Acknowledgement
This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant Number: HF20C0079). The authors are grateful for the support of the COVID-19 telemedicine center of Korean medicine, the Association of Korean Medicine, and the research team for the Korean medicine clinical practice guidelines for insomnia (version 1.0).
References
- Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China. Lancet. 2020;395(10223):497-506. https://doi.org/10.1016/s0140-6736(20)30183-5
- Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr. 2020;52:102066. https://doi.org/10.1016/j.ajp.2020.102066
- Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020:88:901-7. https://doi.org/10.1016/j.bbi.2020.05.026
- Zhang J, Lu H, Zeng H, Zhang S, Du Q, Jiang T, Du B. The differential psychological distress of populations affected by the COVID-19 pandemic. Brain Behav Immun. 2020;87:49-50. https://doi.org/10.1016/j.bbi.2020.04.031
- Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res Public Health. 2020;17(6):2032. https://doi.org/10.3390/ijerph17062032
- Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. 2008;38(4):467-80. https://doi.org/10.1017/s0033291707001353
- Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. https://doi.org/10.1016/s0140-6736(20)30460-8
- Leung PC. The efficacy of Chinese medicine for SARS: a review of Chinese publications after the crisis. The Am J Chin Med. 2007;35(4):575-81. https://doi.org/10.1142/S0192415X07005077
- Kim DS, Chu H, Min BK, Moon Y, Park S, Kim K, Par SH, Kim YD, Song M, Choi GH, Lee E. Telemedicine center of Korean medicine for treating patients with COVID-19: a retrospective analysis. Integr Med Res. 2020;9(3):100492. https://doi.org/10.1016/j.imr.2020.100492
- The Association of Korean Medicine. 2nd ed. 2020 [cited 2021 Jun 16]. COVID-19 Korean medicine clinical guidance. https://www.kmcric.com/news/newspaper/view/41842.
- Zhou QH, Wang HL, Zhou XL, Xu MB, Zhang HF, Huang LB, Zheng GQ, Lin Y. Efficacy and safety of suanzaoren decoction for chronic insomnia disorder in adults: study protocol for randomised, double-blind, double-dummy, placebo-controlled trial. BMJ Open. 2017;7(4):e014280. https://doi.org/10.1136/bmjopen-2016-014280
- Kim HC, Jeong DG. A study of the comparative effect of Kuibitang, Kamiondarmtang, and Kuibiondarmtang on serum levels in rats under the immobilization stress. Journal of Oriental Neuropsychiatry. 1993;4(1):99-119.
- Kim SH, Hwang SM, Chung DK. Effects of the Ansymondamtang and Gamiondam-tang on the regional brain monoamines contents of cold swimming stressed mice. Journal of Oriental Neuropsychiatry. 2001;12(1):97-109.
- Wu F, Song Y, Li F, He X, Ma J, Feng T, Guan B, Wang L, Li S, Liu X, Liu Y, Mao M, Liu J, Bai S, Song C. Wen-dan decoction improves negative emotions in sleep-deprived rats by regulating orexin-a and leptin expression. Evid Based Complement Alternat Med. 2014;2014:872547.
- Han YH. Clinical observation on treating 58 cases of insomnia with Huanglian Wendan decoction. Clinical Journal of Chinese Medicine. 2012;4(2):39-40.
- Ji XP, Zhang B, Zheng QL. Clinical Observation on Modified Wendan Decoction in Treating Insomnia 60 Examples. Liaoning University of Traditional Chinese Medicine. 2012; 14(2):148-9.
- Lin B. Clinical observation on the treatment of 60 cases of insomnia with Huanglian Wendan decoction. The Medical Journal of Industrial Enterprise. 2014(5):1054-5.
- Ruan YH, Zhou YJ. Clinical observation of 112 cases phlegm-fire syndrome insomnia patients treated by modified Huanglian Wendan decoction. Journal of Zhejiang Chinese Medical University. 2014;38(2):170-2.
- Su HM, Jin WG, Tang J. Curative effects of modified "Huanglian Wendan Decoction"on chronic insomnia of phlegm and blood-stasis accumulation. Shanghai Journal of Traditional Chinese Medicine. 2013;47(4):40-2.
- Wang XB, Han YX. Curative effect observation on the treatment of 93 cases of insomnia with modified Wendan Decoction. Tibetan Medicine. 2015;36(3):79-81.
- Ye SJ, Chang B. Clinical observation of modified Huanglian Wendan decoction and Surazepam treating on insomnia. Journal of Tianjin University of Traditional Chinese Medicine. 2015;34(4):211-4.
- Zhang YY. Observation on curative effect of Huanglian Wendan decoction on treating insomnia of phlegm-heat. Journal of Community Medicine. 2011;9(9):43.
- Zhang ZM. Observation on the therapeutic effect of modified Huanglian Wendan decoction in treating 80 cases of insomnia of phlegm-heat. Acta Chinese Medicine and Pharmacology. 2008;36(6):64-5. https://doi.org/10.3969/j.issn.1002-2392.2008.06.030
- Li LW, Qiu JH. Clinical observation on the treatment of 60 cases of insomnia with internal disturbance of phlegmheat by Shenmai Wendan decoction. Yunnan Journal of Traditional Chinese Medicine and Materia Medica. 2015;36(4):52-3.
- Wen SJ. Effect of wendan decoction combined with paroxetine on emotion and quality of sleep of patients with insomnia with internal disturbance of phlegm heat syndrome. Practical Pharmacy And Clinical Remedies. 2014;17(9):1151-4.
- Zhang J, Tian F, Zou W, Zhang Y, Zhang S. The research into efficacy of decoction of Semen Ziziphi Spinosae in treating insomnia due to DL-4-chlorobenzene alanine of rats. Henan Traditional Chinese Medicine. 2016;36(6):985-7.
- Zhang J, Zou W, Tian F, Zhang Y, Zhang S. Effects of SuanZaoRen Tang on anxious rats in elevated plus maze test. Western Journal of Traditional Chinese Medicine. 2017;30(4):13-5.
- Cao M, Wang H, Shi Q, Zhao Y. Effects of Suanzaoren Tang on glutamic acid, γ-aminobutyric acid and γ-aminobutyric acid subtype A receptor expression in brain of elderly insomnia model in rats. Liaoning Journal of Traditional Chinese Medicine. 2010;16(14):119-23.
- Cao M, Zuo W, Wang H. Effects of Suanzaoren decoction on biochemicals contents in microdialysis samples from cerebral cortex of PCPA-induced insomnia rats. Jiangsu Medical Journal. 2018;44(10):1101-4.
- Zhang R, Guo X, Li J, You Q, Zhang S. Effect of Suanzaoren decoction on hypothalamus GABA expression and receptors of chronic sleep deprivation senile insomnia rats. Liaoning Journal of Traditional Chinese Medicine. 2018;45(4):845-7, 95.
- Cao M, Wang H, Shi Q, Zhao Y. Changes of GFAP and P2X7 receptor expression in cerebral cortex of PCPA insomnia rats and intervention effect of Suanzaoren decoction. Liaoning Journal of Traditional Chinese Medicine. 2018;45(11):2442-4, 66.
- Zuo W, Zang Y, Wang H. Effects of Suanzaoren decoction on insomnia rats cerebral cortex in metabotropic glutamate receptor mGluR1, mGluR2. Asia-Pacific Traditional Medicine. 2018;14(3):4-7.
- Zhang R, You Q, Wang P, Ding L, Zhang S. Suanzaoren Decoction on suprachiasmatic nucleus c-fos and nNOS expressions of chronic sleep deprivation senile insomnia rats. Liaoning Journal of Traditional Chinese Medicine. 2017;44(10):2211-3, 43.
- Zhang F, Ran R, Zhao B. Effect of Suanzaoren decoction on expression of circadian genes Clock and Bmal1 in the suprachiasmat. Journal of Hunan University of Chinese Medicine. 2019;39(1):19-22.
- Zhang R, You Q, Ding L, Wang P, Zhang S. Suanzaoren Decoction on suprachiasmatic nucleus VIP and AVP peptide nerve cells of senile rats with chronic sleep deprivation. Liaoning Journal of Traditional Chinese Medicine. 2017; 44(9):1987-90.
- Zhang R, You Q, Wang P, Zhang S. Effects of Suanzaoren decoction on cardiac muscle cells apoptosis and expression of Bcl-2 and Bax proteins in the chronic sleep deprivation induced-senile insomnia rats. China Journal of Traditional Chinese Medicine and Pharmacy. 2017;32(4):1691-3.
- Sawamoto A, Okuyama S, Amakura Y, Yamada R, Yoshimura M, Nakajima M, Furukawa Y. Sansoninto as evidence-based remedial medicine for depression-like behavior. J Nat Med. 2018;72(1):118-26. https://doi.org/10.1007/s11418-017-1119-0
- Feng HP. Suanzaoren Tang treating 78 cases of insomnia. Journal of Practical Traditional Chinese Internal Medicine. 2011;25(6):56-7. https://doi.org/10.3969/j.issn.1671-7813.2011.06.030
- Li LS. Suanzaoren decoction treated 76 cases of insomnia. Clinical Medicine. 2013;33(12):120-1.
- Lin L. Clinical observation on treatment of insomnia with Baidi Zaoren decoction. Strait Pharmaceutical Journal. 2007;19(12):105-6. https://doi.org/10.3969/j.issn.1006-3765.2007.12.061
- Liu SN. Treating 50 cases of insomnia with Suan Zao Ren decoction. Clinical Journal of Chinese Medicine. 2012;4(4):94-5.
- Liu ZL, Cao ZA, Guo DY, Yang MY, Li H, Xu XN. Clinical research of modified Suanzaoren decoction on old age insomnia. Journal of Chinese Medicine. 2009;24(5):42-3.
- She YQ. Observation on curative effect of Suanzaoren decoction in treating female insomnia. Journal of Guangxi Traditional Chinese Medical University. 2009;12(4):14-6. https://doi.org/10.3969/j.issn.1008-7486.2009.04.007
- Yu BK. Treatment of 63 cases of simple insomnia with Baihe Suanzaoren decoction. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine. 2006;16(9): 580.
- Yuan MS, Zhuang ZZ, Zhou X. Clinical observation on Suanzaoren decoction in treating 69 cases of unexplained insomnia. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2009;15(4):13-5. https://doi.org/10.3969/j.issn.1672-951X.2009.04.007
- Long Y. Clinical observation on Suanzaoren decoction in treating insomnia of liver blood deficiency. Yunnan Journal of Traditional Chinese Medicine and Materia Medica. 2013;34(11):30-2.
- Wu LM, Zhang XX, Cheng XW. Modified Suanzaoren decoction combined with alprazolam in treating 260 cases of chronic severe insomnia. Lishizhen Medicine and Materia Medica Research. 2008;19(1):202-3. https://doi.org/10.3969/j.issn.1008-0805.2008.01.116
- Yang WC. Study on the value of Suanzaoren decoction combined with conventional western medicine in the treatment of insomnia. Pharmacology and Clinics of Chinese Materia Medica. 2015;31(4):257-9.
- Kim IJ, Lee DW, Ryu JS, Hong S. Experimental study on the sedative effect of Gagamguibitang. Journal of Oriental Neuropsychiatry. 2002;13(2):195-211.
- Choi BI, Jeong JH. The experimental study on anti-stress effect of Kamikubitang utilizing for menopause. J Korean Obstet Gynecol. 2000;13(2):201-12.
- Jo KH, Kim YS, Chung DK. Effects of the Guibi-tang and Yishingyojae-dan on the regional brain monoamines contents of immobilization stressed mice. Journal of Oriental Neuropsychiatry. 2001;12(1):111-22.
- Eun JS, Song JM. Effects of Kwibi-tang on serum levels of hormone and the non-specific immune response after immobilization stress in mice. Journal of Physiology & Pathology in Korean Medicine. 2004;18(1):172-8.
- Wi S, Lee SJ, Yoo SK. Effects of Kamikwibitang on serum levels of corticosterone and histamine and immune response after immobilization stress in mice. J Korean Obstet Gynecol. 2005;18(1):94-110.
- Fu JJ. Treating 55 cases of insomnia of Xinpi Liangxu type with the Guipi decoction. Clinical Journal of Chinse Medicine. 2013;5(15):28-9.
- Lin KL, Xu XJ, Hwang C, Wang ZP. The quasi flavored soup of spleen-invigorating treat type glove two virtual wakefulness random control study. Journal of Practical Traditional Chinese Internal Medicine. 2013;27(4):50-1.
- Meng LN. Treating 50 cases of insomnia with the Guipi decoction. Modern Traditional Chinese Medicine. 2011;31(4):7-8. https://doi.org/10.1016/S0254-6272(11)60002-2
- Miao YN, Gao YT. Analysis of the clinical effect of Guipi decoction for treatment of heart and spleen deficiency type insomnia. Clinical Journal of Traditional Chinese Medicine. 2015;27(2):192-4.
- Wang Y, Xiao S, Yang H. Clinical observation on treatment of 112 cases of insomnia syndrome of deficiency of heart and spleen by strengthening the spleen and nourishing the heart and activating blood. Gansu Traditional Chinese Medicine. 2004;17(5):13-4.
- Xue GT. Clinical observation on 60 cases of primary insomnia caused by deficiency of heart and spleen with Guipi decoction. Forum on Traditional Chinese Medicine. 2016;31(2):28-9.
- Yang XH, Zhang M, Yao HH, Wang CY. Observation on the therapeutic effect of Guipi decoction in treating insomnia caused by deficiency of heart and spleen. Journal of New Chinese Medicine. 2011;43(8):38-9.
- Yang XL. Clinical observation on 50 cases of insomnia caused by deficiency of heart and spleen with Guipi decoction. Journal of Guiyang College of Traditional Chinese Medicine. 2012;34(4):103-4.
- Yu JW. Clinical observation on 60 cases of insomnia treated with Guipi decoction. Yunnan Journal of Traditional Chinese Medicine and Materia Medica. 2014;35(3):45.
- Jin XL. Clinical observation of Guipi decoction combined with diazepam in the treatment of insomnia with deficiency of both heart and spleen. China Practical Medicine. 2016;11(23):210-1.
- Zhao JL. Clinical observation of Guipi decoction combined with diazepam in treating insomnia with deficiency of heart and spleen. Journal of New Chinese Medicine. 2014;46(12):44-5.
- Jin SE, Ha H, Seo CS, Shin HK, Jeong SJ. Expression of hepatic cytochrome P450s in rats administered with Guibi-tang, a traditional herbal formula. Pharmacogn Mag. 2018;13(Suppl 4):S822-7.
- Choi YK, Park CH, Jun CY, Kim DW, Hwang GS. Effects of Hyeolbuchukyeo-tang on stress. Journal of Korean Oriental Medicine. 2005;26(3):162-75.
- Li XL. Clinical observation on 96 cases of insomnia treated by Xuefu Zhuyu decoction. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2012;18(10):49-50.
- Liu AL. Clinical observation on 68 cases of insomnia treated with Xuefu Zhuyu decoction. Forum on Traditional Chinese Medicine. 2004;19(3):24. https://doi.org/10.3969/j.issn.1002-1078.2004.03.021
- Zhang HX. Treating 50 cases of intractable insomnia with the Xuefu Zhuyu decoction. Clinical Journal of Chinese Medicine. 2015;7(19):90-1.
- Zheng JX, Xu SH. Clinical observation on 60 cases of insomnia treated with Xuefu Zhuyu decoction. Hebei Journal of Traditional Chinese Medicine. 2009;31(9):1330-1. https://doi.org/10.3969/j.issn.1002-2619.2009.09.032
- Wang FL, Yang CH. Clinical observation of modified Xuefu Zhuyu decoction combined with western medicine in treating insomnia. Journal of Practical Traditional Chinese Medicine. 2014;30(3):209-10.
- Yang J. A 52 cases clinical observation of intractable insomnia treated with modified Xuefu Zhuyu decoction. Hebei Journal of Traditional Chinese Medicine. 2011;33(12):1813,48.
- Wu J, Wang H, Shi Q, Zang Y. Changes in prefrontal cortex ATP concentration over time after PCPA induced insomnia and the intervention effect of Suanzaoren decoction. Chongqing Medicine. 2017;46(4):439-41.
- Peng F, Tu L, Yang Y, Hu P, Wang R, Hu Q, Cao F, Jiang T, Sun J, Xu G, Chang C. Management and Treatment of COVID-19: The Chinese Experience. Can J Cardiol. 2020;36(6):915-30. https://doi.org/10.1016/j.cjca.2020.04.010
- Ang L, Song E, Lee HW, Lee MS. Herbal medicine for the yreatment of voronavirus fisease 2019 (COVID-19): a systematic review and meta-analysis of randomized controlled trials. J Clin Med. 2020;9(5):1583. https://doi.org/10.3390/jcm9051583
- Panyod S, Ho CT, Sheen LY. Dietary therapy and herbal medicine for COVID-19 prevention: A review and perspective. J Tradit Complement Med. 2020;10(4):420-7. https://doi.org/10.1016/j.jtcme.2020.05.004
- Liu L, Liu C, Wang Y, Wang P, Li Y, Li B. Herbal medicine for anxiety, depression and insomnia. Curr Neuropharmacol. 2015;13(4):481-93. https://doi.org/10.2174/1570159X1304150831122734
- Poon MMK, Chung KF, Yeung WF, Yau VHK, Zhang SP. Classification of insomnia using the traditional chinese medicine system: a systematic review. Evid Based Complement Alternat Med. 2012;2012:735078.
- Zhou QH, Zhou XL, Xu MB, Jin TY, Rong PQ, Zheng GQ, Lin Y. Suanzaoren formulae for insomnia: updated clinical evidence and possible mechanisms. Front Pharmacol. 2018;9:76. https://doi.org/10.3389/fphar.2018.00076
- Liao J, Wang J, Liu Y, Li J, Duan L, Chen G, Hu J. Modern researches on blood stasis syndrome 1989-2015: a bibliometric analysis. Medicine (Baltimore). 2016;95(49):e5533. https://doi.org/10.1097/md.0000000000005533
- Park B, You S, Jung J, Lee JA, Yun K-J, Lee MS. Korean studies on blood stasis: an overview. Evid Based Complement Alternat Med. 2015;2015:316872.