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

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

Your path to a balanced healthy life