Can someone with "big three positive" hepatitis B take donkey-hide gelatin cake (Ejiao cake)?

Dec 02, 2025 Source: Cainiu Health

Dr. Gao Jun

Introduction

In general, "big three positive" refers to hepatitis B large three positive, meaning positivity for hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody. This usually indicates active viral replication and high infectivity. Patients with hepatitis B large three positive can consume Ejiao cake, but should do so in moderation. Since Ejiao cake is rich and greasy, excessive consumption may lead to digestive problems; therefore, the amount consumed should be adjusted according to individual digestive capacity.

In general, "Big Three Positive" refers to hepatitis B large three positive, meaning the hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody are all positive. This usually indicates active viral replication and high infectivity. Patients with hepatitis B large three positive can consume donkey-hide gelatin cake (Ejiao cake), provided they do so in moderation. The details are as follows:

Donkey-hide gelatin cake is primarily made from Ejiao and is rich in nutrients such as protein and amino acids. Patients with hepatitis B large three positive often experience qi and blood deficiency, fatigue, and other symptoms due to disease-related depletion. These nutrients help replenish energy and improve mental well-being. Additionally, the nutritional components in the cake may support the body's immune defenses and provide foundational support for liver repair. As long as a reputable product is chosen and intake is properly controlled, it will not increase the burden on the liver and can help maintain overall health.

However, donkey-hide gelatin cake is rich and greasy; excessive consumption may lead to digestive issues, so intake should be adjusted according to individual digestive capacity. It is advisable to include fresh vegetables in the diet to ensure adequate dietary fiber intake and promote digestion. Alcohol must be strictly avoided in daily life to prevent further liver damage. Maintain a regular sleep schedule and avoid staying up late to allow the liver sufficient rest. Follow medical advice for timely medication, regularly recheck liver function and viral markers, adjust treatment and dietary plans based on test results, and maintain emotional stability to support disease control.

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Can Lanxin Kushen Tablets treat HBeAg-positive chronic hepatitis B?

Kushenin tablets (Kushen tablets) refer to tablets containing oxymatrine. "Big Three Positive" (commonly known as "Da San Yang") indicates a condition in which the hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody all test positive during the hepatitis B five-panel test. Oxymatrine tablets can be used in the treatment of "Big Three Positive." Patients should normally avoid consuming irritating foods, such as spicy or greasy foods, and should eat more liver-friendly foods, such as vegetables, fruits, and legumes, to help protect liver health.

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What should patients with "Big Three Yang" pay attention to in their diet?

Generally, "Big Three Positive" refers to a condition where, in the five-item hepatitis B test, the hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody all show positive results. Patients should pay attention to maintaining a balanced diet, controlling fat intake, consuming adequate amounts of high-quality protein, increasing intake of vitamins and minerals, and strictly abstaining from alcohol. Regular liver function tests and quantitative hepatitis B virus tests should also be performed routinely.

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Can mothers with "Big Three Yang" (positive for HBsAg, HBeAg, and HBcAb) breastfeed their babies?

"Big Three Positive" refers to a situation in the five-item hepatitis B test where the hepatitis B surface antigen, hepatitis B e antigen, and hepatitis B core antibody are all positive. Whether a mother who is "Big Three Positive" can breastfeed her baby needs to be determined based on the viral load of hepatitis B virus in her body. If the hepatitis B viral load is low, breastfeeding may be possible; however, if the viral load is high, breastfeeding is generally not recommended.

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Can pregnant women eat Ejiao cake in the late stages of pregnancy?

In general, pregnant women in the third trimester can consume Ejiao cake, but should pay attention to the amount consumed. Ejiao cake contains ingredients such as Ejiao (donkey-hide gelatin), which has significant blood-nourishing effects. For anemia that may occur during late pregnancy, moderate consumption of Ejiao cake can help improve anemic conditions and benefit both maternal and fetal development. Pregnant women should maintain a balanced diet during the third trimester and undergo regular prenatal checkups.