Insights & Discussion
Traditional Chinese Medicine (TCM) is regularly used in treating upper respiratory tract infections, particularly for patients (more female patients in database found) with mild symptoms, using commonly preferred prescriptions, i.e Yin Qian San & Ma Xing Shi Gan Tang.
In this study, data from the National Health Insurance Research Database was analyzed with particular attention to the treatments used for upper respiratory tract infections (URTIs). The International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses codes for Taiwan in 2009, were used to identify these treatments. Techniques of data mining and association rules were deployed to examine co-prescriptions of TCM for patients with URTIs.
Discussion of the results shows that out of a sample of 472,005 patients who sought treatment for URTIs, approximately 10 percent were treated with TCM and among these, over three-fifths were female. A majority - 79 percent - presented with an acute common cold. The study also noted that certain prescriptions, namely Yin-Qiao-San and Ma-Xing-Gan-Shi-Tang, were most commonly combined for patients with URTIs. The insight showed that patients were more likely to request TCM treatment if their symptoms were mild and they were women. Chinese medicine doctors treating URTIs generally adhered to TCM theory.
Discover Related Insights
Traditional Chinese medicine has unique advantages in relieving symptoms, shortening treatment time and reducing the development of severe viral pneumonia.
2020 Frontiers in Pharmacology Role of Traditional Chinese Medicine in the Management of Viral Pneumonia Xi S, Li Y, Yue L, Gong Y, Qian L, Liang T, et al.
Review Article Common Cold Common Cold, Flu & Viral Infections
In the treatment of viral pneumonia through syndrome differentiation, traditional Chinese medicine (TCM) plays a variety of roles in inhibiting the proliferation, replication, adsorption and membrane penetration of the virus, promoting the expression of interferon in vivo, inhibiting inflammatory reaction, enhancing immunity, etc., which is one of the theoretical bases for the clinical application of TCM in the prevention and treatment of viral pneumonia.
Traditional Chinese herbal medicine and compound medicinals are characterized by multi-component, multi-pathway and multi-pathway complex networks. Therefore, drug resistance is relatively rare in the clinical practice of TCM. Moreover, in the process of diagnosis and treatment of TCM, treatment based on differentiation of symptoms and signs, especially treatment based on classification of symptoms and signs, can best reflect the overall concept of TCM. TCM has precise therapeutic activity and less adverse reactions. Accumulating evidence has demonstrated the competent therapeutic effects of TCM against viral pneumonia with a prominent safety profile.
Tea catechins, found in green tea, may reduce the rates of influenza infection and diminish certain cold symptoms.
2018 Molecules Effect of Tea Catechins on Influenza Infection and the Common Cold with a Focus on Epidemiological/Clinical Studies Furushima D, Ide K, Yamada H
Review Article Antiviral Common Cold Green Tea
The research methodology started with interpreting several experimental studies which reported that tea catechins can inhibit influenza viral adsorption and suppress replication and neuraminidase activity. These catechins were also found effective against some common cold viruses and helped to enhance immunity against such viral infections. Additionally, epidemiological studies conducted since the late 1990s were examined which suggested that regular consumption of green tea may decrease influenza infection rates and some cold symptoms, and gargling with tea catechin could potentially protect against the development of influenza infection.
For the discussion of results, the studies collectively showed that tea catechins have potential antiviral activity against influenza and some cold viruses. Although clinical evidence supporting these effects remained unconclusive, the review showed promising trends. The consumption of green tea and gargling with tea catechins could lead to potentially decreased rates of influenza infection and lessened cold symptoms according to the analyzed epidemiological studies.
There is strong evidence for Andrographis paniculata (Chuan Xin Lian) being significantly superior to placebo in alleviating the frequency and severity of cough symptoms.
2015 Complementary Medicine Research Herbal Medicine for Cough: a Systematic Review and Meta-Analysis Wagner L., Cramer H., Klose P., Lauche R., Gass F., Dobos G, et al.
Systematic Review Chuan Xin Lian Common Cold Cough
Most studies showed significant improvements in active treatment group patients with cough-related symptoms. The study by Narimanian et al. showed particularly good results for mucociliary clearance. The sole exception was the trial conducted by Melchior et al.; a pilot study with relatively few patients. All studies reported small numbers of mild adverse effects, including nausea, emesis, vertigo, skin rash and diarrhea, but none required further treatment.
Four trials were assessed quantitatively with regard to changes in the frequency of patients' cough symptoms. In these studies, meta-analysis showed strong evidence that A. paniculata reduced this frequency, although significant heterogeneity was found in the original study results. These 5 trials were also compared with regard to changes in the severity of patients' cough symptoms. The results showed strong evidence for the benefit of phytotherapeutics in this area, although significant heterogeneity was found here, too. These analyses show that A. paniculata is effective in reducing the frequency and severity of patients' cough symptoms.
Most Chinese medical herbs in the included studies showed similar effects to antiviral drugs in preventing or treating influenza.
2013 Cochrane Database of Systematic Reviews Chinese medicinal herbs for influenza Jiang L, Deng L, Wu T.
Systematic Review Common Cold Common Cold, Flu & Viral Infections
This updated review assessed the therapeutic effects and safety of Chinese medicinal herbs as an alternative and adjunctive therapy to other commonly used drugs for influenza. Eighteen studies involving 2521 participants were included in the review. 'Ganmao' capsules were found to be more effective than amantadine in decreasing influenza symptoms and aiding recovery in one study (in which adverse reactions were mentioned in the amantadine group although no data were reported). There were no significant differences between 'E Shu You' and ribavirin in treating influenza, nor in the occurrence of adverse reactions. The remaining 17 Chinese herbal trials showed a similar effect to antiviral drugs in preventing or treating influenza. However, since these included studies were of poor quality, the evidence does not support or reject the use of any Chinese herbal preparations for influenza. Highâquality trials are required.