Issues related to medications for liver disease?
Hello Dr.
Lin: My sister underwent a blood test and found that her liver function indices, GOT and GPT, were abnormally high.
She is already a carrier of hepatitis B, and after further examination, the doctor confirmed a diagnosis of congenital liver cysts.
The doctor prescribed some hepatoprotective medications for her, but after taking them, she often feels sleepy while working, which she did not experience before.
The next day, our parents took her to a traditional Chinese medicine clinic.
The TCM doctor claimed that she must take Chinese medicine for her liver disease to improve, stating that Western medicine's treatment approach is passive and does not provide a real possibility of curing the disease.
He prescribed herbal powder to clear liver heat for my sister.
What should we do in this situation? Should she take Chinese medicine or Western medicine? The TCM doctor said that Western medicine is ineffective for treating liver disease; is this true? Since these medications were brought from afar by our mother for my sister, she must take them.
How should she take these medications?
Shi, 20~29 year old female. Ask Date: 2005/06/23
Dr. Lin Qingzhong reply Traditional Chinese Medicine
1.
Hepatitis B is difficult to eradicate, and liver function indices often fluctuate, leading to chronic active hepatitis.
Over decades, there is a significant risk of developing liver cancer or cirrhosis.
Both Western and Traditional Chinese Medicine have the potential to improve inflammatory liver function indices.
2.
Since Hepatitis B is not easily cured in the short term, both Traditional Chinese Medicine and Western Medicine have their unique treatment methods and medications, each with its own patient preferences.
It is best to combine both approaches for treatment.
3.
Regardless of whether you are taking Traditional Chinese Medicine or Western Medicine, please follow the instructions of your healthcare providers.
Lastly, I wish you good health.
Dr.
Lin Ching-Chung, Director of the Traditional Chinese Medicine Department, Fengyuan Hospital.
Reply Date: 2005/06/23
More Info
Navigating the treatment of liver disease, particularly in the context of chronic hepatitis B and other liver conditions, can be quite complex, especially when considering the differing philosophies and approaches of Traditional Chinese Medicine (TCM) and Western medicine. Your sister's situation, involving elevated liver function tests and a diagnosis of congenital liver cysts, highlights the need for a careful and informed approach to treatment.
Firstly, it’s important to understand that chronic hepatitis B is a long-term infection that can lead to serious liver complications, including cirrhosis and liver cancer. The management of this condition typically involves monitoring liver function and, in some cases, antiviral therapy. Western medicine often employs antiviral medications such as tenofovir (Vemlidy) or entecavir, which can effectively suppress the virus and reduce liver inflammation. These treatments are evidence-based and have been shown to improve liver function and reduce the risk of complications.
On the other hand, Traditional Chinese Medicine approaches liver disease from a holistic perspective, focusing on restoring balance within the body. TCM practitioners may use herbal remedies, acupuncture, and dietary recommendations to support liver health. The claim that TCM can "cure" liver disease is often based on anecdotal evidence rather than rigorous scientific studies. However, many patients report feeling better and experiencing improved symptoms with TCM treatments, which may be attributed to the overall supportive care and lifestyle changes that accompany such therapies.
In your sister's case, the assertion by the TCM practitioner that Western medicine is ineffective is not entirely accurate. While it is true that Western medicine may not "cure" chronic hepatitis B, it can effectively manage the disease and prevent progression to more severe liver conditions. The fatigue your sister is experiencing could be a side effect of the medications she is taking, or it could be related to her liver condition itself. It is crucial for her to communicate these symptoms to her healthcare provider, whether they are in Western or TCM practice, to adjust her treatment plan accordingly.
The best approach in situations like this is often a combination of both Western and Traditional Chinese Medicine. This integrative approach allows for the strengths of both systems to be utilized. For example, she could continue her antiviral therapy while also exploring TCM options to help manage symptoms and improve her overall well-being. It is essential, however, that any herbal treatments or supplements she considers are discussed with her Western healthcare provider to avoid potential interactions with her prescribed medications.
Regarding the administration of medications, both Western and TCM treatments should be taken as directed by the respective healthcare providers. If your sister is prescribed Western medications, she should follow the dosage and schedule provided by her doctor. Similarly, if she chooses to incorporate TCM, she should adhere to the recommendations of her TCM practitioner.
In conclusion, navigating liver disease treatment requires a thoughtful approach that considers the benefits and limitations of both Traditional Chinese Medicine and Western medicine. It is essential for your sister to maintain open communication with her healthcare providers, ensuring that all aspects of her treatment are coordinated and that she receives comprehensive care tailored to her specific needs. Regular monitoring of her liver function and symptoms will be crucial in managing her condition effectively.
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