The proportion of severe patients admitted to covid-19 hospital is 15.7%, and the death rate of confirmed patients is 6.7%. Please be informed that only the Lianhuaqingwen (LH) is one of them, which is used to treat COVID-19 with a solid theoretical foundation in the field of TCM. However, this systematic review will have some limitations. Effect of Lianhuaqingwen Capsule on lung index of mice infected with virus [J]. She can be reached atbandiolateresamayb@gmail.com. See this image and copyright information in PMC. Upgrade to Rappler+ for exclusive content and unlimited access. It contains 13 herbs that are anti-viral and anti-inflammatory. Meta-analysis on the effect of combining Lianhua Qingwen with Western medicine to treat coronavirus disease 2019. - China reported 11 new infections of the coronavirus on March 14, and for the first time since the start of the epidemic the majority of them were imported cases from overseas. Biotechnology communication 2003;14:3902. 2020 Jul 24;99(30):e21404. Please protect from moisture after opening the moisture proof bag. [20]. For novel coronavirus pneumonia, the total effective rate of TCM is over 90%.[EB/OL]. Post code: 050035 Tel: 0086-311-85901643 Fax: 0086-311-85906730 Website: http://www.yiling.cn Any questions or problems, please do not hesitate to contact manufacturer. 2.Its not appropriate to take nourishing chinese medicine wihte taking medicine. Remdesivir in adults with severe, [13]. [8]. Sofia Tomacruz covers defense and foreign affairs. Used for patterns of heat toxin assailing the lung in flu, manifested as fever, aversion to cold, muscle soreness, stuffy & runny nose, cough, headache, dry & sore throat, reddish tongue, yellow & greasy tongue coating. It has a history of abuse by athletes due to its ability to increase energy and alertness and help weight loss. New Chinese medicine and clinical pharmacology 2007;18:69. Early Treatment>14 years & above:4capsules x 3 times a day ( after breakfast, lunch and dinner) for7 to 10 days. Used in treatment of epidemic influenza and lung heat, symptom as fever or high fever, aversion to cold, muscular soreness, rhinostegnosis and nasal discharge, cough, headache, dry and sore throat, flushing tongue, or greasy fur of tongue. A statistically significant difference was identified between the Lianhua Qingwen group and the conventional drug group (OR=3.02, 95% CI=1.23 to 7.42, P=0.016). Pulmonary Imaging Improvement. Five studies reported improvement in pulmonary imaging. The course of treatment is 7-10 days for patients with mild and moderate COVID-19. Chunyuan Liu, Xiaoqiang Li, Shaoqian Cai. Do not use this product if the property changed. Chinese Journal of experimental pharmacology 2015;21:13943. Stage Food and Drug Administration Approval number:Z20040063. If substantial heterogeneity is identified, we will report it and explore possible causes using sensitivity analysis and subgroup analysis. Novel coronavirus pneumonia is a new method for the treatment of new crown pneumonia. The results will be cross-checked by the 2 reviewers, and any disagreements will be resolved by consensus, with any ongoing differences in opinion being arbitrated by a third reviewer (LMJ). SHI JIA ZHUANG YI LING PHARMACEUTICAL CO.,LTD. Disclaimer. As a drug, ephedrine is a decongestant and bronchodilator. Correspondence: Mingjun Liu, and Xiaolin Zhang, professor, Changchun University of Chinese Medicine, 1035 Boshuo Road, Jingyue Economic Development Zone, Changchun City, Jilin Province 130117, China (e-mail: [emailprotected], [emailprotected]). BMJ 2003;327:55760. We will judge the each domain as low risk of bias, high risk of bias," or uncertain risk of bias" according to Higgins (2011), and pay particular attention to the risk of bias of cluster-randomised trials. World Healthy Organization. Hai Guo, Jin Yang, Jiening Gong, et al. doi: 10.1097/MD.0000000000021404. Hypersensitivity to this product should stop usingallergic constitution with caution. Consult with doctors or pharmacists before administration if other medicines are received during this time. The findings of the trial showed strong indications of LHQW in helping patients recover faster and in the prevention of severe covid disease, when compared to the control group using only standard treatment. The PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) checklist of this protocol is presented in PRISMA-P checklist. Two reviewers (XLZ and JNL) will assess the eligibility of the studies retrieved during the searches independently using the inclusion and exclusion criteria. The treatment of influenza using the TCM patent product Lianhua Qingwen won the Second-class Prize of the National Science and Technology Progress Award in 2011. cDepartment of lung diseases, the Third Clinical Hospital of Changchun University of Chinese Medicine, Changchun, Jilin, China. Chinese herbal medicine 2008;31:12303. Led by Iloilos most respected journalists, the Daily Guardian pledges to tell the Ilonggo story as seen through the various lenses of society so that every side may be told. Data curation: Xiaolin Zhang, Di Cao, Qi Zhang, Junnan Liu. Particularly, when ephedrine is combined with caffeine (coffee), itcan lead to significant cardiovascular, metabolic, and hormonal responses. 4. patients: total number and number in both groups, baseline characteristics, diagnostic criteria, withdrawals, and losses to follow-up (reasons, description); 5. outcomes: outcomes specified above, adverse drug reactions, and adverse time, length of follow-up, quality of reporting of outcomes. WebFor patients showing mild symptoms, Lianhua Qingwen would be more effective. XLZ conceived of the study, and perform this review. [33]. A: CT at admission (February 14, 2020); B: CT Reexamination after treatment (February 25, 2020); C: CT Reexamination after treatment (March 13, 2020); D: CT Reexamination after discharge (June 11, 2020). Please try after some time. The composition of Lianhua Qingwen granules is consistent with the pathogenesis of the disease. Chest radiographs of the patient. Children should be administered under adults supervision. National Bureau of disease control and prevention. Measuring inconsistency in meta-analyses. Ends on 31 July 2022. Second Prize of National Science and Technology Progress Awards This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Web[Strength] 0.35g/capsule [Administration and Dosage] For oral administration, 4 capsules once, 3 times daily [Adverse Reactions] Unclear [Contraindications] Unclear [Precautions] 1. Avoid cigarettes, alcohol and keep from eating spicy, raw, cold or greasy food. Wolters Kluwer Health Effect of aqueous extract of Lianhuaqingwen Capsule on bacterial biofilm of methicillin-resistant Staphylococcus aureus [J]. Its formulation includes 13 herbs which are said to have been used for medical purposes as early as the Han dynasty. To add, theonline sale and distribution ofthis productis prohibited and those engaging in this activityviolatethe R.A.10918orPhilippine Pharmacy Act. FOIA Holshue ML, DeBolt C, Lindquist S, et al. In 2013, Expert Consensus on Medical Treatment for Patients Infected with H7N9 Avian Influenza (2013), issued by the National Health and Family Planning Commission [24]. Hongtao Lei, Shutu Ma, Xiuxin Jiang, et al. National Class- A Varieties for Medical Insurance Drugs If meta-analysis is not applicable, we will conduct a systematic narrative synthesis providing information to summarize and explain the characteristics and findings of the included studies. Is there any notice for taking Lianhua Qingwen Capsules? Whats more,afterFDAslaboratory analysisof LHQW,itwas found tocomprise only 9.14 milligrams of ephedra extract and not the previously claimed85 milligrams onitsproduct indication. Chinese drug Lianhua Qingwen is one of 3 treatments which are part of Chinas standard therapy for mild and moderate coronavirus patients. All data generated or analyzed during this study are included in this published article [and its supplementary information files]. WebLianhua Qingwen Jiaonang with Chinese Characters; As per continuing post-marketing surveillance, there is still incessant sale and distribution even through social media platforms, such as Facebook, of Lianhua Qingwen Jiaonang with Chinese characters, which were verified as unregistered by the FDA. to maintaining your privacy and will not share your personal information without Lianhua Qingwen (LHQW) Wu C, Chen X, Cai Y, et al. Lianhua Qingwen (LHQW), a Chinese supplement approved by the Philippine Food and Drug Administration (FDA) for mild Covid-19 symptoms, continues to ACTSmarket.com is the e-shop and distribution arm of ACTSmarket Ltd, [3]. Lianhua Qingwen formula is based on the theory of collateral disease, to reveal the law of transmission of respiratory infectious diseases caused by virus. Journal of Central South University for Nationalities: Natural Science Edition 2012;31:204. Statistical heterogeneity will be assessed with the I2 statistic. There is no effective antiviral drug for COVID-19. In addition, Manual retrieval of articles, conference papers, ongoing experiments, internal reports, among others, to supplement electronic retrieval. Abbreviations: BAs = comparison before and after the study, C0VID-19 = Corona Virus Disease 2019, ChiCTR = China Clinical Trial Registration Center, MERS = Middle East respiratory syndrome, NOS = Newcastle Ottawa scale, NTR = Netherlands National Trial Registration Center, PRISMA-P = Preferred Reporting Items for Systematic review and Meta-Analysis Protocols, RCTs = randomized controlled trials, RCSs = retrospective cohort study. PMC When you buyLHQW from us, actsmarket.com will donate the same number of boxes to needy seniors above 50 years old, living in 1-room or 2-room rental flats in Singapore, cap at 140 bundles or 700 boxes. Data synthesis reports the intervention effect of the original study by integrating the cohort study. Bias in. Do not give during pregnancy & lactation, & in childn. Also illustrates the potential biases within each of the included studies by presenting a risk of bias," table, graph, and summary. The product should beprescribed by a physician with a PDEA S-2 license. 12th-Five Year Plan Special Project of National Major New Drug Development Study on the anti Staphylococcus aureus biofilm formation of Lianhuaqingwen capsule [J]. Accessibility The manuscript was drafted by XLZ and MJL. This study will provide a relatively high-quality synthesis of current evidence of Lianhua Qingwen combined with Conventional antiviral Western Medicine in the treatment of COVID-19 from several aspects including the Clinical effective rate, CT improvement rate, severe conversion rate, antipyretic time, disappearance rate of fever symptoms, "It's the first time in the world that we have enough evidence to prove Lianhua Qingwen Jiaonang capsule is effective and can help patients recover," Zhong said, adding they have just finished an experiment and the results are promising and werepublished. In 2019, Diagnosis and Treatment Scheme for Influenza (2019), issued by the National Health Commission If 2 eligible RCTs are identified, meta-analysis will be performed with Review Manager 5.3. We first used Rhubarb to cure the disease, dredge the internal organs and relieve the heat, and then made Huoxiang fragrant and moistening. [4]. The Authors. Before [21]. Patients with body temperature higher than 38.5 should see the doctor. How to cite this article: Zhang X, Cao D, Liu J, Zhang Q, Liu M. Efficacy and safety of Lianhua Qingwen combined with conventional antiviral Western Medicine in the treatment of coronavirus disease (covid-19) in 2019: Protocol for a systematic review and meta-analysis. Zhongguo Zhong Yao Za Zhi. 4 capsules per dose. Avoid receiving nourishing Chinese medicine during the period in this product. High heterogeneity may also arise from the various evaluations. Even if symptoms of fever, fatigue and cough end earlier, please continue to complete an 8-day course to help the body recover.For children younger than 14 years old, we recommend that you consult a TCM physician on the dosage since the body condition differs from each child. World Healthy Organization. Coronavirus disease 2019 (, [5]. Ephedra was banned from the Olympics and other sport events, even in the US military. J Integr Med. Lianhua Qingwen combined with conventional drugs may be a promising therapy for treating common pneumonia and COVID-19 pneumonia. This product should be administered strictly in accordance with dosage and administration, and is not for long-term use. [32]. Domingo said this version of the capsule was still unregistered to date, meaning the FDA could not guarantee its quality and safety. If I2 test 50%, a random-effects model will be used for data analysis instead. Ahsan W, Javed S, Bratty MA, et al. Patients diagnosed with COVID-19 of all ages and racial groups will be included. TheDangerous Drug Board (DDB)considers ephedrine as a dangerous drug, andthose found to be sources are also classified as dangerous drugs. Bethesda, MD 20894, Web Policies Even [25]. Chest radiographs. It is based on the published clinical research literature at present stage. Kunming: Kunming University of technology; 2015. At the same time, the single arm study was included in the analysis, not involved in data synthesis, only used to assist in displaying the clinical characteristics of the subjects, not for efficacy evaluation. According to the Cochrane Handbook bias risk assessment tool, bias risk is independently assessed. Hermetically sealed,keep in cool and dry places. Web[Administration and Dosage] For oral administration, 4 capsules once, 3 times a day. Traditional Chinese medicine, such as Lianhua Qingwen, has achieved some curative effect in many countries, but its effect is not clear. 2023. In 2015, Diagnosis and Treatment Scheme for Cases Infected with Middle East Respiratory Syndrome (MERS) (2015), issued by the National Health and Family Planning Commission The Daily Guardian is a renascent Iloilo-based publishing firm and media outfit with bureaus in Kalibo, Boracay, Roxas, Bacolod, Antique, Guimaras, and Manila. Hongying Mo, Zifeng Yang, Jinping Zheng, et al. V03AX - Other therapeutic products ; Other products with therapeutic properties. Dosage: 2 capsules twice a day ( after breakfast & dinner). 8.Three days without any remission,or symptems aggravated,appeared new serious symptems, should go to hospital. Select all eligible studies published before May 8, 2020. [Adverse Reactions]Post-marketing monitoring data show that this product may cause gastrointestinal adverse reactions such as nausea, vomiting, abdominal pain, diarrhea, bloating, as well as rash, itchy ulcers, dry mouth, dizziness. Copyright 2023 MIMS Pte Ltd. All rights reserved. Tips: Please read the directions for use in retail or directed by physician. CT images of patient Mr. Lin (Male, Fifty-five years old) during different treatment periods. Lianhua Qingwen combined with conventional antiviral Western Medicine may be a useful treatment for prediabetes. CT images of patient Mr. Lin (Male, Fifty-five years old) during different treatment, MeSH The two groups were compared in terms of clinical effects and main symptom (fever, cough and fatigue) disappearance rate. FDA Director General Eric Domingo likewise confirmed the approval of Lianhua Qingwen in a text message to Rappler on Wednesday afternoon. Nausea, vomiting, abdominal pain, diarrhea, bloating. All relevant data are within the article and its supporting information files. In addition, it can also interact with other compounds and herbs. Please try again soon. Just because a supplement is derived from natural sources does not mean it is safe. The registered Chinese capsule Lianhua Qingwen that has been approved should have the FDAs labeling requirements written in English, Domingo said. Novel coronavirus pneumonia treatment plan (revised version 7) [EB/OL]. 2022 Aug 19;27(16):5292. doi: 10.3390/molecules27165292. Preliminary study on the inhibitory effect of three prescriptions of traditional Chinese medicine on SARS related coronavirus in vitro [J]. Your message has been successfully sent to your colleague. official website and that any information you provide is encrypted [Administration and Dosage] Evid Based Complement Alternat Med. The authors have no conflicts of interest to disclose. Chest radiographs. Molecules. The assessment will be adjudicated into 4 levels: high, moderate, low, or very low. [Package]Aluminium-plastic package, 24 capsules/box, [Executive Standard]Chinese Pharmacopoeia 2010, the 2nd supplemental volume. The data extraction form will include the following items: Two reviewers/authors (ZXL and ZQ) will independently evaluate the quality of the included trials through assessing the risk of bias using the following tools, when appropriate: The following aspects of included trials will be assessed: sequence generation, allocation concealment, blinding of participants, personnel and outcome assessors, incomplete outcome data, and selective outcome reporting. Lianhua Qingwen capsule (granule) is an Innovative Patent Chinese medicine for the treatment of influenza, which was developed by the green channel of the new drug approval during the SARS period in 2003 based on the pathology of collateral of traditional Chinese medicine. It is also for prevention of low blood pressure during anesthesia. Here are links to the publications that published the results of the clinical trial :https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229744/https://en.prnasia.com/releases/global/tcm-lianhua-qingwen-shows-stable-in-vitro-antiviral-effect-on-the-delta-variant-expert-327965.shtmlIngredients & ContradicationsPlease refer to the pictures for more informationUSAGE FOR RESPIRATORY DISEASES SUCH AS FLUS AND COLDSProphylaxis: If you know you are going out, take LHQW the day before, the day of the outing and the day after the outing. Manufacture address: No.238 Tianshan street, New and high development area, Shijiazhuang, Hebei, China. DC and QZ developed the search strategy. This review will be helpful to clinicians treating COVID-19 and asymptomatic infection may provide evidence for researchers. Consultancy by Fixx Digital Lianhua Qingwen (LHQW), a Chinese supplement approved by thePhilippine Food and Drug Administration (FDA) for mild Covid-19 symptoms,continues togain popularity and controversy. Receive exclusive coupons and special offers directly to your email inbox. [2]. Cao B, Wang Y, Wen D, et al. PLoS One. [Functions and Indications] Bookshelf 2023 Jan 12;17:11779322221149622. doi: 10.1177/11779322221149622. [Main Ingredients] < 5 years: not recommended because it may be difficult for young children to swallow capsules. http://creativecommons.org/licenses/by/4.0. National Health and Family Planning Commission of the people's Republic of China. your express consent. government site. Asia's one-stop resource for medical news, clinical reference and education, Philippine Archipelago International Trading, Click to view Lianhua Qingwen detailed prescribing information. [2] The main manifestations of the disease are fever, fatigue, and dry cough. Philippines FDA approved LHQW for the treatment of mild Covid-19. For more information, please refer to our Privacy Policy. It is not necessary for ethical approval because this article is based on previously conducted studies and does not involve any new studies of human or animal subjects performed by any of the authors. Rappler.com. Chinese Journal of pharmacology and toxicology 2015;29:2137. We will perform the sensitivity analysis to explore the effects of trial risk of bias on primary outcomes if possible. 10 Data is temporarily unavailable. The Philippines Food and Drug Administration (FDA) has approved the traditional Chinese medicine (TCM) capsule Lianhua Qingwen widely used in China as Common side effects are heart palpitations, nausea, and vomiting. Subgroup analysis and sensitivity analysis will be performed to explore the causes of heterogeneity. 6.Patients with fever over 38.5 , should go to the hospital. [Overview of Meta-analysis of Lianhua Qingwen preparations in treatment of viral diseases]. The capsule was earlier developed in 2003 to treat the severe acute respiratory syndrome (SARS) and extracts the essence of 13 herbs. The protocol will be disseminated in a peer-reviewed journal or presented at a relevant conference. The Chinese medicine compound Lianhua Qingwen has been listed as the recommended drug for the diagnosis and treatment of respiratory infectious diseases by the national Wei Jian administration and the State Administration of traditional Chinese medicine for 20 times. 94d329df351d7da8aefc2.shtml, https: //www.who.int/docs/default source/coronaviruse/situation-reports/20200325-sitrep-65-, https://www.jiyinzaixian.com/news/bNu5eb13ba6806e0, http://www.xinhuanet.com/politics/2020-03/24/c_1125757251.htm, http://www.nhc.gov.cn/yzygj/s7652m/202003/a31191442e29474b98bfed5579d5af95.shtml. Please enable scripts and reload this page. Though no specific drug has been developed so far, emerging agents have been confirmed effective or potentially beneficial to restrain it. Journal of Guangzhou University of traditional Chinese medicine, 2016 33:5404. Avoid prolonged use. Consume daily after meal Middle East respiratory syndrome case diagnosis and treatment program (2015 Edition) [J]. V03AX - Other therapeutic products ; Other products with therapeutic properties. The Philippines Food and Drug Administration (FDA) has approved the traditional Chinese medicine (TCM) capsule Lianhua Qingwen widely used in China as part of its standard coronavirus treatments. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The clinical effective rate, CT improvement rate, and severe conversion rate will be assessed as the primary outcomes. We may also contact the original authors to provide additional relevant information, if necessary. [14]. Wang Y, Zhang D, Du G, et al. Available at: [30]. [10]. In particular, theChinese herbma huang, scientifically known asEphedra sinica, is where the drug ephedrine is extracted from. The course of treatment is 7-10 days for patients with mild and moderate COVID-19. It has important clinical significance for alleviating the severity of COVID-19 and shortening the course of disease. [30] The I2 statistic of <50% indicates a low level of statistical heterogeneity, and that of 50% will be considered substantial statistical heterogeneity. Placebo, routine western medicine therapy, and other therapeutic methods in the comparators (drugs, dose, frequency, duration); (5) Outcomes: the primary outcomes include total efficiency, primary symptoms, and In comparison with the control group, 1) the total effective rate was significantly higher in the observation group (P<0.05); 2) the disappearance rates of fever, cough and fatigue were statistically higher in the observation group; 3) the treatment time was significantly shorter and patient recovery was significantly better in the observation group; 4) the laboratory index levels [white blood cell (WBC), interleukin-6 (IL-6), serum amyloid A (SAA)] were better in the observation group. [18]. In addition, Manual retrieval of articles, conference papers, ongoing experiments, internal reports, among others, to supplement electronic retrieval. Yizhu Wang, Hongtao Wang, Xue Han, et al. Heart or thyroid disease, high BP, diabetes, glaucoma, HTN, tumor of adrenal gland, difficulty in urination due to the enlargement of the prostate gland. Whether a fixed-effects or a random-effects model will be used depends on the results of I2 test for heterogeneity. Nausea, diarrhea, vomiting, abdominal pain, dry mouth, rash, itching, dizziness. After determining how to combine different types of studies, NRIs use the method of inverse variance of random-effect model to evaluate and calculate the 95% CI of the effect value. >10 to <14 years old: 3capsules x 3 times a day ( after breakfast, lunch and dinner).> 5 to <12 years old: 2 to 3 capsules x 3 times a day ( after breakfast, lunch and dinner). [31]. 1. Follow her on Twitter via @sofiatomacruz. Effectiveness and Safety of Lianhua Qingwen Capsules for COVID-19: A Propensity-Score Matched Cohort Study. Would you like email updates of new search results? For the treatment of influenza due to heat-toxic attack lung, syndrome see: fever or serious fever,aversion to cold, muscle soreness, stuffy nose, runny nose, cough, headache, throat dry and sore throat, red tongue, yellow or yellow greasy tongue coating and so on.
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