What medication should be taken for physical fatigue in the later stages of hepatitis B?

May 07, 2023 Source: Cainiu Health
Disease description:

Hello, doctor. I'd like to consult you about what medication should be taken for fatigue in the later stages of hepatitis B?

Doctor's answer (1)
Dr. Jin Zhongkui
In the later stages of hepatitis B, when physical fatigue occurs, traditional Chinese medicine (TCM) treatment should be considered. Taking into account disorders of spleen and stomach function, dryness and heat in the liver and kidneys, and excessive internal deficiency-fire, treatment may focus on replenishing qi and blood, nourishing yin and moistening the lungs, and improving liver and kidney functions. Therapeutic strategies may include warming the middle energizer and tonifying kidney qi, as well as nourishing yin and moistening the lungs using herbs such as peony (Shaoyao), raw rehmannia (Shengdi), Lycium fruit (Gouqizi), white atractylodes (Baizhu), dried tangerine peel (Chenpi), and angelica (Danggui). For warming the middle energizer and protecting the liver, herbs like skullcap (Huangqin), frankincense (Ruxiang), reed rhizome (Lugen), coptis (Huanglian), platycodon (Jiegeng), and poria (Fuling) may be used. To enrich and nourish the blood, consider herbs such as magnolia flower (Xinyi), seaweed (Haizao), snow frog (Xueha), achyranthes root (Niuxi), and prepared rehmannia (Shudi). For warming and tonifying qi, options include ligusticum (Chuanxiong), ganoderma (Lingzhi), cistanche (Roucongrong), wuyao (Wuyao), and schisandra (Wuweizi). For liver protection and promoting intestinal health, use herbs such as Lu Yu vine, salvia (Danshen), safflower (Honghua), and licorice (Gancao). When taking these herbal medicines, dosages should be individually tailored according to one's specific condition, avoiding excessive intake. Dosage, administration method, and combination with exercise and dietary regulation should be determined based on TCM diagnostic principles to effectively alleviate physical fatigue.