key: cord-338855-1hfj8qj9 authors: Dr Adylle Varon, L.; Varon, Daryelle S.; Varon, Joseph title: Traditional chinese medicine and COVID-19: should emergency practitioners use it? date: 2020-07-03 journal: Am J Emerg Med DOI: 10.1016/j.ajem.2020.06.076 sha: doc_id: 338855 cord_uid: 1hfj8qj9 nan J o u r n a l P r e -p r o o f released an integrated treatment program to be implemented. Classical herbal formulas, such as Yu Ping Feng San, Sang Ju Yin and Yin Qiao San, were highly sought out for prevention and treatment of In this issue of The American Journal of Emergency Medicine, Sun and coworkers present an adept metanalysis supporting the clinical efficacy and safety of using TCM herbal prescriptions for the treatment of COVID-19. 7 The article incorporates, in detail, the results from seven studies, with 681 participants utilizing TCM as a therapeutic course of treatment. The results are interesting and encouraging. However, we suggest that we recognize that these outcomes may have some intrinsic issues. For example, we are concerned that the depicted results reflect a steady state of illness, whereas in TCM, measures can vary depending on which herbal formulations are administered, and the stage or rate of infection in each patient. TCM methodology used to diagnose and treat any pathology heavily relies on the time of exposure for all ailments. Other limitations of this metanalysis include the many variables of patient demographics, different herbal preparations, and access to funding to purchase such preparations. The authors are transparent and need to be applauded for their data analysis. Indeed, they suggest the results gathered could be, in fact, fallible. Clinical features of patients infected with 2019 novel coronavirus in First case of 2019 novel coronavirus in the United States 2020 Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area Traditional Chinese Medicine treatment of COVID-19 Combination of Western Medicine and Chinese Traditional Patent Medicine in treating a family case of COVID-19 The role of Chinese Medicine in COVID-19 pneumonia: A systematic review and meta-analysis