Sars-Severe Adult Respiratory Syndrome: Formulas for Prevention and Treatment (For TCM Herbalists)

January 22, 2020

Prevention of SARS (to take prior to ANY type of exposure)

 

1.         5 q       Jin  Yin Hua               Lonicerae Japonicae, Flos      

            5 q       Lian Qiao                    Forsythiae Suspensae, Fructus

            3 q       Chan Tui                     Cicadae Periostracum

            3 q       Bai Jiang Can              Bombyx Batryticatus

            2 q       Bo He                          Mentae Haplocalycis, Herba

            2 q       Sheng Gan Cao           Glycyrrhizai Uralensis, Radix  (raw)

Make tea and drink throughout the day for 7-10 days

 

2.         4 q       Cang Zhu                    Atractylodis, Rhizoma

            5 q       Bai Zhu                       Atractylodis Macrocephalae, Rhizoma

            5 q       Huang Qi                    Astragali Membranacei, Radix

            3 q       Fang Feng                   Ledabouriellae Divaricatae, Radix

            4 q       Huo Xiang                  Agastaches seu Pogostemi, Herba

            5 q       Bei Sha Shen               Adonophorae seu Glehniae, Radix

            6 q       Jin Yin Hua                 Lonicerae Japonicae, Flos

            4 q       Guan Zhong                Guanzhong, Rhizoma

Make tea and drink twice a day for 7-10 days

 

3.         2 q       Guan Zhong                Guanzhong, Rhizoma

            3 q       Jin Yin Hua                 Lonicerae Japonicae, Flos

            3 q       Da Qing Ye                 Daqingye, Folium

            3 q       Zi Su Ye                      Perillae Frutescentis, Folium

            3 q       Ge Gen                        Radix Puerariae

            3 q       Huo Xiang                  Agastaches seu Pogostemi, Herba

            3 q       Cang Zhu                    Atractylodis, Rhizoma

            5 q       Tai Zi Shen                 Pseudostellariae Heterophyllae, Radix

            3 q       Pei Lan                        Eupatorii Fortunei, Herba

Make tea and drink twice a day for 7-10 days

 

Other preventative measures:

*Chew on Xi Yang Shen (Panacis Quinquefolii, Radix) or make tea to drink throughout the day.

*Xi Yang Shen 1-2 q and Jin Yin Hua 5 q tea to drink once a day.

*Keep warm, don't catch cold

*Sleep well

*Moderate stress factors

*Drink more water

*Take vitamins

*avoid constipation

Possible exposure to SARS (To take if any kind of exposure has occurred)

 

Soup: 

Cong Bai – Green Onion

Fresh Chinese Daikon

½ of a tangerine peel

Sheng Jiang – Ginger – 3 slices

Cilantro bunch, maybe 10 sprigs

Make a soup and drink often

 

Formulas:

1.         5 q       Huang Qi                    Astragali Membranacei, Radix

            5          Jin Yin Hua                 Lonicerae Japonicae, Flos

            3          Chai Hu                       Bupleuri, Radix

            3          Huang Qin                  Scutellariae Baicalensis, Radix

            5          Ban Lan Gen               Isatidis seu Baphicacanthi, Radix

            5          Guan Zhong                Guanzhong, Rhizoma

            3          Cang Zhu                    Atractylodis, Rhizoma

            5          Yi Yi Ren                    Coicis Lachryma-jobi, Semen

            3          Huo Xiang                  Agastaches seu Pogostemi, Herba

            3          Fang Feng                   Ledabouriellae Divaricatae, Radix

            1.5       Sheng Gan Cao           Glycyrrhizai Uralensis, Radix (raw)

Make tea, drink twice a day for 2 weeks

 

For prevention and treatment

 

1.         Tonifies Qi, transforms damp, clears heat and toxins

                        3          Huang Qi                    Astragali Membranacei, Radix

                        5          Bai Jiang Cao              Bombyx Batrytiatus

                        5          Yi Yi Ren                    Coicis Lachryma – Jobi, Semen                       

                        2          Jie Geng                      Platycodi Grandiflori, Radix

                        1          Sheng Gan Cao           Glycyrrhizai Uralensis, Radix (raw)

Make tea, 1 bag for 1 day, drink twice a day for 7 days

 

2.         *Clears heat, reduces toxins, drains dampness and dirty Qi, aromatically opens orifices

                        5          Yu Xing Cao               Houttuyniae Cordatae, Herba cum Radice

                        2          Ye Ju Hua                   Chrysanthemi Indici, Flos

                        5          Yin Chen Hao             Artemisiae Yinchenhao, Herba

                        3          Pei Lan                        Eupatori Fortunei, Herba

                        1          Cao Guo                      Amomi Tsao-Ko, Fructus

            *make tea, 1 bag for 1 day, BID for 7-10 days

 

 

 

 

 

 

3.         Clears heat, reduces toxins, dispels Wind, pushes evil out

                        5          Pu Gong Ying             Taraxaci Mongolici cum Radice, Herba

                        *2        Jin Lian Hua – like Chuan Xin Lian

                        3          Da Qing Ye                 Daqingye, Folium

                        3          Ge Gen                        Radix Puerariae

                        2          Zi Su Ye                      Perillae Frutescentis, Fructus

            Make tea, 1 bag for 1 day for 7-10 days BID

           

4.         Clears heat, releases exterior, dispels wind, takes out external evil

                        5          Lu Gen                        Phragmitis Communis, Rhizoma

                        3          Jin Yin Hua                 Lonicerae Japonicae, Flos

                        3          Lian Qiao                    Forsythiae Suspensae, Fructus

                        2          Bo He                          Menthae Haplocalycis, Herba

                        1.5       Sheng Gan Cao           Glycyrrhizai Uralensis, Radix (raw)

            Make tea, 1 bag for 1 day, for 7-10 days BID

 

5.         Tonifies Spleen, Benefits Qi, Dissolves Dampness, Reduces toxins

                        3          Sheng Huang Qi         Astragali Membranacei, Radix (raw)

                        2          Bai Zhu                       Atractylodis Macrocephalae, Rhizoma

                        3          Fang Feng                   Ledabouriellae Divaricatae, Radix

                        2          Cang Zhu                    Atractylodis, Rhizoma

                        3          Huo Xiang                  Agastaches seu Pogostemi, Herba

                        3          Bei Sha Shen               Adenophorae seu Glehniae, Radix

                        3          Jin Yin Hua                 Lonicerae Japonicae, Flos

                        2          Guan Zhong                Guanzhong, Rhizoma

            Make tea, 1 bag for 1 day BID for 7-10 days

 

6.         Benefits Qi, Expels external evil, reduces toxins, dispels dampness

                        5          Tai Zi Shen                 Pseudostellariae Heterophyllae, Radix

                        2          Guan Zhong                Guanzhong, Rhizoma

                        3          Jin Yin Hua                 Lonicerae Japonicae, Flos

                        3          Lian Qiao                    Forsythiae Suspensae, Fructus

                        3          Da Qing Ye                 Daqingye, Folium

                        2          Zi Su Ye                      Perillae Frutescentis, Fructus

                        3          Ge Gen                        Radix Puerariae

                        3          Huo Xiang                  Agastaches seu Pogostemi, Herba     

                        2          Cang Zhu                    Atractylodis, Rhizoma

                        3          Pei Lan                        Eupatori Fortunei, Herba

            Make tea, 1 bag for 1 day, BID for 7-10 days

 

 

 

 

 

 

The three Stages of SARS and the recovery period  - (note, most formulas clear heat, toxins and damp)

 

1.         Early stage –  starts as a Wind Heat or Wind Cold cough with Shortness of breath 

            A.        Heat and Toxins attack the Lung

            B.        Damp heat obstruction occurs

            C.        There is external cold and internal heat combined with

                        Dampness

TX Principal:  Clear heat, open the Lungs, release exterior, open the meridians

Formulas:   Based on Yin Qiao San combined with Ma Xing Shi Gan Tang modified with herbs as appropriate for patient’s condition.

*If there is more Damp Heat blockage give San Ren Tang – (3 seeds Xing Ren, Bai Dou Kou, Yi Yi Ren to drain damp) or Huo Xiang Huo Po Tang (Huo Xiang, Hou Po, Ban Xia, Fu Ling to dissolve phlegm)

*If there is more external cold and interior heat with damp use Ma Xing Shi Gan Tang with modifications

*To assist in reducing toxins can add herbs like Yu Xing Cao, Lu Gen, Jie Geng, Chuan Xin Lian

 

2.         Disease progressing – Congestion in body becomes worse, fever goes up and down, lung condition worsens, coughing with blood. This is more heat attacking the Lung causing External and internal heat congestion combined with Damp Heat toxins, and evil obstructs the Shao Yang Channel. 

            Tx principal:  Clear heat and toxicity, drain the Lungs of turbid Qi

            Formulas:

            A.        Heat toxin attacking the lungs – high fever, coughing with blood

                        Qing Wen Bai Du San with modifications

            B.        External and Internal heat congestion with toxicity

                        Qing Fei Jie Du Tang

            C.        Damp heat congestion and toxicity

                        Gan Lu Xiao Du Dan with modifications

            D.        Damp heat obstruction in the Shao Yang channel

Hao Qin Qing Dan Tang

 

3.         Collapse - Shock like state with severe sweating, respiratory failure.  Here there    is heat toxicity obstructing the Lungs, the Evil Qi is much more strong, the Zheng

Qi is severely deficient, there is severe Yin deficiency and  internal obstruction with external collapse “Tou Zhen”

A.        Phlegm Damp obstruction with heat toxicity –

            Huo Xue Xie Fei Tang or Yi Fei Hua Zhou Tang

B.        Obstruction of Lung Channel

C.        Damp heat obstruction of the Lungs

D.        Qi and Yin Xu

            E.         Evil excess, Zheng Qi deficiency

            F.         Internal obstruction – respiratory failure – here is where you need to open

                        Open the orifices, tonify and consolidate Qi

                        Sheng Fu Tang with modifications

Tx principal:  Benefit Qi, release toxicity, transform phlegm and damp, open the meridians, resolve dirty phlegm, open orifices, tonify  and consolidate Qi

4.         Recovery stage – Pt is still weak with Qi and Yin deficiency, Lung and Spleen deficiency.  Damp heat and toxins are still in the body

A.        Qi and Yin Xu – tonify Qi, Nourish Yin, transform dampness in the meridians.

            Qing Shu Yi Qi Tang with modifications

B.        Spleen and Lung Deficiency – Tonify Lu and Sp, clear heat and toxins, clears damp

            Sheng Ling Bai Zhu San

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