Recovering Damaged Cells for Sequelae Caused by COVID-19, SARS-CoV-2

Study Overview
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Brief Summary
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Post-acute sequelae of SARS-CoV-2 infection can cause multiple system function disorders, and complicated symptoms last for an extended period. The virus can cause this continued infection, or the virus causes immune system function disorder and post-infectious autoimmune disease. The clinical symptoms can be smell loss, taste loss to liver function disorder, kidney function failure, different. No matter how complicated the systems showed in the clinic, all of the symptoms are due to the specific cells being damaged. Our clinical study is focused on recovering the damaged structure and function of the cells that could restore the organ function back to normal or close to normal

Detailed Description
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SARS-CoV-2 caused sequela is a pathological condition, and specific cells are damaged from a prior disease, injury, or attack. Post-Acute Sequelae of SARS-CoV-2 Infection (PASC) is caused by an infection of SARS-CoV-2 and COVID-19 virus. The virus or virus-triggered disorder immunity attacks target tissue(s) and organ(s). No matter name of the virus and the cells, tissue(s), or organ(s), they all belong to the category of antigen and cause an immune response; this can induce inflammation or not depending on the immune system tolerance . While older patients may have an increased risk of developing severe disease or sequelae, young survivors have also reported symptoms months after acute infection of SARS-CoV-2, reported by the British Lung Foundation. Some infected people, referred to as long-haulers, experience a long period of symptoms. Characterization of the etiology and pathophysiology of late sequelae is underway and may reflect organ damage from the acute infection phase; manifestations of a persistent hyperinflammatory state even perform as autoimmune diseases. Rheumatic disease can also occur during the infection of COVID. Ongoing viral activity indicates an inadequate antibody response. Factors in addition to acute illness that may further complicate the picture include physical deconditioning at baseline or after a long disease course, pre-COVID-19 comorbidities, and psychological sequelae following a long or difficult disease course relating to lifestyle changes due to the pandemic. Likely, the persistent sequelae of COVID-19 represent multiple syndromes resulting from distinct pathophysiological processes along the spectrum of disease. So far, no specific medicine has been identified for treating the COVID-19 virus and post-acute sequelae of SARS-CoV-2. Due to the difficulty treating either SARS-CoV-2 or its caused sequelae, there is a very pessimistic suggestion: People must live with COVID-19 forever. Most people who contract coronavirus disease 2019 (COVID-19) infection recover entirely within a few weeks. However, the long-haulers continue to experience symptoms after their initial recovery. This condition has been called post-COVID-19 syndrome or long COVID-19. Older people and people with many severe medical conditions are the most likely to experience lingering COVID-19 symptoms, but even young, otherwise healthy people can feel unwell for weeks to months after infection. The most common signs and symptoms that linger over time include fatigue, shortness of breath, cough, joint pain, and chest pain. Other long-term signs and symptoms may include muscle pain or headache, fast or pounding heartbeat, loss of smell or taste, memory and concentration or sleep problems, and rash or hair loss, the Mayo Clinic reported. Virus infections have been long associated with autoimmune diseases, whether multiple sclerosis, diabetes, or myocarditis. Three potential mechanisms for virus-induced autoimmune disease or virus-induced immunopathology are molecular mimicry, bystander activation, and persistent virus infection. Those prolonged symptoms are consistent with the internal physical pathological process. That can be the virus infection continuing, or the infection triggered an immune reaction in one or more physical locations when a person became infected with the COVID-19 virus. Here is the critical point: when the structure of cells is destroyed, the result is the affected cell's function will be lost. Does the etiology directly destroy the antigen, or the virus trigger the disorder immunity to destroy the antigen? The results are the same: the antigen is under inflammation. Returning the damaged cells (antigen) to normal or close to normal states is the key to saving lives. This raises questions concerning how can we protect those cells from becoming damaged and how can we return injured cells to their normal function? Regardless of whether the cell has been damaged directly by the virus infection, or another reason like disordered immunity, my clinical research will show how to solve those medical problems.

Official Title
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Treating Sequalae Caused by Post-acute Sequelae of SARS (Severe Acute Respiratory Syndrome)-CoV-2 Infection

Conditions
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Depression, Sequelae of; Infection, Post-Infectious Peripheral Neuralgia, Post-Infectious Disorder (Disorder), Post-Infectious Arthritis, Post-Infectious Polyneuritis, Post-Infectious Hypothyroidism, Post Infectious Osteoarthritis, Anxiety Disorders, Depression, Anxiety, Insomnia, GERD, Post Infection Glomerulonephritis, Post-Infectious Parkinsonism, Depression, Bipolar, Gastro Esophageal Reflux, Hepatitis, Glomerulonephritis

Intervention / Treatment
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* Combination Product: PurWet
* Combination Product: FurFat
* Combination Product: PurApo
* Combination Product: PurPhl
* Combination Product: PurClo
* Combination Product: PurInf
* Combination Product: Smoliv


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The participants must receive medical herbs as a treatment method; Participants are not limited by age, sex, race, or location; Participants are including infants; Participants are including pregnant woman; The participants had an infection history of SARS-CoV-2 in past one month; The participants provide SARS-CoV-s diagnoses (Molecular or Antigen). Test was *positive, now hold negative reports Participants hold reports of immune system medics, like immunoglobulin M (IgM), immunoglobulin G (IgG); Reports that is evidence of specific organ damaged, including assay reports or image reports Participants must agree to take medical herbs for at least 3 months as one course continually; Participants must agree to repeat the assay and image test to monitor the treatment results; Participants must report their Manifestations clearly to investigators; Participants must agree to continue the next course of the treatment after the evaluation if it is necessary; The treatment goal is to become symptom-free, and experiment assays went to normal Exclusion Criteria: Participants don't want to take medical herbs; Participants have symptoms of sequelae but is not caused by SARS-CoV-2 (COVID-19); Participants have not symptoms after COVID-19 infection, no assays abnormal either; Participants don't want to repeat the experiment assays; Participants are in E.R. or ICU during the application or enrollment;
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: This clinical study designed with a sequential assignment: participants receive their medical herbs depending on their pathological states; through one course of the treatment, we will review their symptoms and corresponding indicators of visceral damage。
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: antigen<br>The antigen is the cell that is destroyed by inflammation, which can perform as swollen, fatty, apoptosis, necrosis, and lethal pathological states. Some pathological cells can be saved and returned to customary conditions, like swollen, fatty, early apoptosis, but necrosis, lethal. | Combination Product: PurWet<br>* (1) cang zhu (Atractylodis Rhizoma), bai (zhu Atractylodis macrocephalae Rhizoma), dang shen (Codonopsis Radix), huang qi (Astragali Radix), Fu ling (Poria), Zhu ling (polyporus), Ze xie (Alismatis Rhizoma), Yi yi ren (Coicis Semen), gan cao (Glycyrrhizae Radix),<br>Combination Product: FurFat<br>* (2).shan zha (Crataegi Fructus), Jue Ming Zi (Cassiae Semen), He ye (Nelumbinis Folium), Da huang (Rhei Radix et Rhizoma), Ze xie (Alismatis Rhizoma), dan shen ( Salviae miltiorrhizae Radix).<br>Combination Product: PurApo<br>* (3)Sheng Di Huang (Rehmanniae Radix), Xuan Shen (Scrophulariae Radix), mai men dong (Ophiopogonis Radix), shan zhu yu (Corni Fructus), shan yao (Dioscoreae Rhizoma), sha yuan zi (Astragali complanati Semen), ci ji li (Tribuli Fructus), nu zhen zi (Ligustri lucidi Fructus)<br>Combination Product: PurPhl<br>* (4) chen pi (Citri reticulatae Pericarpium), hua ju hong (Citri grandis Exocartium rubrum), zhi shi (Aurantii Fructus immaturu), zhi ban xia (Pinelliae Rhizoma preparatum), zhi tian nan xing (Arisaematis Rhizoma preparatum),sha ren (Amoni Fructus), Gua lou (Trichosanthis Fructus), Chuan bei mu ( Fritillatiae cirrhosae Bulbu), Fu ling ( Poria), Da huang ( Rhei Radix et Rhizoma).<br>|
| Active Comparator: Internal environment<br>The internal environment is critical to the damaged cells recovering. Mainly it is covered by two major parts: metabolites and thrombus. | Combination Product: PurClo<br>* (2) Dan shen (Salviae miltiorrhizae Radix), Yu jin (Curcumae Radix), chi shao (Paeoniae Radix rubra), tao ren (Persicae Semen), hong hua (Carthami Flos)<br>|
| Active Comparator: Communication between cells<br>The communication between organs, cells, helps the damaged cells recover and reduce symptoms. | Combination Product: PurInf<br>* (1) lei gong teng (Tripterygii wilfordii Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bai (Phellodendri Cortex), Zhi Zi (Gardeniae Fructus).<br>Combination Product: Smoliv<br>* (2). Vagus never communicates with LES: yu jin (Curcumae Radix), Chai Hu (Bupleuri Radix), chi shao (Paeoniae Radix rubra), Mu Dan Pi (Moutan Cortex), chuan lian zi (Toosendan Fructus), long gu (Fossilia Ossis Mastodi), mu li (Ostreae Concha)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Monitoring symptoms | Measuring the symptoms of chest pain, cough, loss of smell, loss of taste by Visual Analog Score (VAS) | 3 months as a course | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Monitoring emotion changing | measuring anxiety, depression, bipolar feeling by Visual Analog Score (VAS) | 3 months as a course. | 
| Checking heart burn symptom | Measuring stomach reflux symptom by Visual Analog Score (VAS) | 3 months as a course. | 
| Monitoring thyroid function | Measuring thyroid hormone3, 4 (T3,T4), thyroid-stimulating hormone (TSH) level | 3 months as a course | 
| Monitoring liver function | Measuring alanine transaminase (ALT), Aspartate transaminase (AST), alkaline phosphatase (ALP) recovering | 3 months as a course | 
| Monitoring kidney function | Measuring estimated glomerular filtration rate (eGFR), creatinine (Cr.) level | 3 months as a course | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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treatment of Covid-19 virus infection, COVID stress syndrome, COVID19 stress syndrome, sequelae, sequels, loss of smell, loss of taste, emotion disorder, panic disorder, Post-Traumatic Stress Disorder (PTSD), Depression, Anxiety, Heartburn, GERD, Gastroesophageal reflux disease, Sleep Disorders