Jing Fang Treatment of the Infectious Pneumonia Coronavirus

February 8th, 2020.

As of February 5th (midnight), 31 provinces have reported a total of 28,018 confirmed cases

(34866 on 8th). 1,153 cases are cured and discharged, 24,702 cases are receiving treatments with

moderate symptoms, 3,859 cases are in severe and critical conditions and 563 have died (724 on

8th). There are currently confirmed cases in 28 countries around the world. It took the Novel

Pneumonia Coronavirus (COVID-19) 48 days to infect the first 1,000 people. It took SARS 130

days to infect the first 1,000 people. It took MERS 2.5 years to infect the first 1,000 people.

Important note: This information is not to replace the information given by the National

Health Commission of China but it is used as a reference for medical practitioners only. If

you have symptoms of cough or fever you must consult with your doctor. Please take care of

the usage of Ma huang in the listed formulas with patients with heart and kidney diseases.

In the Jing fang system from Zhang Zhong jing within the Hu Xi shu lineage, we must analyze

the constantly and rapidly changing symptoms with the 8 guiding principles to evaluate the

location and type of the pathogens in the body and the levels of blood and Zheng qi.

This novel pneumonia Coronavirus has an incubation stage and directly attacks the immune

system where blood tests will show low white blood cell count and low lymphocyte count. The

patients are contagious at the incubation stage. After the 2 to 14 days of dormant stage, the

symptoms evolve quickly and eventually cause organ failure of mainly the lungs, kidneys and

heart. Patients mainly die of respiratory or heart failure due to fluid retention. The virus has

also been seen to go back into a dormant stage after receiving treatment only to come back in

full force after a few days of observation. Both breath tests and blood tests confirm

contamination of the virus.

All hospitals are using integrated western and Chinese medicine to fight this virus and the

government issued the 5th edition of the treatment protocol for the pneumonia virus at midnight

February 5th. We have added it below for reference. Western medicine includes respiratory

assistance, CPR, and antiviral medication treatments given now consist of combining

Remdesivir (which is used against Ebola and Marburg virus), Ritonavir (which is used to treat

HIV/AIDS infections) and Zavesca (which is effective in breaking down certain lipids) with an

inhaled dose of nebulized alpha-interferon twice a day. They are also testing Aluvia, also

known as Kaletra, on patients. It is a combination of Lopinavir and Ritonavir.

In terms of Chinese medicine, we compiled important symptom differentiation, understanding

and recommended treatments from TCM doctors as well as Jing fang experts in Hubei treating

the virus now. We have identified different stages of the disease fitting different treatment

methods: Early, middle, severe, critical and recuperation stages. Within each stage, there are

varieties of similar symptoms also needing modified formulas. We have also added some

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recommended formulas as a preventative step and formulas used in the beginning stage with

mild symptoms to prevent the evolution of symptoms.

The following are recommended formulas shared by three Jing fang experts which went to the

Wuhan critical care unit to help treat patients with the pneumonia virus. Dr. Tong Xiao lin (TXL)

usually practices at the Guang An Men Chinese Medicine Hospital in Beijing. Some other

formulas are recommended by Dr. Zhang Yue feng (ZXF) according to the Jing fang approach.

By evaluating the symptomes and pahtomecanism, it is determined that this pneumonia

viral infection is caused by an invasion of toxic damp cold which quickly transfers from

the external into the internal layers injuring normal organ function, and affecting the

lungs seen in cough, wheezing, and shortness of breath; affecting the stomach leading

to lack of appetite, glomus, and nausea; affecting the intestines with diarrhea or

constipation, as well as affecting the kidney leading to kidney failure. The dampness

also moves upwards affecting the mind leading to blocked orifices and runny nose in

mild cases and fainting in severe ones. The dampness stagnates quickly becoming

turbid leading to heat symptoms alternating with cold seen in the fever and sweating.

Even as the symptoms are similar we need to keep the Jing fang approach: “One patient

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has one diagnosis and only fits one formula. These are only recommended formulas,

and only a qualified practitioner must make a clear diagnosis before administrating

them. As the virus evolves quickly, close observation of current symptoms is important

as the appropriate treatment for the early stage will be harmful during the later stages.

Early Stage (within 1 to 3 days of the presenting symptoms):

Symptoms: Fever with aversion to cold, and or aversion to heat,

dry cough, dry throat, extreme fatigue, chest oppression, severe

glomus and obstruction at the stomach, nausea, loose stools,

tongue body is large and pale or pale red, coating is white and

greasy and pulse is soggy.

Diagnosis: Three yang Tai yin Concurrent Syndrome

(ZYF) Recommended formula: Xiao Chai Hu Tang + San Ren Tang.

Dosages: Chai hu 15-30g, Zhi huang qin 10-15g, Sha ren 15g, Sheng

gan cao 5g, Xing ren 10g, Bai dou kou ren 10g, Sheng yi ren 15g,

Ban xia 15g, Hou po 10g, Tong cao 10g, Hua shi 10g, Dan zhu ye

10g, Sheng jiang 15g. (da zao is removed due to its moistening quality).

Modifications:

1. Mild or no sweating, cough, chest distention, add Ma huang 5-10g;

2. High fever, add Shi gao 45g;

3. Headache and severe body aches, add Xiang ru 15g and Guang huo xiang 15g;

4. Thick and greasy yellow tongue coating, add Cao guo 6g and Qing hao 10g. Cao guo has

a good effect on removing thick and greasy tongue coating, but its medicinal properties

are drying so it should be used with caution.

Middle Stage: Damp stagnation in the interior leading to wheezing, cough and

shortness of breath.

1. Diagnosis: Three yang Tai yin Concurrent syndrome

Symptoms: Heat sensations of the body, persistent fever, or

alternating fever and chills, or yellow phlegm, constipation,

chest oppression, shortness of breath, cough, wheezing

which increases with movement, sore throat, irritability, red

tongue, yellow greasy tongue coating, or yellow dry tongue

coating, the pulse is slippery and rapid.

(ZYF) Recommended formula: Xiao Chai Hu Tang plus Shuang

Huang Lian

Dosages: Chai hu 15-20g, Huang qin 10g, Zhi ban xia 15g, Nan sha ren 16g, Sheng gan cao 6g,

Sheng jiang 15g, Sheng shi gao 30g, Lian qiao 30g, Jin yin hua 15g.

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Modifications:

1) Dry and difficult stools, add Jiu da huang 10g, for dry stuck stools use Sheng da huang,

adding it at the last 5 minutes of the preparation;

2) High fever and aversion to heat after sweating, increase Chai hu to 30g, Huang qin to

15g, Shi gao to 60g, Sheng gan cao to 10g, and Lian qiao to 35-50g.

2. Diagnosis: Tai yang Tai yin Yang ming with toxic dampness stagnation in the interior

Symptoms: Shortness of breath, wheezing, cough, nausea, lack of appetite, body aches

and heaviness, fever and aversion to cold.

(TXL) Recommended formula: Ma Xing Shi Gan Tang plus Da

Yuan Yin modification with digestive medicinals

Dosages: Sheng ma huang 6g, Sheng shi gao 15g, Xing ren 9g,

Xiang huo 15g, Ting li zi 15g, Guan zhong 15g (贯众- Cyrtomium

Rhizome), Di long 15g, Xu chang qing 15g (徐长卿 - swallowwort

root), Huo xiang 15g, Pei lan 9g, Cang zhu 15g, (Yun ling) Fu ling

45g, Sheng bai zhu 30g, Jiao San Xian 焦三仙 (Jiao shan zha, Mai

ya, Jiao shen qu) 9g each, Hou po 15g, Jiao bing lang 9g Wei cao

guo 9g, Sheng jiang 15g.

Modifications:

1) Severe aversion to cold, severe body soreness and back pain, add Gui zhi 9-30g;

2) Severe aversion to cold without sweating and high fever, increase Ma huang to 9-15g,

and Shi gao to 45-90g, and add Lu gen 30-120g,and Zhi mu 15g;

3) Alternating heat and cold sensations, add Chai hu 15-30g, Huang qin 15-30g;

4) Extreme fatigue and body heaviness, add Huang qi 15-30g, Ren shen 6-9g or Dang shen

9-30g;

5) Excessive phlegm, yellow phlegm, or difficult to

expectorate phlegm with chest oppression add Gua lou

ren 30g, Huang qin 15g, Yu xing cao 30g, Lian qiao 30g,

Ban lan gen 30g;

6) Severe glomus with loss of appetite, add Lai fu zi 9-15g,

Chen pi 15-30g;

7) Severe nausea, add Ban xia 9-15g, Huang lian 3g, Su ye 9g,

and increase Sheng jiang to 30g;

8) Diarrhea, add Huang lian 6-9g, increase Sheng jiang to 30g,

and Fu ling to 60-90g;

9) Constipation, add Zhi shi 10-15g, Sheng da huang 6-15g;

10) Red dry tongue, add Lian zi xin 6g, Mai men dong 30-90g;

11) Deep red tongue add Sheng di huang 30g, Chi shao 15-30g;

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12) Cold limbs, profuse sweating, shortness of breath, or

fainting, with dark pale tongue or purple tongue with thin

rapid pulse add Ren shen 9-15g, Dan fu pian 9-30g, Shan

zhu yu 30-90g, Gan jiang 15-30g, Tao ren 9-15g, San qi 3-9g.

Severe Stage: Internal stagnation of dampness, heat toxicity

with deficiency

Symptoms: Severe difficult breathing, shortness of breath with movement, or needing

respiratory assistance, loss of consciousness, irritability, sweating with cold limbs, tongue is

purple and dark, tongue coating is thick and greasy or dry, and the pulse is floating and

large without root.

Diagnosis: Three yang Tai yin Concurrent Syndrome

Recommended Formula: Xiao Chai Hu Jia Shi Gao Tang plus Da

Yuan Yin plus San Ren Tang and Jin yin hua and Lian qiao:

Chai hu 15-20g, Huang qin 10g, Zhi ban xia 15g, Nan sha ren 16g,

Sheng gan cao 6g, Sheng jiang 15g, Sheng shi gao 30g, Sheng gan

cao 6g, Bing lang 15g, Hou po 15g, Cao guo 10g, Zhi mu 10g, Bai

shao 10g, Lian qiao 30g, Jin yin hua 20g, Xing ren 15g, Hua shi

18g, Bai tong cao 6g, Zhu ye 15g, Sheng yi ren 20g.

San Ren Tang: Xing ren 15g, Hua shi 18g, Bai dou kou ren 10g,

tong cao 6g, Zhu ye 6g, Hou po 10g, Sheng yi ren 20g, Ban xia

15g.

Da Yuan Yin: Sheng gan cao 6g, Bing lang 15g, Hou po 10g, Cao guo 10g, Zhi mu 10g, Bai shao

10g, Huang qin 10g

Case study: Treatment of Novel Coronavirus Infectious Pneumonia in Hainan

This case was treated and shared by Dr. Wang Gao an and Dr. Qiu Shi guang of the Second

Affiliated Hospital of Hainan Medical College which is the designated hospital for patients with

suspected coronavirus infectious pneumonia in Hainan province. On the second day, after

taking only half a dose of Chinese medicine granules there was significant improvement in

symptoms.

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Case 1: Mr. Jia, 53 years old (from Wuhan, Hubei)

The patient flew from Wuhan to Hainan on January 24th, 2020. After arriving at Haikou, he went

directly to his home in Ding An county for isolation and observation. After developing a fever,

he was immediately hospitalized in Hainan’s Provincial People’s Hospital. A chest CT revealed

“exudative changes in both lungs”. The first, second, and fourth viral nucleic acid tests were

negative, and the third test was mildly positive. After receiving anti-infectious treatment and

not presenting with fever he was discharged. The fever recurred on January 31st, and he came to

our hospital for isolation and observation.

After admission, he suffered from continuous fever, his temperature began to rise in the

afternoon, the lowest temperature was 37.4°C and the

highest was 39.2°C. On February 3rd, the patient still had

a fever and his symptoms did not improve.

Symptoms: Continuous high fever, each antipyretic

medication caused profuse sweating, aversion to cold

after sweating, four limb soreness and weakness,

diffused bone pains and headache, dry mouth, strong

thirst for warm drinks, no bitter taste, cough with scant

white sticky phlegm, throat itching after coughing, poor

sleep, poor appetite, BM every 1-2 days, scant yellow

urine, slightly dark red tongue with thick yellow greasy

coating. The pulse could not be palpated due to

quarantine regulations.

Chest CT analysis:

Thorax is symmetrical bilaterally.

Multiple high density flake shaped

spots and strip shaped shadows can be

seen below the pleura of both lungs, the

lower lung lobes are prominent, with

unclear margins, lung vein texture is

normal, with no abnormal distribution.

Normal trachea and bronchus

morphology. No obvious masses or

enlarged lymph nodes in the

mediastinum. No pleural cavity effusion

or thickening was observed bilaterally. Confirmed severe infection of both lungs.

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Jing Fang and TCM analysis:

Diagnosis: Tai yang Tai yin Yang ming concurrent syndrome with severe body fluid depletion.

Analysis:

Tai yang syndrome: Each antipyretic medication caused profuse sweating, aversion to cold

after sweating, four limb soreness and weakness, diffused bone pains and headache.

Yang ming deficiency syndrome: Dry mouth, strong thirst, scant yellow urine.

Yang ming damp heat syndrome: Sticky phlegm, BM every 1-2 days, throat itching after

coughing, tongue with thick yellow greasy coating.

Yang ming excess syndrome: Continuous high fever, slightly dark red tongue.

Tai yin syndrome: Thirst for warm drinks, no bitter taste, cough with scant white phlegm, poor

sleep, poor appetite.

Pathogenesis: Pathogenic dampness transforming into heat, which stagnated in the lungs and

stomach leading to a heat stasis and hindering lung and stomach functions.

Classical references:

Shang Han Lun, clause 26 states: “After giving Gui Zhi Tang, there is profuse sweating, severe

vexation and incessant thirst, with surging and large pulses; Bai Hu Jia Ren Shen Tang governs.”

This clause discusses a patient with depleted body fluids, internal excessive and deficient Yang

ming syndromes.

Shang Han Lun, clause 168: “Shang han syndromes, if after applying the vomiting and purging

[methods], the syndrome does not resolve in 7 or 8 days, there is heat binding in the interior,

with heat sensations in the exterior and interior, constant aversion to wind, severe thirst,

dryness of the surface of the tongue with vexation, desire to drink numerous sheng (200ml) of

water; Bai Hu Jia Ren Shen Tang governs.”

Shang Han Lun, clause 162: “After purgation was applied, Gui Zhi Tang cannot be given. If there

is sweating and panting without severe heat; Ma Huang Xing Ren Shi Gao Gan Cao Tang can be

given.”

Shang Han Lun, clause 62: “After sweat promotion, there are body aches and deep, slow pulses;

Gui Zhi Jia Shao Yao Sheng Jiang Ge Yi Liang Ren Shen San Liang Xin Jia Tang governs.”

From the understanding of these SHL clauses, Dr. Wang combined the 3 formulas with Da Yuan

Yin (Reach the Membrane Source Decoction) from the Wen Bing school. This formula was added

to expel internal turbid phlegm in the upper and middle, clear heat, expel toxic dampness and

nourish blood. Wu You ke 吴又可 states: “Bing lang can transform and disperse dampness,

expel pathogens, treat diarrhea and dysentery, while treating southern epidemics, (zhang qi);

Hou po breaks stasis and nodules; Cao guo is acrid and vigorously moves qi and strongly

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expels pathogens, These three medicinals work together to expel the pathogens from the

internal membranes. This is where the name of the formula comes from. Heat injures body

fluids, Zhi mu is added to nourish yin [fluids]; heat also injures the ying qi, Bai shao is added to

harmonize the blood, Huang qin clears dry heat, and Gan cao harmonizes the middle; these last

four medicinals harmonize the formula.”

“Early stage Wen yi (Epidemic diseases), first there will aversion to cold followed by heat

sensations, in the following days there will be heat sensations without aversion to cold. The

early stage will last 2-3 days, the pulses are not floating or deep and rapid. There will be heat

sensations day and night, which will be more severe at dusk, with headaches and body aches.

At this time, the pathogen is pressing in front of the spine and behind the intestines, even

though there are headache and body aches, this is caused by pathogenic heat floating outwards

to the channel, this can not be mistaken for a Shang han external syndrome, using medicinals

such as Ma huang and Gui zhi to promote sweating. This pathogen is not in the channel, sweat

promotion will damage the exterior qi, and the heat will not resolve. Purgation method is also

inappropriate, the pathogen is not in the interior, promoting purgation will damage stomach qi,

increasing the thirst. Da Yuan Yin is appropriate.”

Formula Patterns:

FP 1: Ma Xing Shi Gan Tang (SHL) Tai yang Yang ming syndrome

FP 2: Bai Hu Jia Ren Shen Tang (SHL) Yang ming Tai yin syndrome

FP 3: Xin Jia Tang (SHL) Tai yang Tai yin syndrome

FP 4: Da Yuan Yin (Wen Yi Lun- Treatise on Warm Epidemics) Yang ming syndrome

Dosages: Zhi ma huang 5g, Xing ren 10g, Sheng shi gao 45g, Sheng gan cao 6g, Bing lang 15g,

Hou po 10g, Cao guo 10g, Zhi mu 10g, Bai shao 10g, Huang qin 10g, Dang shen 15g, Gui zhi

10g, Sheng jiang 15g, Da zao 20g. 14 medicinals

On February 3rd afternoon, the patient half a dose of the formula in

granules, reporting that his throat felt better as soon as he drank the

formula, he did not take antipyretic drugs again and his temperature

gradually decreased.

The next morning his temperature was measured at 37.2°C, which

was the lowest since he was admitted to the hospital, in the

afternoon it measured at 37.4°C, reporting reduction of symptoms

and his vitality improved greatly. His tongue coating was less thick

and greasy. Since the patient tested positive with the pneumonia

Novel Coronavirus, he was transferred to Hainan’s Provincial

People's Hospital for further treatment in isolation.

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Temperature chart

Summary

This latest pneumonia Novel Coronavirus falls into the Chinese Medicine category of epidemic

disorders, and can be sub-classified as a “damp warm” epidemic described in the Shang Han

Lun and the Wen Yi Lun. Dampness epidemics invade the lung, causing zheng qi insufficiency.

Once the zheng qi cannot overcome the pathogen, toxic pathogens invade the interior and

transform to heat, consuming body fluids, and ying qi while agitating the blood. If the

pathogens directly transmit to the pericardium, it puts the patients in a critical condition. The

pathological characteristics remain in the interior with “dampness, heat, blood stasis, toxicity,

and body fluid deficiency”. The treatment primarily aims to support the zheng qi and release

dampness and heat interior, while avoiding harming the stomach qi and zheng qi and mildly

addressing the exterior.

Left: Dr.Tong Xiao kin and his team in Wuhan

ICU. Below: Distribution of 5000 herbal

packages with the formula of Dr. Tong and his

teams to the communities in Wuhan, on the

afternoon of January 4th.

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Dr. Hu Xi Shu on San Ren Tang

Wen Bing Tiao Bian, clause 43: "Headache, aversion to cold, body heaviness and pain, white

tongue coating, lack of thirst, wiry, thin and soggy pulses, lusterless yellowish complexion,

chest oppression, lack of appetite, heat sensations in the afternoon, appearing as yin deficiency,

difficult diseases which resolve quickly; this is the damp warm [syndrome]. Deafness and loss

of consciousness after sweating, in severe cases, there is heaviness of the eyelids and lack of

desire to speak, purgation leads to severe diarrhea, moistening aggravates the symptoms and

prevent resolution, the treatment is the same in the summer, autumn, and winter days; San Ren

Tang governs".

Dr. Hu Xi shu commented on this clause, stating headaches with aversion to cold, body

heaviness and pain are similar to Shang han syndromes. However if the pulse is wiry and soggy

it is different from Shang han syndromes. A white tongue without thirst and a lusterless yellow

complexion are not caused by summer heat syndrome, but they actually occur due to internal

toxicity.

Chest oppression with lack of appetite demonstrates an obstruction of dampness preventing the

flow of clear yang. “Afternoon heat sensations, appearing as yin deficiency,” reflect a yin

pathogen, dampness, which invades the interior (yin areas) with a sticky and greasy quality,

preventing the natural function of the organs. This is different from cold pathogens which

resolve by sweating of the Shang han syndromes.

Normally, the external Shang han syndrome by promoting sweating which damages the internal

healthy fluids. However since these symptoms are caused by internal dampness stagnation, the

warm acrid exterior releasing medicinals will steam the internal dampness and leads to an

upward movement seen in the symptoms of chest oppression and lack of appetite, or affecting

the heart and head causing loss of consciousness. The dampness moving upward also affects

the orifices and causes deafness, heaviness of the eyelids, and the disinclination to speak. In this

patient, it has also caused shortness of breath, wheezing and lack of appetite.

Dr. Hu warns us not to strongly promote sweating without tending to the internal dampness to

prevent from aggravating the symptoms.

When encountering fullness of the middle with lack of appetite, practitioners will often purge

the middle. However, this damages the internal fluids and strongly inhibits digestive functions,

increasing the retention of dampness leading to explosive diarrhea which further depletes the

body fluids and weakens the patient.

In these cases, the sweating and diarrhea lead to internal dryness. The practitioner might give

moistening and nourishing herbs. This only increases the accumulation of internal dampness

and further stagnation in the body, mixing with the body fluids which further damages the

function of the organs.

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Giving San Ren Tang in these cases can clear dampness from the upper and middle jiao, restore

the movement of the lung qi, restore digestion and transform the dampness by restoring organ

function. However, pathogenic dampness qi is formless and can reach all areas of the body, it is

difficult to identify and easily stagnates and becomes turbid and stagnant. The damp warm

syndrome occurs due to intermingling of pathogenic warmth with severe damp retention which

makes it difficult to treat and takes a long time to resolve. They were commonly called the

lingering syndrome in Dr. Hu’s hometown. Some patients will survive and some will not. It is

important to remember that since the syndrome occurs due to turbid dampness it will be

treated through the middle.

San Ren Tang Ingredients and Dosages:

Xing ren (Almond) 5 qian 15g

Hua shi (Talcum) 6 qian 18g

Bai tong cao (Rice paper plant) 2 qian 6g

Bai kou ren (Round Cardamom) 2 qian 6g

Zhu ye (Bamboo leaf) 2 qian 6g

Hou po (Magnolia bark) 2 qian 6g

Sheng yi ren (Coix seed)6 qian 18g

Ban xia (Pinellia) 5 Qian 15g

Preparation: Boil in 8 bowls (about 1000ml) of rice water (甘澜水) until 3 bowls (360ml) remain.

Drink 120ml three times a day.

Medicinal Application:

Xing ren: Descends qi from the upper to stop cough and wheezing, moistens the intestines,

unblocks the bowels.

Hua shi: Promotes urination, resolves dampness, clears heat, moves blood stasis.

Bai tong cao: Promotes urination, resolves dampness, and clears heat.

Bai kou ren: Transforms dampness, warms the middle, stops vomiting, descends qi, moves qi,

and transforms stagnation.

Zhu ye: Clears heat in the upper and middle, eliminates irritability, promotes urination, and

clears damp heat.

Hou po: Warms the stomach, tonifies qi, descends qi to resolve shortness of breath and chest

oppression.

Sheng yi ren: Dissolves dampness, clears heat and moistens skin and intestines.

Ban Xia: Warms the middle to clear dampness from the upper, middle and lower by promoting

urination, treats nausea and shortness of breath.

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Dr. Hu On Infectious Pneumonia

After reading many cases of Dr. Hu treating and discussing infectious pneumonia, four

formulas repeat themselves:

1. Ma Xing Shi Gan Tang modifications: When the disease presents as fever with aversion to

cold, wheezing and shortness of breath, lack of sweating or incomplete sweating, night

sweating.

2. San Ren Tang modifications: When the disease has moved in the interior with dampness

blocking the lung, stomach and intestines. San Ren Tang not only dries dampness but

also expels fluids, used for treating water retention below the heart, with panting and

wheezing, chest and stomach fullness, cough and shortness of breath and is effective in

treating damp warm external syndromes without promoting sweating.

3. Xiao Chai Hu Jia Shi Gao Jie Geng Tang: When the disease has reached the half-external

half-internal layers, presenting as alternating fever and chills with excessive fever,

irritability, nausea, lack of appetite, sweating and constant sweating with chest

oppression, shortness of breath, stabbing chest pain and thick yellow sputum.

4. Zhi Zi Chi Tang: Used for expelling internal damp heat and resolving lingering fever and

heaviness due to warm damp syndromes moving in the interior leading to internal

stagnation of dampness.

Prevention for the Pneumonia Coronavirus

These are two prevention formulas developed by Tang Nong (president of the Guangxi

University of Chinese Medicine) under the entrustment of the central administration of the

Guangxi Zhuang autonomous region organized by a large number of experts with first-hand

experience in order to prevent the return of the virus.

The prevention formulas are as follows:

1. Prevention 1: For healthy people who came in close contact with people from Wuhan

without symptoms.

Recommended formula: Cang zhu 10g, Zi su ye 10g, Chen pi 20g, Ge gen 10g, Ban lan gen 10g,

Sheng jiang 20g.

Preparation: Boil in 600 ml for 30 minutes and drink 200ml twice a day. Half dosage for children.

2. Prevention 2: For people returning from Wuhan or the neighboring cities, or living in

Wuhan presently, or people who came in close contact with people coming from Wuhan

with symptoms of aversion to cold, common cold, blocked sinuses, runny nose, muscle

soreness, and headache.

Recommended formula: Gui zhi 12g, Cang zhu 12g, Shi chang pu 15g, Bai zhi 12g, Nan shan

zha 15g, Chen pi 15g, Fa ban xia 15g, Fu ling 12g, Ge gen 12g, Mu hu die 12g, Sheng jiang 30g,

Zhi gan cao 5g.

Preparation : Boil in 1000ml of water for 30 minutes until 400ml remains and drink 200ml twice

a day.

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National Health Association 5th Edition (published midnight Feb 5th 2020)

Integrated Western and Chinese Medical Approach

4th Section of the Treatment Protocol, Section 8 of the Document discusses Chinese Medicine

During the examination:

1. Patients with symptoms of fatigue and weakness of the gastrointestinal tract

Huo Xiang Zheng Qi capsules or pills

2. Weakness and fever Jin Hua Qing Gan Ke Li 金花清感颗粒, Lian Hua Qing Wen Jiao Nang

连花清瘟胶囊, Shu Feng Jie Du Jiao Nang 疏风解毒胶囊, Fang Feng Tong Sheng Wan 防风通

圣丸

During the treatment phase

1. Beginning stage: Han Shi Yu Fei (Damp cold in the Lung)

Symptoms: Fever with aversion to cold, and or heat, dry cough, dry throat, extreme

fatigue, chest oppression, severe glomus and obstruction at the stomach, nausea, loose

stools, tongue is pale or pale red, coating is white and greasy and pulse is soggy.

Recommended Formula: Cang zhu 15g, Chen pi 30g, Hou po 10g, Huo xiang 10g, Cao

guo 6g, Sheng ma huang 6g, Xiang huo 10g , Sheng jiang 10g, Bing lang 10g.

2. Middle Stage: Epidemic Toxin Stagnation in the Lung

Symptoms: Heat sensations of the body, fever that doesn’t resolve, or alternating fever

and chills, or yellow phlegm, constipation, chest oppression, shortness of breath, cough,

wheezing which increase with movement, red tongue, yellow greasy tongue coating, or

yellow dry tongue coating, pulse slippery and rapid.

Recommended Formula: Xing ren 10g, Sheng shi gao 30g, Gua lou 30g, Sheng da huang

6g, Sheng and Zhi ma huang 6g each, Ting li zi 10g, Tao ren 10g, Cao guo 6g, Bing lang

10g, Cang zhu 10g.

3. Severe Stage: Internal Stagnation and External Tuo Desertion

Symptoms: Difficult breathing, shortness of breath, fainting, loss of consciousness, or

irritability, sweating with cold limbs, the tongue is purple and dark, tongue coating is

thick and greasy or dry, and the pulse is floating and large without root.

Recommended Formula: Ren shen 15g, Hei shun pian 10g (Hei fu zi), Shan zhu yu 15g,

Patients are in ICU with respiratory machines and IV administered medicine.

4. Recuperation stage: Lung and Spleen Qi Depletion

Symptoms: Shortness of breath, fatigue, poor appetite, nausea, fullness and blockage

sensation at the stomach, forceless bowel movements, loose and difficult stools, large

and pale tongue body with white greasy tongue coating.

Recommended formulas: Fa ban xia 9g, Chen pi 10g, Dang shen 15g, Zhi huang qi 30g,

Fu ling 15g, Huo xiang 10g, Sha ren 6g (added at the end of the boiling).

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Ingredients to Formulas mentioned above:

All of these patents have been used to treat viral infections of different kinds, such as

SARS, and so on.

1. Jin Hua Qing Gan Ke Li 金花清感颗粒

Jin yin hua 金银花, Zhe bei mu 浙贝母, Huang qin 黄芩, Niu bang zi 牛蒡子, Qing hao

青蒿

2. Lian Hua Qing Wen Jiao Nang 连花清瘟胶囊

Lian qiao 连翘, Jin yin hua 金银花, Zhi ma huang 炙麻黄, Chao ku xing ren 炒苦杏仁,

Shi gao 石膏, Ban lan gen 板蓝根, Mian ma guan zhong 绵马贯众, Yu xing cao 鱼腥草,

Guang huo xiang 广藿香, Da huang 大黄, Hong jing tian 红景天, Bo he nao 薄荷脑, Gan

cao 甘草.

3. Shu Feng Jie Du Jiao Nang 疏风解毒胶囊

Hu zhang 虎杖, Lian qiao 连翘, Ban lan gen 板蓝根, Chai hu 柴胡, Bai jiang cao 败酱草,

Ma bian cao 马鞭草, Lu gen 芦根, Gan cao 甘草

4. Fang Feng Tong Sheng Wan 防风通圣丸

Ma huang 麻黄, Jing jie sui 荆芥穗, Fang feng 防风, Bo he 薄荷, Da huang 大黄, Mang

xiao 芒硝, Hua shi 滑石, Zhi zi 栀子, Shi gao 石膏, Huang qin 黄芩, Lian qiao 连翘, Jie

geng 桔梗, Dang gui 当归, Bai shao 白芍, Chuan xiong 川芎, Chao bai zhu 炒白术, Gan

cao 甘草

Early and Moderate Stages with mild to severe Symptoms Treatment Formula

(2.7.2020)

On February 5th this formula was given to 214 infected patients with mild to severe

symptoms starting for 3 days of observation. There was improvement in 90% of the

patients, where 60% showed significant improvement and 30% were stable without

aggravation.

Qing Fei Pai Du Tang 清肺排毒汤 (Ma Xing Shi Gan Tang+ Wu ling San+Xiao Chai hu (minus

Da zao Dang shen) and She Gan Ma Huang Tang (- Wu Wei Zi) Shan yao Zhi shi Chen pi HX

Ma huang 9g, Zhi gan cao 6g, Xing ren 9g, Sheng shi gao15～30g, Gui zhi 9g, Ze xie 9g, Zhu ling

9g, Bai zhu 9g, Fu ling 15g Chai hu 16g, Huang qin 6g, Jiang ban xia 9g, Sheng jiang 9g, Zi wan

9g, Kuan dong hua 9g, She gan 9g, Xi xin 6g, Shan yao 12g, Zhi shi 6g, Chen pi 6g, Huo xiang 9g.

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