Is diffuse hepatitis serious?

Patient's question:

Ultrasound shows diffuse hepatitis 【cirrhosis】, liver function tests are normal. Is this condition serious?

Doctor's answer:

For hepatitis patients, adopting TCM syndrome differentiation and treatment can yield certain effects. In acute jaundice hepatitis with heat predominant over dampness, it is advisable to clear heat, resolve dampness, and promote yellow discharge. When dampness is predominant over heat, it is recommended to resolve dampness, clear heat, strengthen the spleen, and promote yellow discharge. For cases with cold-dampness obstructing the spleen, it is appropriate to warm yang, dispel cold, and strengthen the spleen while resolving dampness. In acute non-jaundice hepatitis with liver qi stagnation, the treatment principle should focus on soothing the liver, regulating qi, activating blood, and expelling toxins. For liver-gastric disharmony, it is advisable to soothe the liver and harmonize the stomach, supplemented with detoxifying formulas. In chronic hepatitis with liver qi stagnation and spleen deficiency, the treatment should involve soothing the liver, resolving stagnation, strengthening the spleen, and harmonizing the middle. For cases with qi stagnation and blood stasis, it is recommended to soothe the liver, regulate qi, activate blood, and resolve stasis. For individuals with yin deficiency of the liver and kidneys, it is advisable to warm and nourish the liver and kidneys, nourish blood, and activate blood circulation using appropriate formulas for rescue.

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