How Chinese Medicine Treats COVID-19: A Summary Overview

COVID-19 turned the world upside down, didn’t it? While we’ve all been bombarded with information about vaccines and Western treatments, you might be wondering, “What about other options?” Well, for centuries, Chinese Medicine has been a go-to healthcare system for billions of people. And guess what? It’s been stepping up to the plate during the pandemic too.

Let’s dive into how Chinese Medicine, especially its famous herbal remedies, has been used to tackle COVID-19. Think of it as exploring another powerful tool in our global fight for health!

Warning: As of February 2025, treatment options for COVID-19 are well established. Please always consult a professional doctor. It may be dangerous to use herbs without permission.

COVID-19 Through a Chinese Medicine Lens: It’s All About “Damp Toxin Epidemic”

Forget about viruses for a second. In Chinese Medicine, COVID-19 isn’t just a virus; it’s viewed as a type of “epidemic disease” called “湿毒疫” (Shī Dú Yì) – that translates to “damp toxin epidemic.” Sounds intense, right? Essentially, they see the virus as bringing in nasty “dampness” and “toxins” that mess with your body’s balance¹.

Think of it like this: Chinese Medicine is all about harmony. When that harmony is disrupted by these “damp toxins,” things go haywire. They pinpoint key problems like²:

• Dampness: Imagine your body feeling heavy, sluggish, maybe even bloated. That’s “dampness.”
• Heat: Fever? Feeling flushed? That’s the “heat” component.
• Toxins: These are the bad guys causing inflammation and trouble.
• Stagnation: Things getting stuck and not flowing smoothly in your body.
• Deficiency: Your body’s defenses getting weakened.

The core issue? “Dampness and toxins trapping the lungs” – that’s what they call the central problem. And this “damp-toxin” combo can show up in different ways depending on your body and the stage of the illness. That’s why Chinese Medicine emphasizes personalized treatment – it’s not one-size-fits-all!

Herbal Powerhouses: The Arsenal of Chinese Medicine for COVID-19

Okay, let’s talk about the stars of the show: herbs! Chinese Medicine boasts a massive pharmacopeia, and certain herbal formulas have become key players in the fight against COVID-19.

Classic Formulas Leading the Charge

You might have heard of Lianhua Qingwen Capsules. This is a big name in Chinese Medicine for respiratory infections, and it’s been studied for COVID-19³. How does it work? Think of it as a multi-tasker⁴:

• Anti-inflammatory & Immune Modulating: Calming down the body’s over-the-top inflammatory response while also helping to regulate the immune system.
• Virus Blocker: Trying to stop the virus from replicating itself. Specifically, it may target something called the 3CL protease in SARS-CoV-2 (that’s the COVID-19 virus).
• Lung Protector: Helping to reduce lung damage.

Another heavyweight is Qingfei Paidu Tang. This is a more complex formula with 21 herbs! It’s like a SWAT team targeting COVID-19 from multiple angles^{5 6}:

• ACE2 Regulation: Messing with ACE2, which is like a doorway the virus uses to get into your cells.
• Virus mRNA Interference: Trying to block the virus from making proteins it needs to survive.
• Immune Balance & Inflammation Control: Again, bringing the immune system back to balance and calming down inflammation.

And don’t forget Dayuan Yin. This one’s a bit more behind the scenes, but it’s thought to work by⁷:

• ACE2 Binding: Its components like quercetin and baicalein might bind to ACE2, again blocking viral entry.
• Inflammation Pathway Modulation: Tweaking pathways like PTGS2 and HSP90AA1 that are involved in inflammation.

Single Herbs with Punch

It’s not just about formulas; individual herbs are also powerful. Think of herbs like honeysuckle (金银花 Jinyinhua), licorice root (甘草 Gancao), skullcap (黄芩 Huangqin), and knotweed (虎杖 Huzhang). These aren’t just random plants; they contain compounds that may⁸:

• Inhibit Virus Replication: Stop the virus from making copies of itself.
• Boost Immunity: Give your immune system a helping hand.

Even extracts like Astragalus (黄芪 Huangqi) extract (found in formulas like Fufang Huangqi Granules) have shown promise in clinical observations, helping to ease symptoms and reduce inflammation⁹.

Summary: Chinese Medicine uses herbs in the fight against COVID-19. Formulas like Lianhua Qingwen Capsules and Qingfei Paidu Tang, and single herbs have antiviral, immune – modulating and anti – inflammatory effects.

Real-World Results: What Does the Evidence Say?

So, does this stuff actually work? Let’s look at what some studies are showing.

• Faster Symptom Relief: One study compared patients getting Chinese Medicine plus Western medicine to those getting just Western medicine. The combo group saw their fevers go away faster (2.64 days vs. longer) and had better symptom recovery (85.3% vs. 38.9%)¹⁰. That’s a pretty significant difference!
• Quicker Recovery & Less Severe Cases: Multiple studies suggest Chinese herbs can speed up the time it takes for people to test negative for the virus. They also hint at lower rates of mild cases turning into severe ones (5.9% vs. 33.3%)¹¹.

And it’s not just about fighting the virus directly. Chinese Medicine also focuses on supporting your body. Formulas like Xuebijing Injection and Shenmai Injection are thought to protect organs by:

• Taming the “Cytokine Storm”: This is when your immune system goes into overdrive and starts damaging your own body. These formulas may help calm down this storm by reducing inflammatory signals like IL-6 and TNF-α¹².

Network pharmacology (basically, studying how drugs affect the body’s networks) also backs this up, suggesting that Chinese herbal formulas can regulate your body on a broader level, affecting things like your endocrine system and immune signaling pathways¹³.

But Wait, There’s a Catch: The Debate and Safety

Now, before you rush out to buy a bunch of herbs, it’s important to be realistic. There’s still debate and some things to consider.

• Evidence Gaps: Some reviews, like one from Korea, point out that Chinese Medicine might be less involved in treating severe cases and that we need more high-quality, randomized controlled trials (the gold standard of research) to really nail down the evidence¹⁴.
• Safety Concerns: Western experts caution that some herbs could interact with medications or even be toxic if not used properly. This is why you should NEVER self-treat with herbs, especially for something serious like COVID-19¹⁵.

Global Use: Beyond China

It’s interesting to see how other countries are looking at Chinese Medicine for COVID-19.

• Russia: A Russian study used Fufang Huangqi Granules and saw better symptom relief in the treatment group (14.3% vs. 9.4% in the control group), though they aren’t totally sure how it worked¹⁶.
• India: Traditional Indian herbs (like AYUSH-64) are recommended, but they also need more solid clinical proof¹⁷.

Official Endorsement: China Leads the Way

China has been pretty proactive in integrating Chinese Medicine into its COVID-19 response. Since the 4th version of China’s COVID-19 treatment guidelines, they’ve included Chinese Medicine approaches, recommending over 10 Chinese patent medicines like Lianhua Qingwen Granules and Jinhua Qinggan Granules¹⁸.

Korea also has guidelines for using Chinese Medicine, mainly for milder cases and recovery, but it’s not as integrated as in China¹⁹.

TCM in Tianjin: Tailoring Formulas to Local Conditions

To give you a real-world example, Tianjin, a city in China, has developed specific herbal formulas based on their local climate and experience treating COVID-19. They see Omicron infections as fitting into the “damp toxin epidemic” pattern and have created formulas for different syndromes (patterns of symptoms) like²⁰:

Formulas for Mild to Moderate Cases:

• Wind-Cold Pattern: For symptoms like stuffy nose, mild cough, mild fever without sweating. Formula includes herbs like Fineleaf Schizonepeta Spike, Fangfeng, and Gegen.
• Damp-Toxin Lung Pattern: For fever, cough with phlegm, chest tightness, constipation. Formula includes Ma Huang, Xingren, Shengshigao, and more.
• Toxin-Dryness Pattern: For aversion to wind, fever, muscle aches, dry cough, sore throat, dry mouth. Formula features herbs like Sha Shen, Baihe, Sangye, and others.

Formulas for Severe Cases:

• Toxin-Congestion in the Lung Pattern: For persistent high fever, shortness of breath, wheezing, thirst, delirium. Formula includes Yuxingcao, Huzhang, Ma Huang, and more potent herbs.
• Intense Heat-Toxin Pattern: For very high fever, irritability, headache, rashes, even bleeding, and confusion. Formula includes Shengdihuang, Lingyangjiao powder, Chishao, and other powerful herbs.

Recovery Formulas: Getting Back on Your Feet

Chinese Medicine also has formulas to help after the infection is over, addressing lingering symptoms:

• Basic Recovery Formula (Qingjin Yiqi Fang): For fatigue, shortness of breath, dry cough, poor appetite – classic post-COVID symptoms. This formula uses herbs like Renshen, Maidong, Wuweizi to boost energy and restore balance.

They also have specific herbal approaches and even acupuncture recommendations for common post-COVID issues like:

• Cough: Formulas like Zhisou San, Sangxing Tang, and specific herbs for different types of cough.
• Insomnia: Formulas like Guipi Tang, Suanzaoren Tang, and herbs for calming the mind.
• Heart Palpitations: Formulas like Zhigancao Tang and herbs to calm the heart.
• Loss of Smell/Taste: Formulas like Sanren Tang and herbs to clear nasal passages.
• Brain Fog: Formulas like Kongsheng Zhenzhong Dan and herbs to improve mental clarity.

For acupuncture, they recommend points like Zhongwan, Tianshu, and Zusanli, with additional points depending on your specific symptoms.

Important Note: These Tianjin formulas and acupuncture points are examples from the provided material. Always consult a qualified Chinese Medicine practitioner for personalized diagnosis and treatment. Don’t try to self-prescribe based on this information!

Q&A

Q: Can Chinese herbs replace vaccines for COVID-19?
A: No. Vaccines are a primary prevention tool²¹. Chinese Medicine is mainly used for treatment and symptom management after infection. They serve different but potentially complementary roles.

Q: Are Chinese herbs safe to take with my regular medications if I get COVID-19?
A: This is a crucial question for your doctor and a qualified Chinese Medicine practitioner! Some herbs can interact with medications. Always disclose everything you’re taking to both practitioners to ensure safety.

Q: Where can I find a qualified Chinese Medicine practitioner for COVID-19?
A: Look for licensed acupuncturists or doctors of Chinese Medicine in your area. Professional organizations can often help you find qualified practitioners. Make sure they have experience treating respiratory conditions.

Q: Is Chinese Medicine just for symptom relief, or can it actually fight the virus?
A: Research suggests Chinese Medicine can do both. Some herbs and formulas have shown antiviral properties in lab studies²² and may help reduce viral load in the body. They also focus heavily on managing symptoms, reducing inflammation, and supporting the body’s recovery.

Q: Are these Chinese herbal formulas available over-the-counter?
A: Some patent formulas like Lianhua Qingwen might be available in some places, but it’s always best to consult with a practitioner. Many traditional formulas are customized and require a prescription from a qualified Chinese Medicine doctor. Self-treating can be risky.

The Bottom Line

Chinese Medicine, with its rich history and complex herbal formulas, offers a fascinating and potentially valuable approach to COVID-19. Research is starting to back up its benefits in symptom relief, faster recovery, and potentially reducing disease severity. It’s especially interesting to see how China has integrated it into their national guidelines.

However, it’s not a magic bullet. More rigorous research is needed, and safety is paramount. Think of Chinese Medicine as a complementary approach. If you’re interested in exploring it for COVID-19 or recovery, your best bet is to consult with a qualified and experienced Chinese Medicine practitioner. They can provide personalized guidance and ensure you’re using these powerful tools safely and effectively.

Trusted source

1. Hao EW, Su ZX, Gong YL, Du ZC, Yang X, Huang CT, Hou XT, Deng JG. Analysis on application law of dampness-removing traditional Chinese medicines in treatment of coronavirus disease 2019. Chin Herb Med. 2021 Oct;13(4):518-524. doi: 10.1016/j.chmed.2021.09.011. Epub 2021 Oct 1. PMID: 34630536; PMCID: PMC8485712. https://pmc.ncbi.nlm.nih.gov/articles/PMC8485712/ ↩︎
2. https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2020.589714/full ↩︎
3. https://doi.org/10.3389/fphar.2021.668407 ↩︎
4. https://doi.org/10.1186/s13020-023-00715-x ↩︎
5. 赵静,田赛赛,杨健,等. 清肺排毒汤治疗新型冠状病毒肺炎机制的网络药理学探讨[J]. 中草药,2020,51(4):829-835. DOI:10.7501/j.issn.0253-2670.2020.04.001. ↩︎
6. 麻冰洁,武娴,张晒,等. 抗新型冠状病毒肺炎中药的研究进展[J]. 中国病原生物学杂志,2023,18(3):369-372,封3-封4. DOI:10.13350/j.cjpb.230325. ↩︎
7. 宗阳,丁美林,贾可可,等. 基于网络药理学和分子对接法探寻达原饮治疗新型冠状病毒肺炎(COVID-19)活性化合物的研究[J]. 中草药,2020,51(4):836-844. DOI:10.7501/j.issn.0253-2670.2020.04.002. ↩︎
8. https://doi.org/10.1186/s13020-023-00715-x ↩︎
9. https://doi.org/10.21320/1818-474x-2024-1-148-157 ↩︎
10. 夏文广,安长青,郑婵娟,等. 中西医结合治疗新型冠状病毒肺炎34例临床研究[J]. 中医杂志,2020,61(5):375-382. DOI:10.13288/j.11-2166/r.2020.05.002. ↩︎
11. 麻冰洁,武娴,张晒,等. 抗新型冠状病毒肺炎中药的研究进展[J]. 中国病原生物学杂志,2023,18(3):369-372,封3-封4. DOI:10.13350/j.cjpb.230325. ↩︎
12. https://doi.org/10.3389/fphar.2021.668407 ↩︎
13. 赵静,田赛赛,杨健,等. 清肺排毒汤治疗新型冠状病毒肺炎机制的网络药理学探讨[J]. 中草药,2020,51(4):829-835. DOI:10.7501/j.issn.0253-2670.2020.04.001. ↩︎
14. https://doi.org/10.22246/jikm.2023.44.3.506 ↩︎
15. https://doi.org/10.3389/fphar.2022.973768 ↩︎
16. https://doi.org/10.21320/1818-474x-2024-1-148-157 ↩︎
17. https://doi.org/10.1007/s13205-021-02657-3 ↩︎
18. https://doi.org/10.1186/s13643-020-01343-4 ↩︎
19. https://doi.org/10.22246/jikm.2023.44.3.506 ↩︎
20. https://www.tjhd.gov.cn/ztzl/ztzl1/tjsfyyqfkzt/sjzccs/202301/t20230111_6074863.html ↩︎
21. https://www.who.int/news-room/feature-stories/detail/how-do-vaccines-work ↩︎
22. https://pmc.ncbi.nlm.nih.gov/articles/PMC7767362/ ↩︎