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(A case
report of Longdan Xiegan Tang and local herbs treatment on a patient with
jaundice type of chronic hepatitis)

2010-03-30

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34B91
GOT/GPT350-900(U/L)Bil-T
1.1-2.0(mg/dl)94900 U/L
959
GPT700(U/L)
,

GOT/GPTBil-T

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Abstract
A male, 34 years old patient had a chronic hepatitis B with serum ALT levels of
350-900(U/L) and total bilirubin (Bil-T) between 1.1-2.0 mg/dl. He was following
up in a teaching hospital, Taichung since 2002. His serum ALT level reached a high
level of 900 U/L in 2005. He visited our clinic on September 2006 due to yellowish
eyes, thirsty, bitter taste, loss of appetite, fatigue and dark urine with a serum ALT
level of 700 U/L. Syndrome differentiation diagnosed the case as the damp-heat
type of jaundice. However, either Therapy of Clearing Heat and Draining
Dampness, or Clearing Heat and Promoting Bile derived from traditional or
modern pathological diagnosis had their limitations. Therefore, we combined
both strategies for the case treatment. Since the viral hepatitis by modern
pathological diagnosis is different from liver heat of traditional medicine, the
treatment is mainly to eliminate the inflammation of hepatocytes and stagnation
of bile. Our diagnosis was the following: 1) The inflammation of hepatocytes
belonged to Liver Heat and Fire Stagnation and 2) The stagnation of bile from
hepatitis belonged to Yang yellow by micro-diagnosis. Therefore it led to the

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therapy of Dissipating Liver and Promoting Bile. The treatment was

consisting Longdan Xiegan Tang and local herbs including Salvia plebeia,
Wedelia chinesis, Mallotus repandus, Houttuynia cordata. After 2 months of
treatment, the patients serum ALT/AST were returned to normal levels. His
thirsty, bitter taste and fatigue syndromes were all improved after our treatment.
When this patient had fatigue and rebound in ALT, local herbs was put back to
Lungdan Xiegan Tang until these factors were subsided down. After a normal
ALT level was maintained, he stopped the herbal treatment and remained
symptom free for two years. However, his serum HBeAg and HBsAg were still
persistent in the follow up exams. This study reports a new treatment for chronic
hepatitis by combining local herbs with traditional formula based on
Cytopathology micro-diagnosis and Syndrome differentiation.

: 1326
: (02)2507-0603 : (02)2503-2877
E-mail:tccma100@ms81.hinet.net

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