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Traditional Chinese medicine for COVID-19 pandemic and emerging challenges: An online cross-sectional survey in China

Traditional Chinese medicine for COVID-19 pandemic and emerging challenges: An online cross-sectional survey in China
Traditional Chinese medicine for COVID-19 pandemic and emerging challenges: An online cross-sectional survey in China

Background: We aimed to investigate use of infection control behaviours, preventative and therapeutic interventions, and outcomes among respondents to an online survey during the COVID-19 pandemic in China.

Methods: The survey was designed by an international team, translated and adapted to simplified Chinese, including 132 kinds of traditional Chinese medicine (TCM) preparation recommended by guidelines. It was distributed and collected from February to May 2021, with data analysed by WPS spreadsheet and wjx.cn. Descriptive statistics were used to describe demographics and clinical characteristics, diagnosis, treatments, preventative behaviours and interventions, and their associated outcomes.

Results: The survey was accessed 503 times with 341 (67.8%) completions covering 23 provinces and four municipalities in China. Most (282/341, 82.7%) respondents reported no symptoms during the pandemic and the majority (290/341, 85.0%) reported having a SARS-CoV-2 PCR test at some point. Forty-five (13.2%) reported having a respiratory infection, among which 19 (42.2%) took one or more categories of modern medicine, e.g. painkillers, antibiotics; 16 (35.6%) used TCM interventions(s); while seven respondents combined TCM with modern medicine. All respondents reported using at least one behavioural or medical approach to prevention, with 22.3% taking TCM and 5.3% taking modern medicines. No respondents reported having a critical condition related to COVID-19.

Conclusion: We found evidence of widespread use of infection control behaviours, modern medicines and TCM for treatment and prevention of COVID-19 and other respiratory symptoms. Larger scale studies are warranted, including a more representative sample exploring TCM preparations recommended in clinical guidelines.

COVID-19, Mental health, Online survey, Respiratory symptoms, Traditional Chinese medicine
2213-4220
Lu, Chun-Li
ff8d3c90-548e-4673-b25f-562ca6732848
Zheng, Ruo-Xiang
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Xue, Xue
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Zhang, Xiao-Wen
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Liu, Xue-Han
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Jin, Xin-Yan
e936efaf-ef2f-4e50-a5e4-95ee6c68c122
Pu, Feng-Lan
770382e3-2f3b-46cf-a7f1-2041aefe7104
Lan, Hui-Di
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Fang, Min
f2e0535d-d833-4380-8fe9-9fe3044ecd95
Kong, Ling-Yao
04548378-127a-4925-8048-56834dad4bb5
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Graz, Bertrand
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Houriet, Joelle
910acbdb-9dde-4eb7-b90c-e2344c9325a3
Hu, Xiao-Yang
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Liu, Jian-Ping
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Lu, Chun-Li
ff8d3c90-548e-4673-b25f-562ca6732848
Zheng, Ruo-Xiang
293edce2-2f8a-46c7-ae64-a1f41ccfd162
Xue, Xue
c3f808df-a82b-437d-85d4-97b32eede0be
Zhang, Xiao-Wen
3a64aad1-359c-42b4-b8b7-561aca467b7b
Liu, Xue-Han
0143b611-5561-4b3e-8b15-f26e99573909
Jin, Xin-Yan
e936efaf-ef2f-4e50-a5e4-95ee6c68c122
Pu, Feng-Lan
770382e3-2f3b-46cf-a7f1-2041aefe7104
Lan, Hui-Di
0a50b9d9-4b37-4140-b327-aa1cc7b8f6bc
Fang, Min
f2e0535d-d833-4380-8fe9-9fe3044ecd95
Kong, Ling-Yao
04548378-127a-4925-8048-56834dad4bb5
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Graz, Bertrand
33383bb4-8763-40bc-8e09-a045934a536e
Houriet, Joelle
910acbdb-9dde-4eb7-b90c-e2344c9325a3
Hu, Xiao-Yang
65904b24-3775-4b14-9532-eb703a056655
Liu, Jian-Ping
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Lu, Chun-Li, Zheng, Ruo-Xiang, Xue, Xue, Zhang, Xiao-Wen, Liu, Xue-Han, Jin, Xin-Yan, Pu, Feng-Lan, Lan, Hui-Di, Fang, Min, Kong, Ling-Yao, Willcox, Merlin, Graz, Bertrand, Houriet, Joelle, Hu, Xiao-Yang and Liu, Jian-Ping (2021) Traditional Chinese medicine for COVID-19 pandemic and emerging challenges: An online cross-sectional survey in China. Integrative Medicine Research, 10, [100798]. (doi:10.1016/j.imr.2021.100798).

Record type: Article

Abstract

Background: We aimed to investigate use of infection control behaviours, preventative and therapeutic interventions, and outcomes among respondents to an online survey during the COVID-19 pandemic in China.

Methods: The survey was designed by an international team, translated and adapted to simplified Chinese, including 132 kinds of traditional Chinese medicine (TCM) preparation recommended by guidelines. It was distributed and collected from February to May 2021, with data analysed by WPS spreadsheet and wjx.cn. Descriptive statistics were used to describe demographics and clinical characteristics, diagnosis, treatments, preventative behaviours and interventions, and their associated outcomes.

Results: The survey was accessed 503 times with 341 (67.8%) completions covering 23 provinces and four municipalities in China. Most (282/341, 82.7%) respondents reported no symptoms during the pandemic and the majority (290/341, 85.0%) reported having a SARS-CoV-2 PCR test at some point. Forty-five (13.2%) reported having a respiratory infection, among which 19 (42.2%) took one or more categories of modern medicine, e.g. painkillers, antibiotics; 16 (35.6%) used TCM interventions(s); while seven respondents combined TCM with modern medicine. All respondents reported using at least one behavioural or medical approach to prevention, with 22.3% taking TCM and 5.3% taking modern medicines. No respondents reported having a critical condition related to COVID-19.

Conclusion: We found evidence of widespread use of infection control behaviours, modern medicines and TCM for treatment and prevention of COVID-19 and other respiratory symptoms. Larger scale studies are warranted, including a more representative sample exploring TCM preparations recommended in clinical guidelines.

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More information

Accepted/In Press date: 8 October 2021
e-pub ahead of print date: 19 October 2021
Keywords: COVID-19, Mental health, Online survey, Respiratory symptoms, Traditional Chinese medicine

Identifiers

Local EPrints ID: 453866
URI: http://eprints.soton.ac.uk/id/eprint/453866
ISSN: 2213-4220
PURE UUID: a8a2a3f5-3a9d-4072-8149-1b6d207b8998
ORCID for Merlin Willcox: ORCID iD orcid.org/0000-0002-5227-3444
ORCID for Xiao-Yang Hu: ORCID iD orcid.org/0000-0002-3143-7999

Catalogue record

Date deposited: 25 Jan 2022 17:41
Last modified: 28 Apr 2022 02:18

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Contributors

Author: Chun-Li Lu
Author: Ruo-Xiang Zheng
Author: Xue Xue
Author: Xiao-Wen Zhang
Author: Xue-Han Liu
Author: Xin-Yan Jin
Author: Feng-Lan Pu
Author: Hui-Di Lan
Author: Min Fang
Author: Ling-Yao Kong
Author: Merlin Willcox ORCID iD
Author: Bertrand Graz
Author: Joelle Houriet
Author: Xiao-Yang Hu ORCID iD
Author: Jian-Ping Liu

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