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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?


 





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

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According to traditional Chinese medical (TCM) theory, the main pathogenesis of acute hepatitis is "dampness and heat", and for chronic hepatitis, it is "Qi stagnancy and blood stasis." 

In modern terms, it means that the blood circulation of body has been hindered and the poor circulation adversely affects the body.  So, the TCM treatment principle for acute hepatitis is to "expel the damp and cool the heat."  For chronic hepatitis, the principle is to use a  "Blood Activating and Stasis Expelling" method of treatment (BASE)

 

The indications for using BASE in chronic hepatitis include the following symptom patterns:


1. Right upper quadrant pain. According to TCM, localized pain and ache is a symptom of blood stagnancy and treatment should focus on improving blood circulation.

2. Grayish dark facial complexion, enlarged veins on the face, darkness of the tongue, liver palm, and spider moles. These are typical symptoms of poor blood circulation and stagnancy.

3. Enlarged liver and spleen, which is considered a type of harmful “accumulation” in TCM. These are also typical symptoms of poor blood circulation and stagnancy.

4. As a general rule, most chronic disease will cause poor blood circulation and stagnancy. Thus, BASE therapy should be major part of treatment.
 
Recently, modern radioisotopes blood flow studies found that in chronic hepatitis patients, the amount of blood flow going through the liver is noticeably decreased. In addition, high frequency electric resistance measurement of the speed of blood flow in the liver area found that the blood flow going through the liver in hepatitis patients is much slower compared to healthy people. These studies were conducted at Shanghai First Medical University and confirmed that blood stagnancy exists in chronic hepatitis.

Follow-up studies found that when a patient’s ALT and AST levels normalized as the result of treatment, circulation and speed of blood flow in the liver area also increased. These positive changes were much more visible when BASE herbal therapy was included in the treatment course. Additional studies in microcirculation found that the alignment of micro-capillaries in the tasting buds of the tongue, nail folders, and conjunctiva were also improved after BASE treatment.

BASE treatment is also a major therapy for liver fibrosis. In TCM, fibrosis is considered a sign of blood stagnancy in the liver. Especially in the advanced stages of fibrosis, such as stage 3 or 4, the Disse space (the sinusoid between liver cell and the blood flow) becomes capillarized. This will cause blockage in the nutritional and gas exchange in the liver and is the pathogenesis of blood stagnancy in liver fibrosis. BASE treatment can help contain the progression of the fibrosis and restore the functions of the liver.

These are the main reasons why BASE is essential in treating chronic hepatitis.


 

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About HCV
Overview
Causes and Transmission

 
Diagnostic Tests
Antibody
HCV RIBA
HCV RNA 
Viral Load

Viral Genotyping

 
Major Signs
Liver Inflammation
Fibrosis
Cirrhosis

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

 
Important Liver Function Test Markers
Overview
ALT and AST
ALP and GGT
Albumin
Bilirubin
PT (Prothrombin Time)
 
Liver Biopsy
Overview
Procedure
Inflammation Grade
Fibrosis Stage
 
Interferon Based Treatment
Overview
Ideal Candidate
Possible Side-effects
 
Liver Support with TCM
Overview
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
GGT
 
Dietary Considerations
Overview
Proteins
Essential Fats
Carbohydrates
Vitamins
 
 

 


 

 

Medical Information Sources:
http://www.nih.gov/
http://www.nlm.nih.gov/

http://nccam.nih.gov/
http://www.medlineplus.org/


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