How is "Big Three Yang" treated?

Sep 29, 2024 Source: Cainiu Health
Disease description:

Recently, I've been experiencing loss of appetite, fatigue, and weight loss. After an examination, I was diagnosed with "Big Three Positive" (Da San Yang). How is "Big Three Positive" treated?

Doctor's answer (1)
Dr. Shen Yonghua

"Big Three Positive" (commonly known as HBeAg-positive chronic hepatitis B) is a clinical manifestation of chronic hepatitis B virus infection. Treatment mainly includes the following aspects:

1. Antiviral therapy: Medications such as entecavir and tenofovir can effectively suppress viral replication, reduce liver inflammation and fibrosis, and lower the risk of cirrhosis and liver cancer. Interferon alpha has broad-spectrum antiviral effects and can enhance immune function, but is associated with more side effects.

2. Liver-protecting therapy: Liver-protecting drugs such as hepatoprotective tablets and glycyrrhizic acid preparations help reduce liver inflammation and promote hepatocyte repair.

3. Immune-regulating therapy: Such as thymosin alpha 1, which assists in improving immune function and enhances the body's ability to clear the virus.

4. Lifestyle modifications: Patients should maintain regular作息 (作息 should be translated as作息 patterns or daily routines), avoid excessive fatigue, follow a balanced diet to ensure adequate nutrition, quit smoking and abstain from alcohol to reduce liver damage, and maintain a positive mindset while actively cooperating with treatment.

Patients should actively cooperate with physicians, adhere to treatment, and maintain healthy lifestyle habits to control disease progression and improve quality of life.