Hepatitis C
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Articles by
Dr. Zhang
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


Conventional Treatment
Ideal Candidate for IFN

In general, the ideal candidate for PG-IFN and Ribavirin based treatments is a female patient, under 40, with viral load less than 2 million copies per/ml, geno-type not 1a or 1b, fibrosis stage around 2 to 3, no autoimmune disorders, and no previous experience with similar treatments. Her chance for response can be a round 70% or higher and I would recommend her trying the new treatment if she is prepared for the side effects.

The worst candidate is a male patient over 60, with a viral load over 2 million/ml, fibrosis stage 4(cirrhosis), genotype 1a or 1b, and having a failed response from a previous IFN based treatment. For this patient, the response rate on the new PG-IFN and Ribavirin treatment would be around 10% or less and I would recommend using an alternative protocol to control the inflammation, halt the progression fibrosis and keep the stability of the compensated cirrhosis stage. Most patient profiles hover between these two examples and the decision to try PG-IFN and Ribavirin should be made based around these factors.

In Washington, during the second consensus development conference held in June 2001, experts found that the total percent of patients eligible for taking IFN-based treatments is only about 30%, mainly due to the potential side effects. For those eligible patients, the overall efficacy of the IFN-based treatments is only about 50%. Thus, it is obvious that the majority of viral hepatitis patients still need alternative methods before a complete cure is found.


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About HCV
Causes and Transmission

Diagnostic Tests
Viral Load

Viral Genotyping

Major Signs
Liver Inflammation

Peripheral Signs and Symptoms
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension

Important Liver Function Test Markers
PT (Prothrombin Time)
Liver Biopsy
Inflammation Grade
Fibrosis Stage
Interferon Based Treatment
Ideal Candidate
Possible Side-effects
Liver Support with TCM
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
Dietary Considerations
Essential Fats




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