Clinical Information For the Treatment Of Hepatitis (B or C)

What Is Hepatitis (B or C)?

whatishepatitis(borc)?

Hepatitis (B or C) - Basics

Hepatitis B and Hepatitis C are both infectious diseases of the liver, which if not detected early can become chronic. Chronic infection can lead to severe liver damage, liver cancer, cirrhosis or liver failure. Symptoms of acute Hepatitis C include dark urine, jaundice, abdominal pain, fatigue, nausea and loss of appetite. These symptoms can appear six to 12 weeks after exposure, if at all. The symptoms of acute Hepatitis B are the same as those of Hepatitis C, in addition to joint pain and fever. If symptoms appear, it is usually three months after exposure to the virus and can last up to six months.
The Hepatitis B virus is transmitted through certain bodily fluids and can be contracted through sexual intercourse with an infected person, the sharing of needles, contact with blood infected with Hepatitis B, or from mother to child during child birth. The most common form of transmission of Hepatitis C is needle-sharing; however, it is rarely passed from mother to child or through sexual intercourse.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Hepatitis (B or C).

What Patterns Are Related To Hepatitis (B or C)?

whatpatternsarerelatedtohepatitis(borc)?

Hepatitis (B or C) - Diagnostic Patterns

The Chinese Medicine treatment of hepatitis (b or c) generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of hepatitis (b or c):

Liver Qi StagnationLiver Yin DeficiencyLiver and Gallbladder Damp Heat

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Which Tam Healing and Tongren Therapy Protocols Apply To Hepatitis (B or C)?

whichtamhealingandtongrentherapyprotocolsapplytohepatitis(borc)?

Hepatitis (B or C) - Tam Healing and Tongren Therapy Protocols

Tong Ren Therapy is the energy healing/medical qi gong aspect of the Tam Healing System. The areas of focus for hepatitis (b or c) that we would use in Tong Ren techniques form the basis for our acupuncture treatments as well. Generally you would mix these primary points with points specific to the patients underlying TCM pattern and then our tuina (medical massage) would be largely focused on these points as well.

The following Tam healing and tong ren therapy protocols may be used with hepatitis (b or c):

3 Points Are Empirically Important For Hepatitis (B or C)

1 TCM Herb Are Potentially Used With Hepatitis (B or C)

Formulas and Products @ Our Store Associated With Hepatitis (B or C)

The Following (13)Formulas TCM Herbal Formulas May Be Useful For Hepatitis (B or C)

Chai Hu Gui Zhi Tang Wan (Bupleurum and Cinnamon Twig Decoction)

Clinical Usages

  • A combination of gui zhi tang and xiao chai hu tang - together they work with both taiyang and shaoyang syndromes - common colds and flu, fever, chills, joint pain, nausea, abdominal/epigastric distention.  Neuralgias from wind invasions - trigeminal neuralgia, frozen shoulder, etc.
  • With the right underlying factors also useful for a range of middle jiao issues such as hepatitis, cirrhosis, cholecystitis, gastric ulcers, pancreatitis, appendicitis.
  • Epilepsy.

    Clinical Categorization

    Da Bu Gan Wan (Major Liver Nutrition Pills)

    Clinical Usages

    • Brittle nails, yellowing of the skin (jaundice).
    • Abdominal cramping, distension or pain in the hypochrondia due to liver qi stangation
    • Fatty liver, hepatitis and other liver diseases. 

      Clinical Categorization

      Fu Fang Dan Shen Wan (Saliva Compound Pill)

      Clinical Usages

      • For a range of stagnation issues in the stomach/epigastric/heart region - gastritis, epigastric pain, peptic ulcer disease.
      • A range of liver issues including hepatitis and cirrhosis.
      • For stasis of the chest (zhong bi syndrome).

        Clinical Categorization

        Cautions

          • Use with caution with patients who present with blood deficiency.

            Gan Bing Zhi Ben Wan (Liver Disease Recovery Pills)

            Clinical Usages

            • Irritibility or easily prone to outburts or anger.
            • Liver disease such as hepatitis, cirrhosis, fatty liver.
            • Jaundice - yellowing of the skin, brittle nails, pale complexion.

              Clinical Categorization

              Cautions

                • Ovoid foods and drugs that tax the liver such as coffee, alcohol, fried foods, etc.
                • Use with caution during pregnancy.

                  Ge Xia Zhu Yu Wan (Drive Out Blood Stasis Below The Diaphragm Decoction)

                  Clinical Usages

                  • For blood stasis below the diaphgram - abdominal masses, liver and spleen masses/swelling, colitis.
                  • A range of liver disorders are possibly applicable - cirrhosis, hepatic hemangioma, hepatitis, jaundice.
                  • Spleen disorders - splenomegaly.
                  • Pleural adhesions.
                  • A range of menstrual disorders - fibroids, endometriosis, dysmenorrhea (although Shao Fu Zhu Yu Wan may be more appropriate as that targets more the lower jiao).
                  • Pelvic inflammatory disease.
                  • May be used to help expel ectopic pregnancy.

                    Clinical Categorization

                    Cautions

                    • Avoid during pregnancy.
                    • Use only under direction during menstruation.
                    • Use only under direction if you are taking blood thinners.
                    • Generally not for long term use.

                      Huang Lian Jie Du Wan (Coptis Decoction To Relieve Toxicity)

                      Clinical Usages

                      • Clears fire toxins (damp heat, toxic heat, fire) from all three jiaos - formula has an antibiotic function which has a broad range of uses in conditions arising from damp heat in the body.  Acute bacterial infections, dystentary, fever (of unknown origin), acute bronchitis, acute conjunctivitis, UTI.
                      • Hypertension when it arises from fire/toxic heat.
                      • A range of skin issues - boils, acne, mastitis, pyogenic skin infections, gingivitis.
                      • Disorders of the middle jiao - hepatitis (particularly acute infectious), jaundice, H-pylori, gastritis.
                      • Arrest bleeding in reckless bleeding from heat.
                      • Gu syndrome conditions with the right underyling factors - IBS, Lyme, other inflammatory conditions.

                        Clinical Categorization

                        Cautions

                          • Generally only used for acute situations, rarely taken for longer than 15-20 days.  For longer use watch for signs of damage to the spleen system in TCM terms.
                          • Avoid in patients with Glucose-6-phosphate dehydrogenase (G6PD) deficiency.  G6PD is an inherited condition usually occurring in males, more commonly in those of African and Mediterranean descent. Triggers include infections, stress, fava beans, aspirin, and other drugs.  When symptoms are triggered, they include fever, dark urine, abdominal and back pain, fatigue, and pale skin.  Most people recover in a few days without treatment, but avoiding relapses is important. 

                            Li Dan Wan (Benefit The Gallbladder Pills)

                            Clinical Usages

                            • A range of gallbladder, liver and related digestive/obstructive issues - clears damp heat from the liver and gall bladder in TCM terms.  Symptoms may include gallstones and/or a range of digestive issues from poor gallbladder function – nausea, vomiting, jaundice. 
                            • Hepatitis, particularly acute viral, along with other supportive formulas when arising from damp heat.

                              Clinical Categorization

                              Cautions

                              • Avoid during pregnancy.

                                Ren Shen Yang Rong Wan (Ginseng Decoction to Nourish the Nutritive Qi)

                                Clinical Usages

                                • Tonifies both qi and blood and nourishes the heart and calms the spirit - generally used for weakness from longer term or deep diseases such as cancer and for a host of other conditions affecting a broad range of the body and psyche such as Chronic Fatigue Syndrome and autoimmune conditions such as Lupus, Scleroderma, MCTD.
                                • Anemia.
                                • May be used alone or in conjunction with a formula such as yu ping feng wan to enhance immunity - particularly in patients with frequent colds and flus.
                                • Raynaud's condition in addition to the other connective tissue issues listed above.
                                • Micturition syncope, nephritis, cancers of the genitourinary tract.
                                • Male infertility, possibly with Gui Zhi Fu Ling Wan, for sperm volume and motility issues.
                                • Along with other immune benefits, hepatitis C.
                                • Lung cancer.

                                  Clinical Categorization

                                  Cautions

                                    • Use with caution or seek an alternative in deficiency cases with very pronounced sensations of coldness.  Part of this is due to the relatively neutral (i.e. non warming) aspects of this formula.

                                      Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction)

                                      Clinical Usages

                                      • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
                                      • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
                                      • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
                                      • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.

                                        Clinical Categorization

                                        Cautions

                                          • Use with caution with yin and/or blood deficiencies.
                                          • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.

                                            Xie Xin Wan (Drain the Epigastrium Formula)

                                            Clinical Usages

                                            Signs of damp-heat with interior clumping which may settle into the abdominal region and/or rise upward to the head.  Fever, irritability, red eyes, constipation, dark urine, flushed face - middle warmer issues - jaundice, dysentery, tongue/mouth ulcers.

                                            Pulse will be be wiry and rapid and the Tongue will be red, swollen with a yellow greasy tongue coating.

                                              Clinical Categorization

                                              Xue Fu Zhu Yu Wan (Blood Stasis Relief Pills)

                                              Clinical Usages

                                              • Qi and Blood stagnation - pain, cardiovascular issues, physical organ issues.
                                              • Coronary artery disease, angina and other cardiovascular issues.
                                              • Hepatitis and other liver function issues.
                                              • Migraines, headaches, neuralgia from most causes.
                                              • A range of menstrual issues including dysmenorrhea, endometriosis, ovarian cysts, fibroids - particularly with pain and/or bleeding.
                                              • Certain diagnostic types of psychological illness, schizophrenia, bipolar, chronic depression, etc.

                                                Clinical Categorization

                                                Cautions

                                                • Avoid during pregnancy.
                                                • Avoid with heavy menstrual bleeding.
                                                • Use only under direction if you are taking blood thinners.
                                                • Generally not for long term use.

                                                  Yi Guan Jian Wan (Linking Decoction)

                                                  Clinical Usages

                                                  • GI issues from yin deficiency (liver and kidney) with liver qi stagnation leading to stomach yin issues - gastritis, ulcers, reflux, bloating.
                                                  • The underlying factors lead to dryness of the blood, that coupled with liver qi stagnation and yin deficiency may lead to PMS, inosmnia, etc.
                                                  • With the right underlying factors useful for a range of liver conditions - hepatitis, fatty liver.
                                                  • Essential hypertension, preeclampsia.

                                                    Clinical Categorization

                                                    Yin Chen Hao Wan (Artemisiae Scopariae Decoction)

                                                    Clinical Usages

                                                    • Used for a range of liver, gallbladder and pancreatic disorders arising from damp heat.  Symptoms such as jaundice, urinary difficulty, nausea, bloating and more.
                                                    • Western conditions could be cirrhosis, gallbladder disease, alcohol toxicity and more.
                                                    • May involve other psychiatric conditions as well such as manic depression, anger outbursts, etc.

                                                      Clinical Categorization

                                                      Cautions

                                                        • Avoid in pregnancy.
                                                        • Avoid with yin jaundice (jaundice with absense of heat signs, feeling cold, no redness in tongue).

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