ABSTRACT
Traditional Chinese medicine (TCM) has played an important role in the prevention and treatment of novel coronavirus disease 2019 (COVID-19). Qingfei Paidu decoction,as a general prescription of Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia from the sixth to eighth versions,has been proved effective clinically and is suitable for mild,moderate,severe,and critical patients. It can significantly improve clinical symptoms such as fever, cough,asthma,fatigue, etc. On the basis of the findings of relevant research papers,this paper summarized the TCM understanding of COVID-19, including etiology,pathogenesis, disease location, and treatment,and concluded that the disease is caused by the pestilential Qi,localized in the lungs, and can affect the five organs. It is mainly characterized by coldness,dampness,heat,toxicity,stasis,and deficiency. In response to the etiology and pathogenesis of the disease,the therapeutic principles at all stages are dominated by the elimination of pathogens and removal of toxicity. According to the stages of disease development,the treatment should combine the severity of the disease and the course of the disease with the TCM syndromes. Furthermore,from the clinical application of Qingfei Paidu decoction,this paper discussed the therapeutic intention of "Qingfei (clearing of lungs)" and "Paidu (removal of toxicity)". Qingfei Paidu decoction can clear the pathogenic toxin in the lungs and eliminate external pestilential Qi,which is in line with the therapeutic principles for this pandemic by regulating the triple energizer and protecting healthy Qi using both coldness and warmth to treat both the symptoms and the root cause. Additionally,the experimental research progress on Qingfei Paidu decoction and its modified prescriptions were summarized. As studied, this prescription can inhibit cytokine storm,moderate the overactive immune response,potentiate the immune function and anti-viral ability of the body,and exert its effect on COVID-19 with multiple components,multiple targets,multiple pathways, and multiple biological functions. In conclusion,Qingfei Paidu decoction,as a core prescription for the treatment of COVID-19,can rapidly contain the development of COVID-19, which has been confirmed in terms of TCM theory,clinical efficacy, and experimental research.
ABSTRACT
A new ultrasonic-assisted extraction (UANE) method coupled with solid phase extraction (SPE) using ultrasonic fountain was established for the extraction of eight common ginsenosides from leaves of Panax quinquefolium L. The extraction system has been designed and several experimental parameters,including the type and volume of extraction solvent,pH value and salt concentration of extraction solvent,type and volume of elution solvent,and amount of C18, extraction time were examined and optimized. Under the optimal conditions,the recoveries of ginsenosides were in the range of 96. 3% -110. 6%, the relative standard deviations (RSDs) were in the range of 2.8%-4.3%,indicating that the method has a good performance for the extraction of these ginsenosides. Compared with traditional UANE-SPE method, the modified method simplified the extraction device,shortened the extraction time and improved the extraction efficiency.