Jaundice hepatitis

　　Acute jaundice hepatitis is a type of acute viral hepatitis, which is an acute gastrointestinal infectious disease caused by hepatitis virus. Traditional Chinese medicine has a remarkable curative effect in the prevention and treatment of acute jaundice hepatitis. It requires differential diagnosis and treatment. You can seek treatment from experienced TCM doctors, ensure enough rest, nutrition as the main treatment, supplemented with appropriate medication, avoid alcohol, overwork, and liver-damaging drugs.

　　1. Liver damage. Due to the invasion of hepatitis virus and its continuous replication within liver cells. Under the action of the body's immune response, it damages liver cells together, causing liver cells to swell, be destroyed, and lead to inflammatory infiltration of liver tissue, congestion, edema, exudation, degeneration, and necrosis of liver cells, and a series of changes. This affects the normal state and structure of the liver tissue and damages various functions of bilirubin metabolism in the liver.

　　2. Life-threatening conditions. The substance that causes jaundice is called bilirubin, which has two forms: one is liposoluble, and the other is water-soluble. The former can settle on the brain nerve nuclei, accumulating more and more, affecting nerve function, and can cause kernicterus, which is extremely harmful. Kernicterus can affect a person's brain in mild cases and can be life-threatening in severe cases. Although the toxicity of water-soluble bilirubin is small, the liver and gallbladder diseases that cause an increase in this bilirubin can be more harmful to the human body than its own toxicity. Therefore, bilirubin, whether liposoluble or water-soluble, and regardless of their toxicity, are waste products that should be eliminated from the human body. They must be eliminated when necessary, and if they cannot be eliminated on their own, medical assistance should be sought.

　　3. Complications that may occur. The prognosis of this disease is related to the nature of jaundice, the strength of the physique, treatment and care factors, etc. Yang jaundice, Yin jaundice, and acute jaundice, although with different properties and varying degrees of severity, can transform into each other under certain conditions. If a patient with Yang jaundice has a weak physique and severe pathogenic factors, the jaundice deepens day by day, and symptoms of severe heat toxicity appear rapidly, it may transform into acute jaundice; Yang jaundice can also transform into Yin jaundice due to injury to the spleen Yang and transformation of dampness from cold; Yin jaundice, heavily affected by damp-heat pathogenic factors, can also develop into Yang jaundice; If acute jaundice has severe heat toxicity, internal collapse of the heart and pericardium, or massive bleeding, it can lead to symptoms of Yang deficiency in the liver and kidney; If Yin jaundice does not heal after long-term treatment, it can transform into accumulation and distension.

　　1. Loss of appetite and aversion to oil. This is a common symptom in most hepatitis patients, especially more severe in patients with jaundice hepatitis.

　　2. Fatigue and weakness.

　　3. Urine turns yellow like tea.

　　4. Fever. Acute jaundice hepatitis often has fever, usually between 37.5-38.5 degrees Celsius, with rare cases of high fever, generally lasting for 3-5 days.

　　5. Liver pain. Hepatitis patients often complain of liver pain, involving the upper right abdomen or right back, with varying degrees of pain, such as distension, dull pain, or pricking pain, which worsens during activity and varies in duration; sometimes the pain is relieved when lying on the left side.

　　The first point, people can be vaccinated to prevent jaundice hepatitis from attacking.

　　The second point, people should maintain good personal hygiene.

　　The third point, if there is a child with suspected jaundice hepatitis in the family, it is necessary to go to the hospital for examination in time and conduct relevant liver function tests to make an early and clear diagnosis.

　　When jaundice occurs, the first step is to differentiate the type of jaundice, first to judge whether it is hepatocellular jaundice, obstructive jaundice, or hemolytic jaundice. Then, check liver function, blood lipids, blood routine, urine routine, coagulation function, etc.

　　1. If the patient's routine blood count shows a decrease in red blood cells (RBC) and hemoglobin (Hb), the urine routine shows a positive hidden blood test, increased uric acid, and negative bilirubin, TB level increases, DB is basically normal, ALT, AST, ASP, GGT, ALB, and PT are normal, it should be considered as hemolytic jaundice. Further examination should be conducted for diseases that can cause hemolytic diseases, and the patient should be referred to a hematology department for further examination and treatment.

　　2. If the patient's liver function is normal, the levels of bilirubin (TB), direct bilirubin (DB), transaminases (ALT and AST), alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT) all increase, DB/DT is between 30%-40%, prothrombin time (PT) is prolonged, albumin (Alb) is reduced, and the urine routine shows varying degrees of increase in bilirubin and uric acid. It can be considered as hepatocellular jaundice. Further examination should be conducted for diseases that can cause hepatocellular jaundice, such as viral hepatitis and liver cirrhosis.

　　3. When the patient's TB level increases, DB level increases significantly, DB/DT is greater than 50%, ALP and GGT increase significantly, and the urine routine shows a significant increase in bilirubin, but the uric acid is reduced or disappears. It should be considered as the possibility of obstructive jaundice, and it may be necessary to undergo B-ultrasound, CT, MRI, ERCP, and liver biopsy to determine whether it is intrahepatic cholestasis or liver obstruction.

　　(1) Avoid foods high in fat and cholesterol Due to poor liver function, bile secretion decreases, affecting fat digestion, leading to deposition in the liver, which is easy to form fatty liver. Therefore, hepatitis patients should avoid eating fatty meat, heavy oil (animal fat), egg yolks, brain, and animal viscera,

　　(2) Avoid high purine and nitrogenous extracts High purine foods such as liver, kidney, spinach, soybeans, and mung beans, as purine metabolism is oxidized in the liver to produce uric acid, which needs to be excreted by the kidneys; nitrogenous extracts such as meat broth, fish broth, and chicken broth also need to be metabolized in the liver and excreted as waste. Therefore, patients with hepatitis will increase the burden on the liver after consumption, leading to severe liver damage and making it difficult for patients to recover, so it should be avoided.

　　(3) Avoid spicy and hot刺激性 foods such as chili, chili sauce, onions, black pepper, and curry powder can aid fire and damage liver cells, exacerbating inflammation. Alcoholic beverages and stimulants (coffee, cocoa, strong tea) have excitatory effects, while patients with hepatitis have low liver function and weakened detoxification. At the same time, it is necessary to repair damaged cells, and these foods are not beneficial after consumption.

　　(4) Avoid fried, stir-fried, and baked foods due to the production of propenal during fat combustion, which is a gas with a pungent smell. It can circulate through the blood to the liver and stimulate the liver parenchymal cells. Professor Marschack believes that it can reflexively cause biliary spasm and stimulate the bile duct, reducing bile secretion, thus being不利于 the metabolic activities of the liver and should be avoided. (5) Avoid coarse fiber foods such as cabbage, Chinese cabbage, and chives, as these foods can promote the production of cholecystokinin, causing strong contraction of the gallbladder, but the sphincter at the bile duct orifice cannot relax, affecting the outflow of bile.

　　Water Shock Therapy: Patients with jaundice type viral hepatitis often have water metabolism disorders and water retention in tissues. During the treatment process, ensure the complete excretion of water, and at the same time, let the patient drink water or infuse glucose solution with a larger dose of vitamin C to replace the excreted water. By repeating this process, it can flush out the bilirubin accumulated in the liver, blood, and tissues, allowing it to be excreted through urine, thereby shortening the jaundice period.