Can Traditional Chinese Medicine Improve Liver Fibrosis in Hepatitis B?

Hepatic fibrosis due to hepatitis B virus infection?

Hello, Doctor: I am a carrier of hepatitis B and have been monitored by a hepatobiliary and gastroenterology clinic every six months.
Recently, the clinic physician informed me that the ultrasound showed some signs of liver fibrosis, but my liver function tests and AFP levels are normal.
I would like to ask if traditional Chinese medicine can improve liver fibrosis and help restore normal liver function.
If so, how long would I need to take scientifically formulated Chinese herbal medicine to see results? Thank you!

Xiao Zhuang, 40~49 year old female. Ask Date: 2021/11/02

Dr. Lü Bingcheng reply Traditional Chinese Medicine

The user underwent an abdominal ultrasound examination, which revealed mild liver fibrosis.
The user is interested in treating this condition with traditional Chinese medicine (TCM).
In my opinion, TCM can be effective for mild liver fibrosis and may help prevent further deterioration of the condition.
It is advisable to consult a qualified TCM practitioner whom you trust.
The duration of treatment with herbal medicine to see results can vary from person to person.
Generally, after initiating TCM treatment, it is recommended to follow up with the original Western medicine physician who performed the ultrasound every 3 to 6 months to assess changes before and after treatment.
During the treatment period, it is important to adhere to the TCM practitioner's recommendations and maintain a healthy lifestyle and dietary habits, which can contribute to achieving better therapeutic outcomes.

Reply Date: 2021/11/02

More Info

Traditional Chinese Medicine (TCM) has been used for centuries to treat various health conditions, including liver diseases such as hepatitis B and associated liver fibrosis. However, the effectiveness of TCM in improving liver fibrosis, particularly in patients with hepatitis B, is a nuanced topic that requires careful consideration.

Liver fibrosis is a progressive condition characterized by the accumulation of extracellular matrix proteins, leading to scarring of the liver. In the context of hepatitis B, fibrosis can develop as a result of chronic inflammation and liver cell damage caused by the virus. While Western medicine often focuses on antiviral treatments to manage hepatitis B and prevent further liver damage, TCM approaches the condition from a holistic perspective, aiming to restore balance and promote overall health.

Research suggests that certain TCM herbs may have hepatoprotective effects and can potentially improve liver function. For instance, herbs such as milk thistle (Silybum marianum), licorice root (Glycyrrhiza glabra), and various formulations like Xiao Feng San and Shen Ling Bai Zhu San have been studied for their potential benefits in liver health. Some studies indicate that these herbs may help reduce liver inflammation, improve liver enzyme levels, and even slow the progression of fibrosis.

However, it is essential to note that while TCM can be beneficial, it should not be viewed as a standalone treatment for liver fibrosis. The integration of TCM with conventional Western medicine, particularly antiviral therapies, may provide a more comprehensive approach to managing hepatitis B and its complications. This combined approach can help address both the viral load and the liver's overall health, potentially leading to better outcomes.

Regarding the duration of TCM treatment to see improvements in liver fibrosis, it varies significantly among individuals. Factors such as the severity of fibrosis, the patient's overall health, lifestyle, and adherence to treatment all play a role. Generally, TCM practitioners may recommend a treatment course lasting several months, with regular follow-ups to monitor liver function and fibrosis progression through imaging studies and blood tests.

It's crucial to consult a qualified TCM practitioner who can tailor the treatment to your specific condition and constitution. They will likely conduct a thorough assessment, including your medical history, lifestyle, and any other underlying health issues, before prescribing a personalized herbal regimen. Additionally, it is advisable to maintain open communication with your Western medicine provider to ensure that any TCM treatments do not interfere with your ongoing antiviral therapy.

In summary, while TCM may offer supportive benefits for liver fibrosis in hepatitis B patients, it should be part of a broader treatment strategy that includes conventional medical care. Regular monitoring and a collaborative approach between TCM and Western medicine can optimize your liver health and overall well-being. Always prioritize safety by seeking treatment from licensed practitioners and discussing any new therapies with your healthcare team.

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