What Chinese herbs can completely cure "small three positives" (HBeAb, HBsAb, and HBcAb positive in hepatitis B)?

Dec 03, 2025 Source: Cainiu Health

Dr. Sun Lianqing

Introduction

There is currently no traditional Chinese medicine that can completely cure "minor three positives" (a pattern of hepatitis B virus markers), but certain herbal medicines may help alleviate symptoms and regulate the immune system. Commonly used medications include Hugan Pian, Anluo Huaxian Wan, Yexiazhu Capsules, and Yinchenhao Tang. Hugan Pian contains ingredients such as Bupleurum and Artemisia capillaris (Yinchen), which help soothe the liver, regulate qi flow, and reduce transaminase levels. It is suitable for patients with "minor three positives" who have mild liver function abnormalities, and can improve symptoms such as distension and pain in the hypochondriac region and reduced appetite.

There is currently no traditional Chinese medicine (TCM) that can completely cure "minor three positives" (a pattern of hepatitis B virus markers), but certain herbal medicines may help alleviate symptoms and regulate immunity. Commonly used medications include Hugan Tablets, Anluo Huaxian Pills, Compound Biejia Ruangan Tablets, Phyllanthus Urinaria Capsules, and Yinchenhao Decoction. Details are as follows:

1. Hugan Tablets: Containing ingredients such as Bupleurum and Artemisia capillaris (Yinchen), these tablets help soothe the liver, regulate qi, and reduce transaminase levels. They are suitable for patients with minor three positives who have mild liver function abnormalities and can improve symptoms like flank distension and pain, and reduced appetite.

2. Anluo Huaxian Pills: Containing herbs like Panax notoginseng (Sanqi) and Salvia miltiorrhiza (Danshen), these pills have anti-liver fibrosis effects. They are appropriate for long-term carriers of the virus who show signs of liver fibrosis, helping to relieve dull liver-area pain and fatigue.

3. Compound Biejia Ruangan Tablets: Primarily composed of Softshell Turtle Shell (Biejia) and Red Peony Root (Chishao), these tablets help soften hardness and dissipate nodules. They can be used under medical supervision in patients with minor three positives who have early-stage cirrhosis, especially when signs such as spider angiomas or palmar erythema appear.

4. Phyllanthus Urinaria Capsules: Extracted from the whole Phyllanthus urinaria plant, these capsules have heat-clearing and detoxifying properties. They are suitable for patients with minor three positives who exhibit damp-heat symptoms such as dry and bitter mouth, and dark urine. Use with caution in individuals with spleen-stomach deficiency-cold.

5. Yinchenhao Decoction: Contains Artemisia capillaris (Yinchen) and Gardenia (Zhizi), among others. It clears heat, eliminates dampness, and reduces jaundice. Suitable for patients with minor three positives and mildly elevated bilirubin levels, it helps relieve symptoms such as yellowing of the sclera and skin itching.

Patients with minor three positives should undergo regular monitoring of liver function and viral load, avoid adjusting medication doses or switching drugs without medical advice, maintain a light diet, avoid spicy and greasy foods, keep a regular daily routine, and engage in moderate physical activity.

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