Essential Tips for Liver Care: Herbal Remedies for Night Shift Workers - Traditional Chinese Medicine

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Liver maintenance?


Hello Dr.
Ding: Due to my work, I have to work the night shift (from 7:40 PM to 7:40 AM).
I understand that night shifts can be quite harmful to the liver, so I would like to ask how I can protect my liver.
What traditional Chinese medicines should I take for maintenance? If I take these liver-protecting herbal medicines long-term, will there be any side effects on my body? Thank you!

Mr. Dong, 30~39 year old female. Ask Date: 2004/01/06

Dr. Ding Hanxiang reply Traditional Chinese Medicine


Hello! In Traditional Chinese Medicine, there are twelve meridians, each with its own circulation time.
From 11:00 PM to 1:00 AM is the time when the Liver Meridian is active, so it is best to go to bed before 11:00 PM.
Otherwise, over time, it can cause significant harm not only to the liver but also to other organs.
The key to liver protection is to sleep early, avoid unnecessary medications, and maintain a positive mood, as the liver is the site of metabolism in the body.
All medications and foods consumed must first pass through the liver, so taking medications and drinking alcohol can be very damaging to the liver.
The liver-protective medications you mentioned may be necessary, but they should be determined based on individual constitution.
For example, individuals with excess liver heat may need to take medications to clear liver heat, while those with dry and deficient liver yin may require tonifying liver yin.
It varies from person to person, and traditional Chinese medicine is still medicine, so it should be taken after a diagnosis by a physician to minimize side effects.
Sincerely, Dr.
Ding Han-Hsiang, Department of Traditional Chinese Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/01/06

More Info


Working night shifts can indeed pose challenges to liver health, especially for individuals who are carriers of hepatitis B. The liver is a vital organ responsible for detoxification, metabolism, and the synthesis of proteins, and it operates continuously, regardless of our sleep patterns. Here are some essential tips for liver care, particularly for night shift workers, along with insights into herbal remedies and their potential effects.


1. Maintain a Balanced Diet
A well-balanced diet is crucial for liver health. Focus on consuming:
- Fruits and Vegetables: These are rich in antioxidants and vitamins that support liver function. Leafy greens, berries, and cruciferous vegetables (like broccoli and Brussels sprouts) are particularly beneficial.

- Lean Proteins: Incorporate sources like fish, chicken, and legumes. Avoid excessive red meat and processed meats, which can be harder on the liver.

- Healthy Fats: Opt for unsaturated fats found in nuts, seeds, and olive oil, while limiting saturated fats and trans fats.

- Hydration: Drink plenty of water to help the liver flush out toxins.


2. Limit Alcohol and Avoid Toxins
Alcohol can significantly impact liver health, especially for those with pre-existing conditions like hepatitis B. It's essential to:
- Avoid Alcohol: Completely abstaining from alcohol is the best option for liver health.

- Minimize Exposure to Toxins: This includes avoiding unnecessary medications, recreational drugs, and environmental toxins. Always consult a healthcare provider before taking any new medication or supplement.


3. Regular Exercise
Engaging in regular physical activity helps maintain a healthy weight and reduces the risk of fatty liver disease. Aim for at least 150 minutes of moderate aerobic activity each week, which can include walking, cycling, or swimming.


4. Sleep Hygiene
Since night shift workers often struggle with sleep, establishing a good sleep routine is vital:
- Create a Sleep-Conducive Environment: Use blackout curtains, earplugs, and white noise machines to improve sleep quality during the day.

- Consistent Sleep Schedule: Try to go to bed and wake up at the same time, even on days off, to help regulate your body's internal clock.


5. Herbal Remedies
Herbal remedies can be beneficial for liver health, but they should be approached with caution:
- Milk Thistle (Silymarin): This herb is known for its liver-protective properties. It may help regenerate liver cells and reduce inflammation. However, it’s essential to consult with a healthcare provider before starting any herbal supplement, especially if you are on other medications.

- Dandelion Root: Often used to support liver function, it may help detoxify the liver and improve bile flow.

- Turmeric: Contains curcumin, which has anti-inflammatory and antioxidant properties that may benefit liver health.


6. Regular Health Check-Ups
For individuals with hepatitis B or other liver conditions, regular monitoring of liver function tests is crucial. This helps in early detection of any issues and allows for timely intervention.


7. Potential Side Effects of Long-Term Herbal Use
While herbal remedies can be beneficial, they can also have side effects or interact with other medications. Long-term use of certain herbs may lead to:
- Gastrointestinal Issues: Some herbs can cause stomach upset or diarrhea.

- Allergic Reactions: Always monitor for any allergic reactions when starting a new herbal supplement.

- Liver Toxicity: Some herbs, if taken in excessive amounts, can be harmful to the liver. Always adhere to recommended dosages.


Conclusion
In summary, night shift workers, especially those with hepatitis B, should prioritize a balanced diet, regular exercise, and good sleep hygiene to support liver health. While herbal remedies like milk thistle and turmeric may offer benefits, they should be used cautiously and under the guidance of a healthcare professional. Regular health check-ups are essential for monitoring liver function and ensuring overall well-being.

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