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Can ascites caused by tuberculous peritonitis be cured?

Sep 13, 2022 Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Tuberculous peritonitis is completely curable. Currently, there are essentially established treatments and preventive measures for all forms of tuberculosis, including tuberculous peritonitis. Medical treatment, commonly known as chemotherapy, involves a well-structured regimen of 3–4 anti-tuberculosis drugs, and after a treatment course of 9–12 months, most tuberculosis patients can be cured. For complications such as intestinal obstruction, intestinal hemorrhage, or intestinal perforation, surgical intervention is used.

Tuberculous peritonitis is a condition frequently encountered in daily life, causing significant suffering to both patients and their families. So, can ascites caused by tuberculous peritonitis be cured?

Can Ascites Due to Tuberculous Peritonitis Be Cured?

Tuberculous peritonitis can be completely cured. Currently, there are established treatment and preventive measures for all forms of tuberculosis, including tuberculous peritonitis. The specific treatment approaches for tuberculous peritonitis are as follows: 1. Medical treatment: Known as chemotherapy, this involves an optimal regimen combining 3–4 anti-tuberculosis drugs. With a treatment course lasting 9–12 months, most patients can achieve full recovery. 2. Paracentesis: When significant ascites is present, abdominal fluid can be aspirated. Paracentesis helps accelerate the absorption of ascites and shortens the recovery time for tuberculous peritonitis. 3. Hormone therapy: For the ascitic type, administration of glucocorticoids can significantly shorten the disease course and promote faster recovery. 4. Surgical intervention: Used in cases of intestinal obstruction, intestinal hemorrhage, or intestinal perforation.

Traditional Chinese Medicine (TCM) treatment for tuberculous peritonitis: 1. Liver deficiency with dampness stagnation syndrome: TCM pattern differentiation focuses on liver-tonifying and dampness-resolving therapies. The following prescription may be used: Polyporus (Zhu Ling), Alisma (Ze Xie), Areca Peel (Da Fu Pi), Stemona (Bai Bu), Atractylodes (Bai Zhu), Conferred Atractylodes (Cang Zhu), Magnolia Bark (Chuan Hou Pu), Scutellaria (Huang Qin), Tangerine Peel (Chen Pi), and Licorice (Gan Cao). Use appropriate amounts of each herb, decoct in water, and take one dose daily. For syndrome differentiation emphasizing promoting qi circulation, activating blood, and resolving stasis, consider the following herbs: Peach Seed (Tao Ren), Pentaphylla Resin (Wu Ling Zhi), Chinese Angelica (Dang Gui), Tree Peony Bark (Dan Pi), Red Peony Root (Chi Shao), Corydalis (Yuan Hu), Safflower (Hong Hua), Salvia (Dan Shen), and Stemona (Bai Bu). Decoct appropriate amounts in water and take one dose daily.

During treatment, patients should eat small, frequent meals, get adequate rest, and keep warm. We hope this information is helpful to you. Wishing you good health and happiness!

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