Concerns About Traditional Chinese Medicine Ingredients and COVID-19 Risks

Regarding recent issues with the use of traditional Chinese medicine?

Hello Doctor: I previously visited a traditional Chinese medicine practitioner for issues related to acne and my menstrual cycle.
During my recent appointment, the doctor prescribed a remedy called "Zhen Ren Huo Ming Decoction." I did some research online and found that this medication may contain pangolin.
Given the recent prevalence of the novel coronavirus, which seems to be associated with certain wild animal products, I would like to ask if taking this medication could pose a risk due to the potential presence of pangolin in its ingredients.
I also noticed that some formulations do not contain pangolin, but I am unsure which version I have been prescribed, so I am a bit concerned.
Thank you for your assistance!

Miss Wang, 10~19 year old female. Ask Date: 2020/02/07

Dr. Peng Renyuan reply Traditional Chinese Medicine

Currently, pangolins are classified as protected species, so traditional Chinese medicine will not contain this ingredient.
Most products will be labeled as "Zhenren Huo Ming Drink Concentrated Granules (without pangolin)" to indicate that they do not contain pangolin components.
Additionally, traditional Chinese medicine is typically processed through "decoction," making it safe for consumption.

Reply Date: 2020/02/07

More Info

When it comes to concerns about Traditional Chinese Medicine (TCM) ingredients and their potential risks related to COVID-19, it is essential to approach the topic with a clear understanding of both the ingredients involved and the current scientific knowledge regarding COVID-19 transmission and treatment.

Firstly, regarding the specific TCM formulation you mentioned, "Ren Shen Huo Ming Yin" (真人活命飲), it is important to clarify that traditional herbal remedies can vary significantly in their composition. Historically, some formulations included ingredients derived from endangered species, such as pangolins, which have been implicated in the transmission of coronaviruses. However, due to conservation laws and ethical considerations, reputable TCM practitioners and manufacturers have moved away from using such ingredients. Most modern formulations are labeled as "pangolin-free" to ensure safety and compliance with regulations.

If you have concerns about the specific formulation you are taking, it is advisable to consult with the practitioner who prescribed it. They can provide clarity on the ingredients and confirm whether the version you are taking contains any components that could pose a risk. Additionally, if you are uncertain about the ingredients, you might consider requesting a detailed list or even a certificate of analysis from the manufacturer, if available.

In terms of the broader context of TCM and COVID-19, it is crucial to recognize that while some herbal remedies may offer symptomatic relief or support immune function, they should not be viewed as substitutes for conventional medical treatments or preventive measures, such as vaccination. The World Health Organization and various health authorities emphasize that vaccination remains the most effective way to prevent severe illness from COVID-19.

Moreover, if you are experiencing symptoms or have tested positive for COVID-19, it is essential to follow the guidance of healthcare professionals. While TCM may provide supportive care, it should be part of a comprehensive approach that includes evidence-based treatments and monitoring for any complications associated with COVID-19.

In summary, while concerns about the ingredients in TCM formulations, particularly regarding their safety and potential links to COVID-19, are valid, it is crucial to rely on reputable sources and professional guidance. Always consult with your healthcare provider before starting or continuing any treatment, especially if you have underlying health conditions or are experiencing symptoms of COVID-19. This approach will help ensure that you make informed decisions about your health and well-being.

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