Treating COVID-19
with Traditional Chinese Medicine
Notes:
1.
Patients in the following case studies were not
COVID-19 vaccinated.
2.
In-person visits were not permitted during
COVID-19; therefore, an instruction video was sent to the patient explaining
basic TCM pulse qualities. Pulses were all self-reported by the patient.
Case Study 1:
Patient: Female, 49 years old, nurse
Initial Virtual Consultation: January 4, 2021
Symptoms
Patient complained of dry mouth for 2 days, with no bitter
taste or thirst. She had aversion to cold occasionally, did not have
spontaneous sweating, night sweating, or chest tightness/pain. Her sense of
smell and taste were normal and had no problem sleeping. Her urine was yellow,
and bowel movements were normal.
Note: COVID-19 test results had not yet been reported at
that time.
Tongue
Pale with white and slightly greasy coating; thick purple
sublingual veins
Pulse
Slightly forceful at 72 beats per minute
Herbal Formula
Xiao Chai Hu Tang Jia Wei (Minor Bupleurum Decoction with
Additions)
Chai Hu 15g, Huang Qin 9g, Fa Ban Xia 10g, Dang Shen 10g,
Zhi Gan Cao 9g, Sheng Jiang 9g, She Gan 10g, Yu Xing Cao 10g, Da Zao 3 pieces (cut
into half)
1 dose per day for 2 days
Method of Decocting:
Add herbs into 1000mL of water then bring it to a boil over
high heat. Once boiling, switch to medium heat and cook until the decoction
reduces to 500mL. Remove the herbs and cook the decoction over medium heat
until it reduces to 250mL.
Additionally, the following general common cold formula was
prescribed to the patient’s husband and son as a prevention of COVID-19:
Fang Feng 10g, Jing Jie 10g, Zi Su Ye 10g, Huo Xiang 10g,
Jin Yin Hua 12g, Gan Cao 4g, Jie Geng 7g, Qiang Huo 3g, Bo He 8g (added
later)
Method of Decocting:
Use water to cover all herbs and soak for 1 hour. Bring the
decoction to a boil using high heat and boil for 5 minutes. Pour out the liquid
portion of the decoction and set aside. Put hot water into the herbs and bring
it to a boil over medium-high heat. Switch to low-medium heat and cook for
another 15 minutes. Put in the Bo He and turn off the heat after 1 minute. Mix
in this portion of the liquid with the previous portion. Take half of the
decoction, and the second half of it 4 hours later.
Second Virtual Consultation: January 5, 2021
Patient reported positive for COVID-19. She saw an
improvement in dry mouth, and no longer feeling aversion to cold when sleeping
at night. She also reported coughing.
Herbal Formula
Modified version of the formula prescribed at initial consultation:
-
Increase dose of Jie Geng to 9g
-
Add Zhi Zi Wan 10g
-
Remove Yu Xing Cao
3 doses, decocted in water to be taken warm.
After taking the 3 doses on January 8, the patient reported
that she was still feeling aversion to cold. Therefore, the general common cold
formula was suggested to her.
Third Virtual Consultation: January 12, 2021
Symptoms
After taking the general common cold formula, the patient
reported no more aversion to cold and her appetite was normal. She had coughing
with no phlegm as well as tightness in the chest and shortness of breath when
walking fast.
Pulse
Tight
Herbal Formulas
Formula 1: Modified Xiao Chai Hu Tang Jia Wei
Chai Hu 15g, Huang Qin 9g, Fa Ban Xia 10g, Dang Shen 10g,
Zhi Gan Cao 9g, Sheng Jiang 9g, She Gan 10g, Pi Pa Ye 10g, Lian Qiao 10g, Da
Zao 3 pieces (cut into half)
2 doses
Formula 2: Ma
Xing Shi Gan Tang
Sheng Ma Huang 6g, Zhi Gan Cao 3g, Xing Ren 6g, Shi Gao 24g
2 doses
Patient was instructed to finish taking Formula 1 first.
Fourth Virtual Consultation: January 14, 2021
After taking Formula 1, symptoms did not show significant
improvement and phlegm was yellow in colour. Patient was instructed to take
Formula 2.
Fifth Virtual Consultation: January 15, 2021
The patient reported that after taking Formula 2 yesterday,
her cough and amount of sputum reduced, phlegm was light yellow with some
redness. She also reported increase in energy level and reduced spontaneous
sweating.
The patient was instructed to continue taking Formula 2 for
2 days, followed by 5 doses of Sha Shen Mai Dong Tang (Modified).
Sha Shen Mai Dong Tang (Modified):
Sha Shen 12g, Mai Dong 12g, Yu Zhu 12g, Qian Hu 10g, Gua Lou
Pi 10g, Pi Pa Ye 10g, Sang Ye 10g
Case Study 2:
Patient: male, 47 years old, renovation worker, husband
of case study 1 patient
Initial Virtual Consultation: January 12, 2021
Symptoms
The patient was instructed to take the general common cold
formula since January 4, 2021.On the 6th, he was tested negative
for COVID-19. On the 9th, he started having symptoms of aversion to
cold as well as mild night sweating during sleep. He suddenly fainted and fell
to the ground at noon on the 10th. He woke up about half a minute
after and started feeling weak and sweating profusely. These symptoms were
better after sweating. On the 11th, he was tested positive for
COVID-19.
At the time of consultation, the patient had phlegm that
could not be expectorated and dry mouth but did not have aversion to cold. His
bowel movements were normal, and his urine was light yellow in colour.
Tongue
Pale red with white and slightly greasy coat, swollen
Pulse
Slightly weak, 72 beats per minute
Herbal Formula
Chai Hu Gui Zhi Tang Jia Wei
Gui Zhi 8g, Huang Qin 8g, Dang Shen 10g, Zhi Gan Cao 5g, Fa
Ban Xia 10g, Bai Shao 8g, Sheng Jiang 8g, Chai Hu 15g, Jie Geng 9g, Zhi Zi Wan
10g, Huo Xiang 10g (added later), Da Zao 2 piece (cut into
half)
3 doses
Method of Decocting:
Cook from 700mL until 300mL. Take 150mL each time for two
times.
Second Virtual Visit: January 13, 2021
Patient reported heaviness in the head and no other
symptoms. Patient was then instructed to change decocting method – cook from
1000mL to 500mL, throw away the herbs and continue cooking until 250mL.
Third Virtual Visit: January 14, 2021
Patient reported he had taken 2 doses of the medicine and
had no symptoms left. He was then instructed to finish the third dose which is
to be cooked using the second method. As aftercare, patient was instructed to
stew an Asian pear with rock sugar (add Sha Shen and Yu Zhu as needed).
PCR testing was negative for less than a month for both cases after being positive.