Consulting on Herbal Remedies for Hepatitis B Symptoms - Gastroenterology and Hepatology

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I would like to inquire about the use of traditional Chinese medicine for hepatitis B?


Hello Doctor, I am a patient with hepatitis B.
I previously took Entecavir, and after the viral load was effectively reduced, my primary physician advised me to stop the medication.
After stopping, I went for a check-up, and the viral load increased, but the doctor felt that I did not need to restart the medication.
However, I have recently been suffering from insomnia and allergy symptoms.
An elder suggested that I could take traditional Chinese medicine to improve my condition, which contains extracts of Houttuynia cordata, Andrographis paniculata, red ginseng, as well as substances claimed to protect the liver, such as Ziziphus jujuba and dandelion extract.
They also mentioned that it has passed various metal tests.
Insomnia is really painful, and I have tried relaxing through exercise and listening to music, but it hasn't helped.
Due to my liver condition, I am hesitant to take any over-the-counter medications, so I would like to seek your advice, Doctor.
Thank you.

gene, 30~39 year old female. Ask Date: 2021/07/04

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Being a carrier of hepatitis B does not necessarily mean you cannot take traditional Chinese medicine; however, it is recommended that you consult a qualified Chinese medicine practitioner for a prescription.
The medications you mentioned are classified as patent medicines, and self-medication is not advised.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/07/04

More Info


When considering herbal remedies for symptoms related to Hepatitis B, it is essential to approach the topic with caution and a thorough understanding of both the condition and the potential effects of herbal treatments. Hepatitis B is a viral infection that primarily affects the liver and can lead to serious complications, including liver cirrhosis and hepatocellular carcinoma. Therefore, managing the condition effectively is crucial.

Firstly, it is important to note that while some herbal remedies may offer symptomatic relief, they should not replace conventional antiviral treatments prescribed by healthcare professionals. In your case, you mentioned having previously taken a medication called "Xingxin" (likely referring to a nucleoside analog), which effectively reduced your viral load. However, after discontinuing the medication, your viral load increased again, indicating that the virus may still be active. This fluctuation underscores the importance of regular monitoring and possibly resuming antiviral therapy if indicated by your healthcare provider.

Regarding the herbal ingredients you mentioned—such as Houttuynia cordata (fish mint), Andrographis paniculata (King of Bitters), red ginseng, and other liver-supporting herbs—there is limited scientific evidence to support their efficacy in treating Hepatitis B or its symptoms. While some studies suggest that certain herbs may have hepatoprotective properties, the results are often inconclusive and not universally applicable. Moreover, the safety and interactions of these herbal products with your existing condition and any medications you may be taking should be carefully considered.

For instance, while red ginseng is known for its potential immune-boosting effects, it may not be suitable for everyone, especially those with liver conditions. Similarly, while Houttuynia cordata is sometimes used for its anti-inflammatory properties, its effects on liver health specifically in the context of Hepatitis B are not well-documented.

Given your symptoms of insomnia and allergies, it is understandable that you are seeking relief. However, self-medicating with herbal products can be risky, particularly for individuals with liver disease. Some herbal remedies can have hepatotoxic effects or may interact with antiviral medications, potentially exacerbating liver damage or reducing the effectiveness of your treatment.

It is highly recommended that you consult with a qualified healthcare provider, preferably one who specializes in integrative medicine or hepatology, before starting any herbal remedies. They can provide personalized advice based on your medical history, current health status, and specific symptoms. Additionally, they may suggest alternative strategies for managing your insomnia and allergies that are safe for your liver health.

In summary, while herbal remedies may offer some symptomatic relief, they should be approached with caution, especially in the context of Hepatitis B. Prioritize open communication with your healthcare provider to ensure that any treatment plan you pursue is safe and effective for your specific situation. Regular monitoring of your liver function and viral load is essential, and any changes in your treatment regimen should be guided by a medical professional.

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