What is good to eat for "Big Three Yang" (a term referring to positive results for HBsAg, HBeAg, and anti-HBc in hepatitis B testing)?

“Big three positives” refers to a hepatitis B panel test result showing positive for hepatitis B surface antigen (HBsAg), hepatitis B e-antigen (HBeAg), and hepatitis B core antibody (anti-HBc), with the other two markers negative. Patients may consume foods such as grapes, mushrooms, carrots, spinach, and bananas. They may also take medications including Hugan tablets, lamivudine tablets, colchicine tablets, celecoxib capsules, and glutathione tablets.

I. Foods

1. Grapes
Rich in various vitamins and trace elements, grapes can enhance cellular antioxidant capacity and promote normal digestion and bowel movements, thereby benefiting liver health.

2. Mushrooms
High in polysaccharides, vitamins, and inorganic salts, mushrooms help regulate immune function and support liver detoxification. They also contain antioxidants that can reduce inflammation and cellular oxidative stress.

3. Carrots
Rich in vitamin A, carrots have detoxifying, heat-clearing, and blood-cooling effects, which can improve liver function to some extent.

4. Spinach
Packed with nutrients such as vitamin C, vitamin K, folate, iron, and potassium, spinach supports both the immune system and liver health.

5. Bananas
Containing multiple vitamins and minerals, bananas help clear internal heat, quench thirst, moisten the lungs, and relieve summer heat. They assist in liver detoxification and promote intestinal motility, reducing constipation.

II. Medications

1. Hugan Tablets
A liver-protective medication that helps soothe the liver, regulate qi, strengthen the spleen, and aid digestion. It promotes liver recovery and reduces liver inflammation and oxidative damage.

2. Lamivudine Tablets
An antiviral drug primarily used for chronic hepatitis B with active viral replication. It inhibits hepatitis B virus replication, thereby reducing viral damage to the liver.

3. Colchicine Tablets
An anti-fibrotic medication that slows the progression of liver fibrosis by suppressing the fibrotic process, reducing inflammatory activity in hepatitis, and helping prevent cirrhosis and liver cancer.

4. Celecoxib Capsules
Patients may experience liver inflammation; anti-inflammatory drugs like celecoxib can reduce hepatic inflammatory responses, alleviate pain and discomfort, and help maintain liver health.

5. Glutathione Tablets
An antioxidant medication that neutralizes free radicals, minimizes oxidative injury, protects liver cells, and prevents further liver damage caused by viruses.

For routine care, it is recommended to undergo a comprehensive liver function evaluation every six months, including tests for hepatitis B serology (two pairs and a half), liver function panels, hepatitis B virus DNA quantification, and liver ultrasound or other liver imaging studies. Additionally, patients are advised to seek timely medical consultation at a hospital for accurate diagnosis and treatment.