Treatment for "Big Three Yang" (Major Triple Positive)

Aug 13, 2024 Source: Cainiu Health
Disease description:

I pay special attention to my physical health and have a medical checkup every year. During one of these checkups, I was diagnosed with "Big Three Yang" (a term used in Chinese for a specific pattern of hepatitis B virus infection). What are the treatment methods for Big Three Yang?

Doctor's answer (1)
Dr. Yang Ziqi

"Big Three Yang" is a manifestation of chronic hepatitis B. Its main treatment goals are to inhibit viral replication, reduce liver inflammation and fibrosis, and prevent disease progression to cirrhosis or liver cancer. Treatment methods usually include the following aspects:

1. Medication: Antiviral drugs, such as adefovir dipivoxil and entecavir, can effectively inhibit hepatitis B virus replication, reducing viral damage to the liver; liver-protecting drugs, such as compound glycyrrhizin tablets, can improve liver function and reduce liver inflammation.

2. Lifestyle modifications: Dietary adjustments to ensure balanced nutrition, with increased intake of vitamin- and protein-rich foods such as fish and vegetables; alcohol abstinence is essential, as alcohol can damage liver cells, and patients with "Big Three Yang" should strictly avoid alcohol; regular monitoring of liver function and hepatitis B DNA levels is recommended to understand disease status.

3. Immune regulation: Some patients may require immunomodulatory agents as adjunctive therapy to enhance the body's ability to clear the virus.

4. Symptomatic and supportive treatment: Includes liver protection, enzyme reduction, nutritional support, and other measures to relieve symptoms and improve quality of life.