Opinion paper
Highlights of traditional Chinese medicine frontline expert advice in the China national guideline for COVID-19

https://doi.org/10.1016/j.eujim.2020.101116Get rights and content

Abstract

Introduction

The World Health Organization declared the coronavirus disease (COVID-19) as a pandemic on 11 March 2020, after the number of confirmed cases outside China increased 13-fold. As the epicentre of the initial outbreak, China has been updating the National COVID-19 Diagnostic and Treatment Guideline with up-to-date information about the disease. To facilitate the implementation of integrative Chinese–Western Medicine in COVID-19 management, Traditional Chinese medicine (TCM) has been recommended in recent editions of the national guideline.

Methods

The national guideline summarised the opinions and frontline experience of medical experts across the country to provide by far the best management for COVID-19. We extracted the case definition and clinical classifications of COVID-19 in China along with relevant TCM treatments cited in the seventh edition of the guideline, with an intent to disseminate practical information to TCM clinicians and researchers around the world.

Results

We present the most recent case definition, clinical classifications, and relevant TCM treatments of COVID-19 in accordance with the recommendations in the Chinese guideline. TCM treatments are stratified into two groups based on patients’ disease status. Four types of Chinese patent medicines are recommended for suspected COVID-19 cases. Several herbal formulae are recommended for confirmed COVID-19 cases according to their clinical classification and TCM pattern diagnoses. Two herbal formulae are also recommended for rehabilitation of recovering cases.

Conclusion

To control the waves of COVID-19 outbreak, countries must ensure the adherence of their citizens to local public health measures. Medical professionals should diagnose and treat patients according to up-to-date guidelines. Future evaluation of the outcomes of implementing TCM recommendations will strengthen the evidence base for COVID-19 management for the sake of public health and the internationalisation of TCM.

Keywords

Chinese herbal medicines
COVID-19
Guideline
Traditional Chinese medicine

Cited by (0)

1

Postal address: LG02, Li Wai Chun Building, Chung Chi College, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.

2

Postal address: G/F, Staff Centre, Block J, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, New Territories, Hong Kong.

3

Postal address: Room 101-F1, Li Wai Chun Building, Chung Chi College, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.

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