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Not an Easy Rider: Herbs with Potential Anti-SARS-CoV-2 Activity

China transport

Image by Dennis Jarvis (flickr/archer10), CC BY-SA 2.0

SARS-CoV-2 is an intrepid world traveler, but not an easy rider. And—politics notwithstanding—I believe the medical, scientific and governmental institutions are doing all they can to contain it. It’s challenging because the virus moves so efficiently; while effectively analyzing a new scenario typically requires time to build data.

We’ve seen a commendable concerted effort to meet this challenge. As evidence, I’m pleased that a scientific review of herbal compounds relating to possible anti-SARS-CoV-2 activity has been published in a short timeframe (Zhang, 2020); and it appears thorough. Even so—hygiene, etiquette, social distance, and quarantine will be the most effective means of viral infection control.

From experiences with SARS (2002/3) and MERS (2012), 115 naturally occurring compounds have been identified as showing anti-coronavirus activity. Based on the compounds’ digestive absorption, distribution within the body, metabolism, and elimination, the list was pared down to 13 candidates.

These candidates relate to individual compounds only. To identify Chinese herbs that might address SARS-CoV-2, they had to contain at least 2 of the compounds and to have been historically used to treat viral respiratory infections.

According to the referenced research, there are 26 plants that may help fend off SARS-CoV-2. Depending on their action, they may be used to either treat COVID-19 or prevent infection. These herbs are listed below with suggested time of use, i.e. during stages of prevention, early onset or suspected exposure, or infection.

For prevention

  • Fortunes bossfern rhizome

For early onset, or suspected exposure

  • Tamaricis cacumen*
  • Erigeron breviscapus
  • Bupleurum root

For infection, depending on symptoms

  • Forsythia fruit
  • Licorice root
  • Mulberry root bark
  • Chrysanthemum flower
  • Tussilage flower
  • Honeysuckle flower
  • White mulberry leaf
  • Hogfennel root
  • Wild buckwheat rhizome*
  • Coptis rhizome
  • Houttuynia
  • Hovenia seed
  • Inula flower
  • Loquat leaf
  • Astragalus root
  • Lepidium seed
  • Marlberry*
  • Aster root
  • Sun spurge*
  • Ginkgo nut
  • Anemarrhena rhizome
  • Epimedium herb

The herbs marked with (*) are not readily available in the U.S. So they would need to be analyzed for accessible substitutes.

There’s a but…

Now, I like identifying options. So I find the above list valuable because it expands the clinical repertoire. However, for mild COVID-19 cases, I believe the simplicity of rest and nourishment (as outlined here) should be sufficient. For severe cases, I would rather you go to the hospital for biomedical support. Pneumonia is life-threatening to the vulnerable population segment, where the severe cases are prevalent.

That being said, you have voting rights on the determination of your healthcare. So if you’d like to talk about the herbal options above, please feel free to contact me.

Interestingly, woad root (which I discussed here) was not included by the study referenced in this post.

Reference

Zhang DH, Wu KL, Zhang X, Deng SQ, Peng B. In silico screening of Chinese herbal medicines with the potential to directly inhibit 2019 novel coronavirus. J Integr Med. 2020; 18(2): 152-158.

{ 2 comments… add one }
  • Lindsey March 29, 2020, 5:45 pm

    Where can I purchase the above herbs?

    • Carl Balingit March 29, 2020, 9:05 pm

      Your best option is to work directly with a Chinese medicine practitioner in your area. They can not only provide herb sources, but more importantly, select the proper herbs for you. While all the herbs listed above have been studied for their anti-coronavirus activity, each is ideal for a particular pattern.

      A pattern is recognized from a collection of signs and symptoms. While COVID-19 is commonly asymptomatic, an experienced practitioner can help discern the signs (e.g. with tongue and pulse diagnosis) that would determine the most appropriate herbal prescription.

      A professional will also ensure that you use the proper herb dosages, which affects efficacy and safety. Many of the raw herbs are generally prescribed for 9 grams daily (licorice root is often 3-6 grams), +/- depending on circumstance. Granule extracts typically range from 0.5 to 1 gram per herb. For prevention rather than treatment of infection, milder dosages are usually more appropriate.

      With a prescription in hand, you may be able to find a local Asian herb pharmacy. While quarantine measures are in place in most areas, pharmacies are likely considered essential businesses and may remain open (this is the case in California). But I would call in advance, for herb pharmacy hours will be at the owner’s discretion.

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