y, Zheng Y, Wu H, Li X, Gao Z, Ai Y, Gou X, Zhang L, He L, Lian F, Liu B, Tong X. Hanshiyi Formula, a medicine for Sars-CoV2 infection in China, reduced the proportion of mild and moderate COVID-19 patients turning to severe status: a cohort study. Pharmacol Res 2020; 161: 105127
CrossRef Google scholar
[10]
Zhang Y, Liu Y, Li M, Feng S, Li X, Gao Z, Yang Y, Tong X. Timely treatment and higher compliance to traditional Chinese medicine: new influencing factors for reducing severe COVID-19 based on retrospective cohorts in 2020 and 2021. Pharmacol Res 2022; 178: 106174
CrossRef Google scholar
[11]
Peng W, Yang F, Zheng W, Feng J, Xu Q, Zhang L. Clinical efficacy evaluation of Xuanfei-Baidu granules in the treatment of novel coronavirus pneumonia infected with Omicron strain. Tianjin J Tradit Chin Med (Tianjin Zhong Yi Yao) 2021; 39(9): 1093–1098
[12]
Xiong X, Wang P, Su K, Cho WC, Xing Y. Chinese herbal medicine for coronavirus disease 2019: a systematic review and meta-analysis. Pharmacol Res 2020; 160: 105056
CrossRef Google scholar
[13]
Chen G, Su W, Yang J, Luo D, Xia P, Jia W, Li X, Wang C, Lang S, Meng Q, Zhang Y, Ke Y, Fan A, Yang S, Zheng Y, Fan X, Qiao J, Lian F, Wei L, Tong X. Chinese herbal medicine reduces mortality in patients with severe and critical coronavirus disease 2019: a retrospective cohort study. Front Med 2020; 14(6): 752–759
CrossRef Google scholar
[14]
Sun QG, An XD, Xie P, Jiang B, Tian JX, Yang Q, Li XY, Luo M, Liu P, Zhao SH, Duan LY, Lang SP, Fan A, Luo PC, Lian FM, Huang XD, Tong XL. Traditional Chinese medicine decoctions significantly reduce the mortality in severe and critically ill patients with COVID-19: a retrospective cohort study. Am J Chin Med 2021; 49(5): 1063–1092
CrossRef Google scholar
[15]
Liu Y. Clinical effect analysis of Western Medicine combined with Huashi-Du-du prescription in the treatment of severe novel coronavirus pneumonia. Lab Med Clin (Jian Yan Yi Xue Yu Lin Chuang) 2021; 18(8): 1152–1153
[16]
Shi N, Guo L, Liu B, Bian Y, Chen R, Chen S, Chen Y, Chen Y, Cong X, Dong G, Guo J, Hu L, Jiang J, Leng L, Li B, Li D, Li H, Li J, Li L, Liu J, Lu C, Lv W, Miao Q, Qi W, Shi Z, Shi J, Shi H, Tian Y, Wang B, Wang G, Wang J, Wang W, Xian Y, Xie X, Xiong Y, Xu C, Xu M, Yan B, Yang J, Zhang L, Zhou Z, Zhu H, Huang L. Efficacy and safety of Chinese herbal medicine versus Lopinavir-Ritonavir in adult patients with coronavirus disease 2019: a non-randomized controlled trial. Phytomedicine 2021; 81: 153367
CrossRef Google scholar
[17]
Wang J, Lin L, Li B, Wang J, Yang C, Zhang G. Research and development progress of traditional Chinese medicine for prevention and treatment of coronavirus disease 2019 (COVID-19). J Shenyang Pharm Univ (Shenyang Yao Ke Da Xue Xue Bao) 2021; 38(7): 751–761
[18]
Shang T, Yu Q, Ren T, Wang XT, Zhu H, Gao JM, Pan G, Gao X, Zhu Y, Feng Y, Li MC. Xuebijing Injection maintains GRP78 expression to prevent Candida albicans-induced epithelial death in the kidney. Front Pharmacol 2020; 10: 1416
CrossRef Google scholar
[19]
Ma Q, Qiu M, Zhou H, Chen J, Yang X, Deng Z, Chen L, Zhou J, Liao Y, Chen Q, Zheng Q, Cai L, Shen L, Yang Z. The study on the treatment of Xuebijing injection (XBJ) in adults with severe or critical corona virus disease 2019 and the inhibitory effect of XBJ against SARS-CoV-2. Pharmacol Res 2020; 160: 105073
CrossRef Google scholar
[20]
Zhou S, Feng J, Xie Q, Huang T, Xu X, Zhou D, Zhang W, Sun S, Liu X, Wu X, Che J, Fan T, Zou D, Wang J, Zhan D, Peng D, Feng Y, Yu G, Yuan Z, Fang B. Traditional Chinese medicine shenhuang granule in patients with severe/critical COVID-19: a randomized controlled multicenter trial. Phytomedicine 2021; 89: 153612
CrossRef Google scholar
[21]
Yang Y, Ding L, Bao T, Li Y, Ma J, Li Q, Gao Z, Song S, Wang J, Zhao J, Wang Z, Zhao D, Li X, Wang Z, Zhao L, Tong X. Network pharmacology and experimental assessment to explore the pharmacological mechanism of Qimai Feiluoping Decoction against pulmonary fibrosis. Front Pharmacol 2021; 12: 770197
CrossRef Google scholar
[22]
An X, Duan L, Zhang YH, Jin D, Zhao S, Zhou RR, Duan Y, Lian F, Tong X. The three syndromes and six Chinese patent medicine study during the recovery phase of COVID-19. Chin Med 2021; 16(1): 44
CrossRef Google scholar
[23]
An X, Peng B, Huang X, Jiang H, Xiong Z, Zhang H, Lian F, Ba Y, Tong X. Ludangshen oral liquid for treatment of convalescent COVID-19 patients: a randomized, double-blind, placebo-controlled multicenter trial. Chin Med 2022; 17(1): 42
CrossRef Google scholar
[24]
Li K, Walczak-Kozłowska T, Lipowski M, Li J, Krokosz D, Su Y, Yu H, Fan H. The effect of the Baduanjin exercise on COVID-19-related anxiety, psychological well-being and lower back pain of college students during the pandemic. BMC Sports Sci Med Rehabil 2022; 14(1): 102
CrossRef Google scholar
[25]
Tang Y, Jiang J, Shen P, Li M, You H, Liu C, Chen L, Wang Z, Zhou C, Feng Z. Liuzijue is a promising exercise option for rehabilitating discharged COVID-19 patients. Medicine (Baltimore) 2021; 100(6): e24564
CrossRef Google scholar
[26]
Yang C, Ma Y, Mei J, Gong X, Wang M, Liu K. Effect of Baduanjin combined with auricular point sticking therapy on coronavirus disease 2019 with insomnia. Chin Acupunct Moxibustion (Zhongguo Zhen Jiu) 2021; 41(3): 243–246
[27]
Shu C, Feng S, Cui Q, Cheng S, Wang Y. Impact of Tai Chi on CRP, TNF-α and IL-6 in inflammation: a systematic review and meta-analysis. Ann Palliat Med 2021; 10(7): 7468–7478
CrossRef Google scholar
[28]
Liang IJ, Perkin OJ, McGuigan PM, Thompson D, Western MJ. Feasibility and acceptability of home-based exercise snacking and Tai Chi snacking delivered remotely to self-isolating older adults during COVID-19. J Aging Phys Act 2022; 30(1): 33–43
CrossRef Google scholar
[29]
Zhang JW, Lv SJ, Ma J, Wei QY, Cui MZ, Li YM, Chen ZH, Yuan W. Study on the relationship between different exercise interventions and quality of life in patients with coronary heart disease at home during the epidemic of COVID-19. Chin J Rehabil Med (Zhongguo Kang Fu Yi Xue Za Zhi) 2021; 37(2): 176–182
[30]
He S, Tian J, Li X, Zhou Y, Xiao M, Zhang Y, Min X, Li X, Jin D, Zhang Q, Zheng Y, Ke J, Li Q, Tao J, Song P, Wang H, Lv Y, Ding Q, Tang S, Lin J, Jiang Z, Zhang Z, Song J, Lian F, Tong X. Positive RT-PCR test results in 420 patients recovered from COVID-19 in Wuhan: an observational study. Front Pharmacol 2020; 11: 549117
CrossRef Google scholar
[31]
Li X, Liu B, Wang Y, Guan L, Li G, Wang H, Wang J, Ong C, Xiao M, Tong X. Interpretation of the Guidance and Suggestions of Traditional Chinese Medicine Rehabilitation during the Convalescence of Novel Coronavirus Pneumonia (Trial). J Tradit Chin Med (Zhong Yi Za Zhi) 2020; 61(11): 928–934
[32]
Shi X, Tong X, Sun G, Liu B, Wang H, Yu X, Wu H, Gao S, Wang L, Fang J, Yu S, Liang F, Ji L, Jing X, Zhou Z, Ma J, Chang X, Zhang W, Yang J, Chen R, Zhao J, Zhao H, Zhao B, Wang F, Liang F, Li X, Yang Y, Liu W, Wen B. Guidance on acupuncture and moxibustion intervention for coronavirus disease 2019 (second edition). Chin Acupunct Moxibustion (Zhongguo Zhen Jiu) 2020; 40(5): 462–463
[33]
Yan L, Li Z, Zhang Y, Liang X, Li J, Wu M, Shi G, Chen R, Ji Xg, Zuo S, Chen S, Zhou P, Fu W. Shukan Tiaoshen acupuncture combined with western medicine in the treatment of depression and insomnia comorbidity caused by COVID-19 isolation experience: a multicenter randomized controlled trial. Chin Acupunct Moxibustion (Zhongguo Zhen Jiu) 2023; 43(3): 255–260
[34]
Feng B, Zheng D, Yang L, Su Z, Tang L, Zhu Y, Xu X, Wang Q, Lin Q, Hu J, Lin M, Huang L, Zhou X, Liu H, Li S, Pan W, Shi R, Lu Y, Wu B, Ding B, Wang Z, Guo J, Zhang Z, Zheng G, Liu Y. Post-hospitalization rehabilitation alleviates long-term immune repertoire alteration in COVID-19 convalescent patients. Cell Prolif 2023; 56(10): e13450
CrossRef Google scholar
[35]
Xu X, Wu H, Jin G, Huang J, Li J, Zhou J, Cao M, Sun D, Zhang W, Peng W, Pu Y, Chen C, Sun Y, Yang H, Zhou S, Fang B. Efficacy of Lianhua Qingwen for children with SARS-CoV-2 Omicron infection: a propensity score-matched retrospective cohort study. Phytomedicine 2023; 111: 154665
CrossRef Google scholar
[36]
Chen J, Tang Q, Zhang B, Yuan S, Chen J, Shen S, Wang D, Lin J, Dong H, Yin Y, Gao J. Huashi baidu granule in the treatment of pediatric patients with mild coronavirus disease 2019: a single-center, open-label, parallel-group randomized controlled clinical trial. Front Pharmacol 2023; 14: 1092748
CrossRef Google scholar
[37]
An X, Xu X, Xiao M, Min X, Lyu Y, Tian J, Ke J, Lang S, Zhang Q, Fan A, Liu B, Zhang Y, Hu Y, Zhou Y, Shao J, Li X, Lian F, Tong X. Efficacy of Jinhua Qinggan Granules combined with western medicine in the treatment of confirmed and suspected COVID-19: a randomized controlled trial. Front Med (Lausanne) 2021; 8: 728055
CrossRef Google scholar
[38]
Duan C, Xia W, Zheng C, Sun G, Li Z, Li Q, Li P, Zhang H, Yang F, Zhang B, Liu Q. Clinical observation of Jinhua Qinggan granule combined with conventional western medicine in the treatment of mild coronavirus disease 2019. J Tradit Chin Med (Zhong Yi Za Zhi) 2020; 61(17): 1473–1477
[39]
Xia W, Zheng C, Zhang J, Huang M, Li Q, Duan C, Li Z, Fan C, Zou Y, Xu B, Yang F, Liu Q. Randomized controlled study of a diagnosis and treatment plan for moderate coronavirus disease 2019 that integrates traditional Chinese and western medicine. J Tradit Chin Med 2022; 42(2): 234–241
CrossRef Google scholar
[40]
Xiao M, Tian J, Zhou Y, Xu X, Min X, Lv Y, Peng M, Zhang Y, Yan D, Lang S, Zhang Q, Fan A, Ke J, Li X, Liu B, Jiang M, Liu Q, Zhu J, Yang L, Zhu Z, Zeng K, Li C, Zheng Y, Wu H, Lin J, Lian F, Li X, Tong X. Efficacy of Huoxiang Zhengqi dropping pills and Lianhua Qingwen granules in treatment of COVID-19: a randomized controlled trial. Pharmacol Res 2020; 161: 105126
CrossRef Google scholar
[41]
Zhang XY, Lv L, Zhou YL, Xie LD, Xu Q, Zou XF, Ding Y, Tian J, Fan JL, Fan HW, Yang YX, Ye XQ. Efficacy and safety of Xiyanping injection in the treatment of COVID-19: a multicenter, prospective, open-label and randomized controlled trial. Phytother Res 2021; 35(8): 4401–4410
CrossRef Google scholar
[42]
Fu XX, Lin LP, Tan XH. Clinical study on 37 cases of COVID-19 treated with integrated traditional Chinese and western medicine. Tradit Chin Drug Res Clinic Pharmacol (Zhong Yao Xin Yao Yu Lin Chuang Yao Li) 2020; 31: 600–604
[43]
Qiu M, Li QT, Zhu DP, Wang CH, Sun QZ, Qian CF, Zhang LL, Ran J, Wang P, Tao Y, Li YP. Efficacy observation of Maxing Xuanfei Jiedu Decoction on moderate COVID-19. J Emergency Tradit Chin Med (Zhongguo Zhong Yi Ji Zheng) 2020; 29: 1129–1130, 1132
[44]
Sun HM, Xu F, Zhang L, Wei C, Chen JY, Wang QX, Jia ZH. Study on clinical efficacy of Lianhua Qingke Granule in treatment of mild and ordinary COVID-19. Chin J Exp Tradit Med Form (Zhongguo Shi Yan Fang Ji Xue Za Zhi) 2020; 26: 29–34
[45]
Yu P, Li YZ, Wang SB, Wang Y. Effect of Lianhua Qingwen Granules plus Abidol on treatment of mild coronavirus disease 2019. Chin Med J (Zhonghua Yi Xue Za Zhi) 2020; 55: 1042–1045
[46]
Li M, Zhu H, Liu Y, Lu Y, Sun M, Zhang Y, Shi J, Shi N, Li L, Yang K, Sun X, Liu J, Ge L, Huang L. Role of traditional Chinese medicine in treating severe or critical COVID-19: a systematic review of randomized controlled trials and observational studies. Front Pharmacol 2022; 13: 926189
CrossRef Google scholar
[47]
Kang X, Jin D, Jiang L, Zhang Y, Zhang Y, An X, Duan L, Yang C, Zhou R, Duan Y, Sun Y, Lian F. Efficacy and mechanisms of traditional Chinese medicine for COVID-19: a systematic review. Chin Med 2022; 17(1): 30
CrossRef Google scholar
[48]
Luo X, Ni X, Lin J, Zhang Y, Wu L, Huang D, Liu Y, Guo J, Wen W, Cai Y, Chen Y, Lin L. The add-on effect of Chinese herbal medicine on COVID-19: a systematic review and meta-analysis. Phytomedicine 2021; 85: 153282
CrossRef Google scholar
[49]
Liu M, Gao Y, Yuan Y, Yang K, Shi S, Zhang J, Tian J. Efficacy and safety of integrated traditional Chinese and western medicine for corona virus disease 2019 (COVID-19): a systematic review and meta-analysis. Pharmacol Res 2020; 158: 104896
CrossRef Google scholar
[50]
Wang F, Guo Y, Jiao LW, Zhang XY, Liang N, Li G, Zong XY, Luan XJ, Zhang L, Wang JY, Chen RB, Li HZ, Fan YP, Zhao C, Xiao FR, Huang J, Xiao YH, Wang YZ, Zhang LS, Hu YH, Sun S, Wang MX, Bai WG, Ma Y, Shi NN, Ge YW, Zhang HM, Llin G, Wang YP, Wang YY. Retrospective analysis of clinical efficacy of Qingfei Paidu decoction combined with conventional western medicine in the treatment of 50 cases of severe coronavirus disease 2019. J Tradit Chin Med (Zhong Yi Za Zhi) 2021; 62(20): 1801–1805
[51]
Huang W, Jiang B, Luo J, Luo M, Ding X, Yang Q, Zhao LH, Sun QG, Tong XL. Treatment of COVID-19 in hemodialysis patients using traditional Chinese medicine: a single-center, retrospective study. Front Pharmacol 2022; 13: 764305
CrossRef Google scholar
[52]
Li Q, Wang H, Li X, Zheng Y, Wei Y, Zhang P, Ding Q, Lin J, Tang S, Zhao Y, Zhao L, Tong X. The role played by traditional Chinese medicine in preventing and treating COVID-19 in China. Front Med 2020; 14(5): 681–688
CrossRef Google scholar
[53]
Wang R, Stephen P, Tao Y, Zhang W, Lin SX. Human endeavor for anti-SARS-CoV-2 pharmacotherapy: a major strategy to fight the pandemic. Biomed Pharmacother 2021; 137: 111232
CrossRef Google scholar
[54]
Runfeng L, Yunlong H, Jicheng H, Weiqi P, Qinhai M, Yongxia S, Chufang L, Jin Z, Zhenhua J, Haiming J, Kui Z, Shuxiang H, Jun D, Xiaobo L, Xiaotao H, Lin W, Nanshan Z, Zifeng Y. Lianhuaqingwen exerts anti-viral and anti-inflammatory activity against novel coronavirus (SARS-CoV-2). Pharmacol Res 2020; 156: 104761
CrossRef Google scholar
[55]
Fu L, Shao S, Feng Y, Ye F, Sun X, Wang Q, Yu F, Wang Q, Huang B, Niu P, Li X, Wong CCL, Qi J, Tan W, Gao GF. Mechanism of microbial metabolite leupeptin in the treatment of COVID-19 by traditional Chinese medicine herbs. MBio 2021; 12(5): e0222021
CrossRef Google scholar
[56]
Ma Q, Qiu M, Zhou H, Chen J, Yang X, Deng Z, Chen L, Zhou J, Liao Y, Chen Q, Zheng Q, Cai L, Shen L, Yang Z. The study on the treatment of Xuebijing injection (XBJ) in adults with severe or critical corona virus disease 2019 and the inhibitory effect of XBJ against SARS-CoV-2. Pharmacol Res 2020; 160: 105073
CrossRef Google scholar
[57]
Yeh YC, Doan LH, Huang ZY, Chu LW, Shi TH, Lee YR, Wu CT, Lin CH, Chiang ST, Liu HK, Chuang TH, Ping YH, Liu HS, Huang CF. Honeysuckle (Lonicera japonica) and Huangqi (Astragalus membranaceus) suppress SARS-CoV-2 entry and COVID-19 related cytokine storm in vitro. Front Pharmacol 2022; 12: 765553
CrossRef Google scholar
[58]
Tang WF, Tsai HP, Chang YH, Chang TY, Hsieh CF, Lin CY, Lin GH, Chen YL, Jheng JR, Liu PC, Yang CM, Chin YF, Chen CC, Kau JH, Hung YJ, Hsieh PS, Horng JT. Perilla (Perilla frutescens) leaf extract inhibits SARS-CoV-2 via direct virus inactivation. Biomed J 2021; 44(3): 293–303
CrossRef Google scholar
[59]
Xu H, Li S, Liu J, Cheng J, Kang L, Li W, Zhong Y, Wei C, Fu L, Qi J, Zhang Y, You M, Zhou Z, Zhang C, Su H, Yao S, Zhou Z, Shi Y, Deng R, Lv Q, Li F, Qi F, Chen J, Zhang S, Ma X, Xu Z, Li S, Xu Y, Peng K, Shi Y, Jiang H, Gao GF, Huang L. Bioactive compounds from Huashi Baidu decoction possess both antiviral and anti-inflammatory effects against COVID-19. Proc Natl Acad Sci USA 2023; 120(18): e2301775120
CrossRef Google scholar
[60]
Lv Y, Wang S, Liang P, Wang Y, Zhang X, Jia Q, Fu J, Han S, He L. Screening and evaluation of anti-SARS-CoV-2 components from Ephedra sinica by ACE2/CMC-HPLC-IT-TOF-MS approach. Anal Bioanal Chem 2021; 413(11): 2995–3004
CrossRef Google scholar
[61]
He MF, Liang JH, Shen YN, Zhang JW, Liu Y, Yang KY, Liu LC, Wang J, Xie Q, Hu C, Song X, Wang Y. Glycyrrhizin inhibits SARS-CoV-2 entry into cells by targeting ACE2. Life (Basel) 2022; 12(11): 1706
CrossRef Google scholar
[62]
Yu S, Zhu Y, Xu J, Yao G, Zhang P, Wang M, Zhao Y, Lin G, Chen H, Chen L, Zhang J. Glycyrrhizic acid exerts inhibitory activity against the spike protein of SARS-CoV-2. Phytomedicine 2021; 85: 153364
CrossRef Google scholar
[63]
Yang C, Pan X, Xu X, Cheng C, Huang Y, Li L, Jiang S, Xu W, Xiao G, Liu S. Salvianolic acid C potently inhibits SARS-CoV-2 infection by blocking the formation of six-helix bundle core of spike protein. Signal Transduct Target Ther 2020; 5(1): 220
CrossRef Google scholar
[64]
Xu T, Meng JR, Cheng W, Liu J, Chu J, Zhang Q, Ma N, Bai L, Guo Y. Discovery of honokiol thioethers containing 1,3,4-oxadiazole moieties as potential α-glucosidase and SARS-CoV-2 entry inhibitors. Bioorg Med Chem 2022; 67: 116838
CrossRef Google scholar
[65]
Dai W, Zhang B, Jiang XM, Su H, Li J, Zhao Y, Xie X, Jin Z, Peng J, Liu F, Li C, Li Y, Bai F, Wang H, Cheng X, Cen X, Hu S, Yang X, Wang J, Liu X, Xiao G, Jiang H, Rao Z, Zhang LK, Xu Y, Yang H, Liu H. Structure-based design of antiviral drug candidates targeting the SARS-CoV-2 main protease. Science 2020; 368(6497): 1331–1335
CrossRef Google scholar
[66]
Li C, Li Y, Zhang H, Zhuo Y, Zhang L, Yang L, Gao Q, Tu Z, Shao R, Wang Y, Zhang J, Cui L, Zhang S. Xuanfei Baidu Decoction suppresses complement overactivation and ameliorates IgG immune complex-induced acute lung injury by inhibiting JAK2/STAT3/SOCS3 and NF-κB signaling pathway. Phytomedicine 2023; 109: 154551
CrossRef Google scholar
[67]
Zhu Y, Luo L, Zhang M, Song X, Wang P, Zhang H, Zhang J, Liu D. Xuanfei Baidu Formula attenuates LPS-induced acute lung injury by inhibiting the NF-κB signaling pathway. J Ethnopharmacol 2023; 301: 115833
CrossRef Google scholar
[68]
Zhou M, Liu Y, Qin H, Shang T, Xue Z, Yang S, Zhang H, Yang J. Xuanfei Baidu Decoction regulates NETs formation via CXCL2/CXCR2 signaling pathway that is involved in acute lung injury. Biomed Pharmacother 2023; 161: 114530
CrossRef Google scholar
[69]
Xiong L, Cao J, Yang X, Chen S, Wu M, Wang C, Xu H, Chen Y, Zhang R, Hu X, Chen T, Tang J, Deng Q, Li D, Yang Z, Xiao G, Zhang X. Exploring the mechanism of action of Xuanfei Baidu granule (XFBD) in the treatment of COVID-19 based on molecular docking and molecular dynamics. Front Cell Infect Microbiol 2022; 12: 965273
CrossRef Google scholar
[70]
Zhu Y, Han Q, Wang L, Wang B, Chen J, Cai B, Wu C, Zhu X, Liu F, Han D, Dong H, Jia Y, Liu Y. Jinhua Qinggan granules attenuates acute lung injury by promotion of neutrophil apoptosis and inhibition of TLR4/MyD88/NF-κB pathway. J Ethnopharmacol 2023; 301: 115763
CrossRef Google scholar
[71]
Zhou W, Lai X, Wang X, Yao X, Wang W, Li S. Network pharmacology to explore the anti-inflammatory mechanism of Xuebijing in the treatment of sepsis. Phytomedicine 2021; 85: 153543
CrossRef Google scholar
[72]
Chen X, Feng Y, Shen X, Pan G, Fan G, Gao X, Han J, Zhu Y. Anti-sepsis protection of Xuebijing injection is mediated by differential regulation of pro- and anti-inflammatory Th17 and T regulatory cells in a murine model of polymicrobial sepsis. J Ethnopharmacol 2018; 211: 358–365
CrossRef Google scholar
[73]
Shi X, Chen G, Wei J, Feng D, Chen Y, Zhou H, Liu M, Lv X. UHPLC-Q-TOF MS-based metabolic analysis for the therapeutic efficacy of “Xuebijing Injection” against sepsis-induced acute lung injury. Evid Based Complement Alternat Med 2018; 2018: 8514619
CrossRef Google scholar
[74]
Zhang F, Guo F, Zhang Y, Xu H, Liu Y, Lin L, Li H, Yang H, Huang L. Huashibaidu formula attenuates sepsis-induced acute lung injury via suppressing cytokine storm: implications for treatment of COVID-19. Phytomedicine 2023; 109: 154549
CrossRef Google scholar
[75]
Wu Y, Xu L, Cao G, Min L, Dong T. Effect and mechanism of Qingfei Paidu Decoction in the management of pulmonary fibrosis and COVID-19. Am J Chin Med 2022; 50(1): 33–51
CrossRef Google scholar
[76]
Tian S, Zheng N, Zu X, Wu G, Zhong J, Zhang J, Sheng L, Liu W, Wang C, Ge G, Han J, Zhao J, Li H, Zhang W. Integrated hepatic single-cell RNA sequencing and untargeted metabolomics reveals the immune and metabolic modulation of Qing-Fei-Pai-Du decoction in mice with coronavirus-induced pneumonia. Phytomedicine 2022; 97: 153922
CrossRef Google scholar
[77]
Wu G, Zhang W, Zheng N, Zu X, Tian S, Zhong J, Zhang Y, Liao J, Sheng L, Ge G, Li H, Zhang W. Integrated microbiome and metabolome analysis reveals the potential therapeutic mechanism of Qing-Fei-Pai-Du decoction in mice with coronavirus-induced pneumonia. Front Cell Infect Microbiol 2022; 12: 950983
CrossRef Google scholar
[78]
Ma L, Zhao X, Liu T, Wang Y, Wang J, Kong L, Zhao Q, Chen Y, Chen L, Zhang H. Xuanfei Baidu decoction attenuates intestinal disorders by modulating NF-κB pathway, regulating T cell immunity and improving intestinal flora. Phytomedicine 2022; 101: 154100
CrossRef Google scholar
[79]
He Q, Shi Y, Xing H, Tang Q, Liu J, Li C, Zhang H, Zhang B, Zhang J, Chen X. Modulating effect of Xuanfei Baidu granule on host metabolism and gut microbiome in rats. Front Pharmacol 2022; 13: 922642
CrossRef Google scholar
[80]
Wang Y, Wang X, Li Y, Xue Z, Shao R, Li L, Zhu Y, Zhang H, Yang J. Xuanfei Baidu Decoction reduces acute lung injury by regulating infiltration of neutrophils and macrophages via PD-1/IL17A pathway. Pharmacol Res 2022; 176: 106083
CrossRef Google scholar
[81]
Yan H, Lu J, Wang J, Chen L, Wang Y, Li L, Miao L, Zhang H. Prevention of cyclophosphamide-induced immunosuppression in mice with traditional Chinese medicine Xuanfei Baidu Decoction. Front Pharmacol 2021; 12: 730567
CrossRef Google scholar
[82]
Song L, Han B. Effects of Xuebijing injection on lipopolysaccharide (LPS)-induced nitric oxide (NO) production and expression of iNOS and nuclear factor-κB in vascular endothelial cells. J Jilin Univ (Medical Edition) (Jilin Da Xue Xue Bao Yi Xue Ban) 2014; 40(5): 997–1001
[83]
Wang Y, Sang X, Shao R, Qin H, Chen X, Xue Z, Li L, Wang Y, Zhu Y, Chang Y, Gao X, Zhang B, Zhang H, Yang J. Xuanfei Baidu Decoction protects against macrophages induced inflammation and pulmonary fibrosis via inhibiting IL-6/STAT3 signaling pathway. J Ethnopharmacol 2022; 283: 114701
CrossRef Google scholar
[84]
Wu Y, Xu L, Cao G, Min L, Dong T. Effect and mechanism of Qingfei Paidu Decoction in the management of pulmonary fibrosis and COVID-19. Am J Chin Med 2022; 50(1): 33–51
CrossRef Google scholar
[85]
Tong XL, Zhu X, Zhao L, Li QW, Lei Y, Song B, Shao JZ, Wang Q, Li XY, Zheng YJ, Fan AH. Strategic thinking on strengthening the construction of TCM emergency prevention and control system for emerging infectious diseases in China. Bulletin Chin Aca Sci (Zhongguo Ke Xue Yuan Yuan Kan) 2020; 35(9): 1087–1095
[86]
Li XD, Liu BY, Wang H, Shao JZ, Song B, He LY, Lian FM, li YY. Discussion on the significance of “Wuchang model” in the prevention and control of sudden acute infectious diseases from the perspective of preventive treatment. J Nanjing Univ Chin Med (Nanjing Zhong Yi Yao Da Xue Xue Bao) 2021; 37(1): 1–5
[87]
Su HX, Yao S, Zhao WF, Li MJ, Liu J, Shang WJ, Xie H, Ke CQ, Hu HC, Gao MN, Yu KQ, Liu H, Shen JS, Tang W, Zhang LK, Xiao GF, Ni L, Wang DW, Zuo JP, Jiang HL, Bai F, Wu Y, Ye Y, Xu YC. Anti-SARS-CoV-2 activities in vitro of Shuanghuanglian preparations and bioactive ingredients. Acta Pharmacol Sin 2020; 41(9): 1167–1177
CrossRef Google scholar
[88]
Yuan C, Zhang W, Wang J, Huang C, Shu B, Liang Q, Huang T, Wang J, Shi Q, Tang D, Wang Y. Chinese medicine phenomics (chinmedphenomics): personalized, precise and promising. Phenomics 2022; 2(6): 383–388
CrossRef Google scholar
[89]
Xu H, Zhang Y, Wang P, Zhang J, Chen H, Zhang L, Du X, Zhao C, Wu D, Liu F, Yang H, Liu C. A comprehensive review of integrative pharmacology-based investigation: a paradigm shift in traditional Chinese medicine. Acta Pharm Sin B 2021; 11(6): 1379–1399
CrossRef Google scholar

Acknowledgements

This work was supported by National Key Research and Development Plan—Strategic International Science and Technology Innovation Cooperation Key Project “International Cooperation Research on the Mechanism of the Treatment of COVID-19 by Hanshiyi Formula” (No. 2021YFE0201100), National Key Research and Development Plan—“Public Safety Risk Control and Emergency Technical Equipment” Key Project Special “Demonstration Research on New Drug Development of Sanhan Huashi Granules for the treatment of COVID-19” (No. 2022YFC0868300) .

Compliance with ethical guidelines

Conflicts of Interests Linhua Zhao, Chuanxi Tian, Yingying Yang, Huifang Guan, Yu Wei, Yuxin Zhang, Xiaomin Kang, Ling Zhou, Qingwei Li, Jing Ma, Li Wan, Yujiao Zheng, and Xiaolin Tong declare that they have no competing interests.
This manuscript is a review article and does not involve a research protocol that requires the approval of relevant institutional review board or ethics committee.

RIGHTS & PERMISSIONS

2023 Higher Education Press
AI Summary AI Mindmap
PDF(1348 KB)

Accesses

Citations

Detail

Sections
Recommended

/