Hepatitis B cirrhosis is a chronic disease that requires long-term joint efforts by doctors and patients to adhere to standardized treatment. For hepatitis B cirrhosis, should we take Chinese medicine except for long-term oral antiviral drugs? This is a widely controversial issue and a problem that many patients have been struggling with. Traditional Chinese medicine advocates the treatment of liver diseases in a holistic way. Due to its "multiple targets and multiple pathways", traditional Chinese medicine has also found unique advantages in controlling the progress of cirrhosis and reducing the occurrence of cirrhosis complications in clinical practice.
Hepatitis B cirrhosis is attributed to the "accumulation" of traditional Chinese medicine, which is actually caused by imbalance in the prosperity and decline of the internal organs. The reason why cirrhosis is difficult to treat is because it can help evil, and diuresis can cause diarrhea and harm the right medicine. It is necessary to strengthen the body and eliminate evil according to the condition, and to treat both attack and replenish. Which is more important? Only the principles and methods are similar, but there is no consistency of medicine. It must be carefully diagnosed and treated.
Mr. Meng, 38 years old, from Hebi, has been treating hepatitis B for 5 years. He has been in the local hospital for treatment. Later, due to fatigue and staying up late when working outside, and due to family problems, he gradually felt tired, weak, lost appetite, and lost weight. Later, he went to the hospital for examination. B ultrasound showed cirrhosis, splenomega , alanine aminotransferase 62U/L, gucao aminotransferase 45U/L, total bilirubin 37 .5μmol/L, non-binding bilirubin 27.42μmol/L, plasma protein: total protein 68g/Lg/L, albumin 32.6g/L, globulin 36.3g/L, virus amount 6.10e7. The patient and his family were anxious and worried about coming to our hospital for treatment. At first, the patient was thin, had spider nevus on his chest, had pain and discomfort under both ribs, had abdominal distension and no appetite in the morning, loose stools, yellow urine, thin tongue coating, and stringy pulse. He was diagnosed with hepatitis (cirrhosis after hepatitis B). Syndrome: liver and stomach yin deficiency, dampness and blood stasis. The treatment plan is mainly aimed at repairing liver cell damage at the source, clearing up the five major liver pathways, and combining Western medicine to fight viruses and Chinese medicine to resist cirrhosis. The combination of traditional Chinese and Western medicine can complement each other's advantages and improve clinical efficacy. Soften and disperse nodules, protect the liver, block the viral replication chain, reduce the viral infectivity, and improve the ability of the body's metabolism to resist lesions. After three diagnosis and treatment, the symptoms improved, and the various indicators of liver function were significantly reduced in the review, and the amount of virus also decreased, and it is still under conditioning.
Hepatitis B cirrhosis advocates early diagnosis and early treatment. During the treatment process, more attention should be paid to the cause treatment, namely antiviral treatment. Only by combining etiology treatment with traditional Chinese medicine to anti-cirrhosis can the advantages of traditional Chinese medicine be better utilized and better therapeutic effects are achieved.