Prescription for hepatitis B
Composition: Ganshu (BL 18), Pishu (BL 20), Dazhui (GV 14), Zhiyang (GV 9), Zusanli (ST 36) Qimen (LR 14), Zhangmen (LR 13), Zhongwan (CV 12), Danzhong (CV 17) and Shizitou. [-3 cun above Taiyuan (LU 9)]
Source: Acupuncture-Moxibustion for Prevention and Treatment of Gerontal Diseases by Wu Xu-nian.
Action: Relieving the depressed liver and normali-zing the function of gallbladder, invigorating the spleen and eliminating dampness.
Elucidation: The disease is categorized as "Hypochondriac pain" in TCM, and mainly caused by damp-heat. The pathogenic damp-heat stays in the liver and gallbladder, causing the stagnation of qi which may impair the function of the spleen on transportation and transformation. On the contrary, if damp-heat accumulates in the spleen and stomach, and impairs their function of transportation and transformation, the free-going of qi in the liver and gallbladder may be stagnated. So, the joint use of Ganshu (BL 18) and Oimen (LR 14), known as the combination of Back-Shu and Front-Mu points, is for relieving the depressed liver and normalizing the function of gallbladder. The joint use of Pishu (BL 20) and Zhangmen (LR 13), also known as the combination of Back-Shu and Front-Mu points, is for invigorating the spleen and eliminating dampness. Dazhui (GV 14), the crossing point of Yang Meridians of Hand and Foot, is for clearing away the pathogenic factors of Yang nature. Zhiyang (GV 9) is for strengthening the spleen-Yang to remove morbid dampness. Zusanli (ST 36), as a distal effective point to treat the symptoms of the spleen and stomach due to phlegm, is for aiding Pishu (BL 20) and Zhangmen (LR 13) to invigorate the spleen and eliminate dampness. Zhongwan (CV12) as a local point is for strengthening the stomach. Danzhong (CV 17) is for relieving the chest stuffiness and anorexia. Shizitou [3 cun above Taiyuan (LU 9)] is a experiential point for treating hepatitis B. The combination of the above points can achieve the curing of hepatitis B.
Indication: Hepatitis B. The disease may occur with a long incubation period of 6 weeks to 6 months. Main manifestation, anorexia, nausea, abdominal distention, discomfort or vague pain in the liver region, lower fever, lassitude, and tender enlargement of the liver in most cases. There may be a slight damage of liver functions, increased SGPT in most cases, and positive results of serum hepatitis-associated antigens.
Manipulation: The above points are equally divided into two groups by the first five points and the rest ones. Apply the two groups alternatively. A moxa-cone about 1.5 mg in weight like a wheat grain is burnt on each point. Apply 7 cones on each point for one treatment; for indirect moxibustion, the moxa-cone about 2 g in weight may be placed on the aconite paste and absorbent cotton as the insulator. 5 cones are burnt on each point for one treatment, to be repeated every other day by both methods alternatively. The treatment course may be 3 months.
Clinical material: A Xia-named acupuncturist treated 24 cases of chronic viral hepatitis with the above methods. After treatment, main symptoms had been improved; Ig G and SGPT decreased markedly; serum albumin remarkable increased, negative rate of HBeAg reached 54%; 22% of patients had acquired Anti-HBe Antibody; Antigen-Antibody complex formed less; immuno-pathologic state had been improved. Besides, Formation rate of E-rosettes increased to a certain extent. The follow-up survey indicated that all the indexes were stable relatively, and there were no relapses. [ Shanghai Journal of Acupuncture-Moxibustion, 1998, 7 (1) (3): 13]
A Lian-named acupuncturist treated chronic hepatitis B with Acu-injection therapy. Group 1 with 8 cases: Zusanli (ST 36), Yanglingquan (GB 34), Yinlingquan (SP9), Sanyinjiao (SP 6) and Xuehai (SP 10) were selected. The treatment course was divided into 3 periods. For each course (one month), a group of points were applied. Acuinjection therapy was conducted on a point of the group each time, and given once every other day. 1 ml of sterile distilled water was injected into a point each time in case of hyperactivity of fire due to yin deficiency; or 1.5 - 2.0 ml in case of spleen hypofunction and liver depression, damp-heat accumulation, or blood stasis due to qi deficiency. Group 2 with 90 cases: In addition to the above treatment, a Back-Shu point could be accompanied each time according to differentiation. 0.2 ml of sterile distilled water was injected into a Back-Shu point in case of hyperactivity of fire due to yin deficiency, or 0.5 ml in case of the other 3 types. Group 3 with 5 cases: Selection of points were the same as the Group 1, but 1.0 ml of interferon was injected into a point each time instead. Result: Total negative transformation rates of HBsAg, HBeAg and Anti-HBewere 63.6%, 100% and 77.3% respectively; The improvement of the above mentioned indexes in Group 2 was superior to those in the other two groups, but without significant difference; Serum interferon titer in Group 3 continued increasing markedly. [ The Journal of TCM, 1990, 31 (9). 38]
A Liu-named acupuncturist treated chronic hepatitis B with acu-injection therapy. The solutions for injection were one ampoule of α-interferon, hepatitis B vaccine and Thymosin α. After routine sterilization, the syringe needle was inserted perpendicularly into Ganshu (BL 18), Shenshu (BL 23), Xuehai (SP 10) and Zusanli (ST 36) on both sides 0.3 - 0.5 cm in depth. After the arrival of qi by lifting-thrusting manipulation, 0.3 - 0.4 ml of solution was injected gently and slowly into each point. Treatment was given every other day. One treatment course consisted of 45 times with 5 days of interval between courses. The complete treatment should last 3 courses. Of 83 cases treated with the above method, 38 cases got negative HBsAg (45.78%), 61 cases