Viral Hepatitis

Viral Hepatitis

Viral hepatitis is caused by hepatitis virus infection in a variety of common infectious diseases, infectious, transmission complex, a wide range of popular, higher prevalence and other characteristics.Characteristics of the main symptoms were fatigue, fever.
Jaundice, nausea, vomiting, loss of appetite, hypochondriac pain, liver pain, liver enlargement and tenderness, etc.; fulminant hepatitis is a significant bleeding tendency, liver atrophy, neurological symptoms and even death. The disease is sub-alpha, beta, gamma, delta, epsilon and so on. Can be divided according to the clinical acute hepatitis (jaundice, without jaundice), chronic hepatitis (persistent, activity), severe hepatitis (fulminant, subacute), and bile stasis hepatitis four. Viral hepatitis is a Chinese medicine “hypochondriac pain,” “jaundice,” “wasting,” “anxious yellow”, “yellow plague”, “liver product” and other areas.

[Etiology and pathology]
The pathogenesis in the liver, and liver, gallbladder, spleen.Stomach, kidney and other organs related.
Immunotoxin feel hot and humid outside as evil, weak inside because of righteousness. Evidence-based acute hepatitis, mainly feel heat cult poison, stagnation stomach, liver and gallbladder fumigation, air-block caused. Actual situation of chronic hepatitis and more mixed, mainly evils nostalgia, Liver and liver and kidney deficiency, context stasis due. Bile stasis type is false is mixed, mainly hot and humid nostalgia, fumigation liver and gallbladder, spleen and blood stasis caused. Critically ill patients waiting fulminant hepatitis, mainly Immunotoxin flaming, of cremation dry, retraction business of blood, evil heat inside the closed, want off due to strength.

[Diagnostic points
1 Acute hepatitis may have fatigue, fever, jaundice, poor appetite, nausea, vomiting, hypochondriac pain, abdominal distension, liver pain, hepatomegaly and so on. Acute hepatitis, chronic hepatitis is delayed healing, duration of more than six months, may have acute symptoms and signs, may also have splenomegaly, liver palms, spider, etc., can damage multiple organs outside the liver, the most common is arthritis and chronic nephritis. Abrupt onset of severe hepatitis, jaundice deepened rapidly, obviously bleeding tendency, liver atrophy, liver and stink, drowsiness, convulsions, irritability, delirium, coma, oliguria or anuria and so on.
Severe hepatitis jaundice bile stasis, and may have fatigue, pruritus, hepatomegaly, pale stools, digestive symptoms less severe.
2 liver function in patients with acute hepatitis serum alanine aminotransferase (SGPT) continued to increase, serum bilirubin; patients with chronic hepatitis repeated or persistent abnormal liver function, magic herbs phenol turbidity, zinc sulfate turbidity positive. Serious damage to severe hepatitis and hepatic function, serum bilirubin was significantly higher, significantly prolonged prothrombin time, cholesterol, azotemia and so on. Direct bilirubin, bile stasis hepatitis high for several months or a year, a serum alkaline phosphatase and γ glutamyl transferase increased slightly elevated alanine aminotransferase or normal.
3. Serological examination the diagnosis of hepatitis antigen and antibody can distinguish various types of hepatitis.
4 liver biopsy examination of the hepatitis diagnosis of great value; pathogen of chronic hepatitis, etiology, inflammation, fibrosis can get the correct data.

[Dialectical type]
1 Damp steam symptoms: who heads both yellow, bright yellow, fever, thirst, poor appetite, tired of the oil, nausea, vomiting, hypochondriac pain, abdominal distension, constipation, yellow urine, liver enlargement, tenderness evident. Red, yellow greasy moss, pulse a few strings, more common in acute jaundice hepatitis.
Syndromes: Damp steam hepatobiliary, who heads both seen yellow, hypochondriac pain, liver enlargement, tenderness; hot as the sun evil, so clear yellow; hot burning body fluid, so heat thirst; heat Accumulation of coke, transport disorders, and therefore, poor appetite, tired of the oil; loss and lower stomach, nausea and vomiting can be seen; bowel gas barrier, it is bloating, constipation; damp, bladder gasification negative, then the yellow urine; red tongue yellow greasy moss, pulse a few strings are Damp steam as the liver and gallbladder.
2 Spleen Dampness symptoms: fatigue, weakness, drowsiness limbs, Xiexia pain, eating less, loose stools thin, pale complexion.Pale, greasy moss, pulse slow soft. More common in chronic persistent or active hepatitis.
Syndrome analysis: spleen transport, the main limbs, muscle, spleen dampness are fatigue, weakness, drowsiness limbs; Damp air can have Xiexia pain; Spleen dampness, transport and power, then the diet decreased stool thin lining; pale complexion, pale tongue, greasy moss, pulse slow soft Spleen dampness of the elephant.
3 Liver and symptoms: depressed look, flank fullness or pain, when the hi heave a deep sigh, irritability, abdominal distension and swelling of the liver homes, heating gas, poor appetite, nausea, vomiting, loose stools thin. Thin white or greasy fur, pulse string, no jaundice common in acute hepatitis or chronic persistent hepatitis recurrence.
Symptoms analysis: liver qi stagnation, it looked depressed, flank fullness or pain, when hi heave a deep sigh; Yu and heat, so the irritability; Liver and spleen and stomach movements disorders, swelling of the liver may have abdominal distension, poor appetite Heating , nausea and vomiting.
Loose stools thin; thin white or greasy fur, pulse string for the Liver and the like.
4 liver and kidney yin deficiency symptoms: Xie pain, emaciation, weak knees, dizziness and ringing in the ears, eyes flower paste, made the teeth declared epistaxis, dry mouth, dry lips, hands and feet of hot, face red tide heat. Red tongue, little pain, rapid pulse, more common in chronic active hepatitis.
Syndrome analysis: chronic illness damage liver, venae dystrophy, therefore, Xie pain, emaciation, eyes flower paste; long time, and kidney, may have weak knees, dizziness, ringing in the ears; liver and kidney and Hot endogenous, the dry mouth, dry lips, hands and feet of hot, face red tide heat; red tongue, little bitter, thin veins of the liver and kidney of the elephant.
5 blood stasis symptoms: chest abdominal swelling, nausea, belching, nausea, Xiexia plot block, flank pain or tingling, hand colored red, red neck arm see spider silk thread, epistaxis teeth bleed, dark lips, face stagnation . Dark red tongue, pulse astringent, more common in some chronic active hepatitis and persistent hepatitis.
Syndrome analysis: liver qi stagnation, loss and lower stomach, then see the chest abdominal swelling asked, belching nausea; Qi stagnation, blood stasis Bizu threat network, Sekihisa into a scar, visible Xiexia plot block, flank pain or tingling; blood stasis on the deep red color measuring hand, neck and arm see red spider silk thread; bleeding do not go, new blood is not raw, bleeding, epistaxis may have teeth bleed; face stagnation lips dark, dark red tongue , pulse astringent as the signs of blood stasis.
6. Immunotoxin flaming symptoms: abrupt onset, rapidly deepening jaundice, bright as gold, high fever, thirst, flank pain, pay less vomiting, drowsiness, coma and delirium, extreme fatigue, or both see Nvxue or blood in the stool, urine dark yellow.Red purple, yellow and dry, slippery pulse string or breakdown.More common in severe hepatitis.
Syndrome analysis: heat clip toxic, toxic heat flaming, fumigation liver and gallbladder, bile overflows to force the skin, so the rapid-onset, rapidly deepening jaundice, bright as gold; heat toxin Chi, burns body fluid, so the heat polydipsia; hepatobiliary ShuxieDivision lost, air-disorders, it is flank pain. Pay less vomiting; toxic heat measurements see the pericardium retraction drowsiness, coma and delirium; thermal forcing blood Wang Xing, see Nvxue or blood in the stool; damp bladder, the urine dark yellow; red line, yellow dry moss, slippery pulse Immunotoxin flaming or breakdown of the number of signs.
7. Hepatobiliary swelter symptoms: yellowing of the skin face and body, continued to understand, clear yellow, hypochondriac pain lead back, may have fever or cold and heat exchanges, accent throat, poor appetite, bloating, nausea, vomiting, constipation, scanty dark urine red. Red tongue, yellow greasy moss, pulse a few strings. More common in hepatitis bile stasis.
Syndromes: swelter block the bile duct, bile leak, so face and body skin yellow, continued puzzled; Hepatobiliary Division lost catharsis, gas-poor, Yu and heat, so the distinctive yellow, hypochondriac cited back; less Yang undergo gall bladder disease, it can have a fever or cold and heat exchanges, mouth and throat; hepatobiliary swelter, stomach movements disorders, the poor appetite bloating, nausea and vomiting; bowel gas barrier, is constipation; damp bladder, the urine short red; red tongue, yellow greasy moss, pulse a few strings are the signs of liver and gallbladder swelter.

[And Treatment]
1 Damp steam treatment: heat and dampness, purging fire detoxification.
Recipe: Long Dan Xie Gan Tang Artemisia addition and subtraction.
Capillaris 18 grams 9 grams of rhubarb Coptis Gardenia 12 g 9 g 9 g Scutellaria Cork 9 wood through 6 g gentian 6 Keze diarrhea 15 g Plantago 15 grams (including fried) 12 g Poria 12 grams Polyporus 6 grams of licorice subtraction with the disease: nausea and vomiting, plus Jiangzhu Ru, Jiang Ban Xia 9 grams, to vomiting and stomach; severe liver heat, add Hypericum japonicum, sarmentosum 30 grams each, to Liver; wet Xie Sheng, who , plus the herb, Poria 12 grams, talc.
Plantago (including fry), 30 grams, to dampness.
2 Spleen Damp rule is: Spleen Qi, qi dampness.
Recipe: SHENLINGBAISHU Powder Erchen addition and subtraction.
Codonopsis 12 grams 12 grams Atractylodes Polyporus Poria 12 grams 12 grams 15 grams 15 grams of yam beans Pinellia Magnolia 6 g 9 g 6 g wood Amomum 3 Kechuan?? Sub 10 grams dried tangerine peel 6 g millet sprout buds oats 15 15 grams 6 grams of licorice subtraction with the disease: chills, diarrhea before dawn, could increase tuber 6 grams of dried ginger 2 grams to yang and cold; lower extremity edema, Guizhi 5 g, Alisma 12 grams, to facilitate water swelling back.
3 Liver and Therapeutic: Liver qi, spleen, and the.
Recipe: CHSGS Nations Gentlemen Decoction.
Bupleurum Citrus aurantium 9 g 6 g 9 g Cyperus rotundus Codonopsis 12 grams 12 grams Atractylodes Coix 15 g Poria 12 g Pinellia 12 g Magnolia Chuanxiong 6 grams 6 grams 6 grams of licorice TGP 9 grams subtraction with the disease: nauseavomiting, plus Jiang Zhuru 9 grams, to vomiting; poor appetite, add 15 grams of malt grain, Divine Comedy 9 grams, 6 grams of Gallus gallus domesticus, to digestion; loose stools thin, add yams, lentils, 15 grams, to Jianpizhixie.
4 liver and kidney yin deficiency rule is: kidney tonic, Rougan Yin.
Recipe: Yiguangjian addition and subtraction.
Habitat Rehmannia 12 g 12 g 12 grams medlar angelica peony root 15 g 12 9 Kashagan reference Winter oats 12 Kechuan?? Child restraint Radix 12 g 9 Cornus 12 grams 6 grams of licorice subtraction with the disease: vertigo, Canada Gastrodia 6 grams to Pinggan; tinnitus, plus Shichangpu 12 grams, to open ears awakened; head paste, add green box 9 grams, 9 grams of cassia, the Liver eyesight; dry mouth, dry lips, plus fresh reed rhizome 30 grams, with thirst.
5 blood stasis rule is: qi Xiaozhi, promoting blood circulation.
Recipe: compartment under Decoction.
Wulingzhi 9 grams (including fry) Angelica sinensis 9 g Chuan Xiong 9 g peach kernel 9 grams ginseng 15 g safflower 6 Kdan TPG 9 g dl 9 g Cyperus rotundus 12 g flag shell 15 Kechuan?? Sub 9 grams Codonopsis 15 grams Atractylodes 9 g Poria 9 grams 6 grams of licorice.
Subtraction with the disease: severe Xiexia plot block, add oysters, pangolins, 15 grams, with Endometriosis: Nvxue, plus Rhizoma Imperatae 30 grams, 9 grams of carbon madder, to stop the bleeding.
6. Immunotoxin flaming rule is: Qingying cooling, detoxification dampness.
Recipe: Qingwenbaiduyin decoction.
Buffalo horn pieces 30 grams of rhubarb Gardenia 12 g 9 g 6 g Herba Coptis skullcap 12 g 15 g 12 g habitat Scrophulariaceae 12 Kedan Pi TPG 12 g 12 g 9 g Forsythia Honeysuckle 9 Kdan reference 15 g Rhizoma Imperatae 30 g Radix 12 g raw licorice 6 grams subtraction with the disease: high fever mania, coma and delirium, liver and stink are, nine or acute Jia’an Palace bezoar bezoar pure heart pills, 3 grams each, 1 to 3 times a day to heat resuscitation; tetany, plus antelope horn powder, each 0.3 grams, 2 times a day to Liver Xifeng; ascites, add plantain 15 grams, Chen gourd 9 grams, 9 grams bamboo worms to facilitate the withdrawal of water swelling.
7? Bile stasis heat treatment: Liver and gallbladder, heat dredge.
Recipe: Three-gin combined Artemisia decoction.
Money Grass 30 Ridge Jinsha 12 g turmeric 12 g 6 g capillaris 30 grams of Gallus gallus domesticus Gardenia 9 grams 9 grams of rhubarb skullcap 9 g Poria 12 g Plantago 15 grams (including fry) through 6 of the reference 15 g orange Kdan Shell 15 g dl 9 grams 6 grams of licorice subtraction with the disease: a cold and heat exchanges, mouth and throat, plus Bupleurum 6 grams of reconciliation Shaoyang; nausea and vomiting, plus Jiang Zhuru 9 grams, to vomiting; spleen plus Codonopsis 12 grams, 12 grams Atractylodes, Yiyiren 15 grams, the spleen Qi.

[Chinese medicine]
1. Sarmentosum granules 1 package each time, 3 times a day.
2. Yinzhihuang granules 1 package each time, 3 times a day.
3. Versicolor Glucurolactone granules each time a packet, 3 times a day.

[Side] is simple
1. Capillaris 10 grams, 6 grams gardenia, skullcap 9 grams, 30 grams sarmentosum, serving a day, with service 15. For acute jaundice hepatitis.

2. JGC 9 grams, field-based Yellow 12 grams of Salvia 10 g, white peony root 12 g, gentian 4.5 grams of talc 12 grams, Akebia 6 grams, serving a day, with service 15. Slow to move for the liver, chronic active hepatitis patients.

3 Health Yiyiren 30 grams bean 30 grams, add water, amount of sugar and cook until crisp not to eat bean soup, day 1. Applicable to all types of hepatitis were mainly wet resistance.

[] Other therapies
Acupuncture: acupoints to Yang, Yu liver, gallbladder Yu, Yang Ling Quan, full three years. Damp steam, such as increased vertebral, music pool. Foreign relations; qi stagnation plus on the door, tributary, which closed; spleen dampness, add Yin Ling Quan, Sanyinjiao, Zhongwan;
Both with reducing method, day 1, the needle 20 minutes.
(1) water in 50 grams of mushrooms (sliced), 100 grams of rice stems, a total cook until thick, porridge eating, day 1.
(2) live loach 100 grams, the amount of water, the first seven mature loach stew, into the amount of tofu, raw Hawthorn 9 grams, Day Lily 30 grams, ginger, salt, cooked. Sub-Dayton food.
(3) bitter gourd 200 grams of liver, 200 grams, plus a little cooking wine, soy sauce, salt and marinate for 15 minutes, washed cold open water washout, the amount of water, steamed into the cage, food.
(4) turtle 1, Ganoderma lucidum 12 grams of cooking wine, salt, seasoning a little, ranch to a crisp, edible.

1. Good job protecting water sources, water disinfection, food sanitation, waste management. Hepatitis B and C, the focus is to prevent the spread through blood and body fluids. Of the susceptible population, injectable human gamma globulin, hepatitis A vaccine, hepatitis B vaccine. Acute hepatitis or chronic active hepatitis after onset, should be isolated for 30 days, the patient should pay attention to rest. Treatment of drug abuse.
(2) diet with fresh, light, easy to digest for the principle, to ensure adequate calories and some protein, vitamin C. Eat less greasy food grill, patients with acute low-fat, high sugar diet. Severe hepatitis diet should be low salt, low fat, high sugar, to ensure adequate heat. Severe hepatitis proteins to be fasting, when her condition improved, can increase protein intake. Patients with chronic hepatitis diet to ensure adequate calories, protein intake may be increased. Hepatitis strict temperance.
3 Most patients with acute hepatitis of favorable prognosis, especially hepatitis. Acute hepatitis B patients prone to develop chronic hepatitis and cirrhosis. Hepatitis C, hepatitis E is easy to chronic hepatitis. The prognosis of chronic active hepatitis of persistent hepatitis slower worse. In particular poor prognosis of severe hepatitis, high mortality, survivors often develop necrotic cirrhosis. Chronic hepatitis B is closely related with the occurrence of primary liver cancer.