Viral hepatitis is a global medical challenge, with complex etiology, pathogenesis, and symptoms that vary greatly, difficult to diagnose, and hard to cure, seriously endangering human health.
To overcome this challenge, after over 30 years of clinical practice, careful exploration, and dedicated research, I have developed a relatively complete theoretical system and formulated a prescription with high efficacy for hepatitis B, named "Chen's Hepatitis Spirit Capsule."
Based on my years of clinical experience and symptom analysis, I believe hepatitis B falls under the categories of Tsinino liver depression, rib pain, jaundice, epidemic febrile disease, and accumulation. The main clinical manifestations include fatigue, poor appetite, nausea, epigastric distension, rib pain, jaundice, etc. Viral hepatitis, with "toxin" as the root cause and "stagnation" as the basic pathogenesis, spreads through infection. Overall, the pathogenesis involves damp-heat epidemic toxins trapped in the spleen and stomach, causing stagnation in the middle jiao, dampness transforming into fire, consuming body fluids, leading to liver and kidney yin deficiency. Thus, the pathological basis is dysfunction of the liver, spleen, and kidney yin-yang, with pathogenic factors accumulating, damp-heat obstructing qi and blood stasis.
The treatment principle focuses on detoxification, regulating qi, and resolving stasis, combined with syndrome differentiation based on disease progression. It also incorporates enhancing host immunity, inhibiting viruses, improving liver blood circulation, anti-liver fibrosis, and promoting hepatocyte repair. The treatment methods emphasize nourishing the liver, soothing the liver, regulating qi, resolving stasis, supporting the body, clearing heat, promoting diuresis, and detoxifying.
Formula: My self-formulated experience prescription, "Chen's Hepatitis Spirit Capsule," has shown significant efficacy in treating viral hepatitis, gradually eliminating clinical symptoms and positive laboratory indicators, achieving recovery. It is an excellent Tsinino remedy for curing hepatitis B virus at its root, bringing great social and economic benefits to humanity.
Liver Physiology
As recorded: "East generates wind, wind generates wood, wood generates sour, sour generates liver. Liver corresponds to spring, where yang energy activates and yin responds accordingly, generating wind. Spring symbolizes wood in the five elements, with sour taste, and humans inherit this to form the liver. The liver governs rising and development, regulating blood volume. Its channels ascend to the top of the head and connect to the brain. When the liver functions normally, it resembles trees in spring—flexible, flourishing, full of vitality. The liver has yin essence but yang function. 'Essence' generally refers to physical structure or substance, while 'function' refers to action and capability. The liver is a reservoir of blood, blood being yin, hence the liver's essence is yin. The liver governs free flow, internally harboring lesser fire, making it a wind-wood organ prone to wind and fire transformation. The liver also governs tendon movement. These functions and pathological conditions, analyzed from the yin-yang perspective, lean toward motion and heat, thus considered yang. Hence the saying 'the liver has yin essence but yang function.' The liver is a rigid organ; it likes flexibility and dislikes depression. It also avoids excess. The rigidity of the liver mainly manifests in liver qi. When stimulated emotionally, one easily becomes irritable and angry—this is excessive liver qi. Conversely, if liver qi is deficient, one may feel fearful. The liver and gallbladder are mutually related. The liver's rigid function often requires the gallbladder's cooperation to manifest. Tang Rongchuan said: 'The liver stores blood. Blood is generated in the heart, descends into the uterus, forming the blood sea. All blood in the body depends on the blood sea for stability. If the blood sea is undisturbed, all blood throughout the body remains tranquil. The liver channel governs this part, hence the liver stores blood.' The liver is a blood reservoir and governs wind-wood. The gallbladder houses lesser fire and is connected to the liver, clearly showing the blood and fire relationship between the liver and gallbladder. Blood arises from heart fire, and fire shines from heavenly yang illuminating wood. Human essence, spirit, qi, and blood remain balanced, and anger does not arise because the liver wood is not depressed and the gallbladder fire is not excessive. Thus, regulating blood must begin with regulating qi, extinguishing fire especially by harmonizing blood. When blood is disturbed by pathogenic factors, it becomes scorched and congealed. Thus, blood circulation remains unblocked and inactive only when the liver and gallbladder's qi and blood are harmonious. If wood becomes depressed and transforms into fire, blood becomes unharmonized; if fire erupts and causes anger, blood may burst forth—upward as hematemesis or epistaxis, downward as hematochezia or hematuria. Tang Rongchuan said: 'Liver with depressed fire causes stabbing pain in chest and ribs,' illustrating how heat pathogens can disrupt the harmony of liver and gallbladder. Summarizing the liver's main functions:
① Governs Free Flow: Free flow means to open and facilitate. It refers to the liver's ability to disperse and regulate. Ancient people used the image of wood's vigorous growth and harmonious expansion to describe normal liver free flow. Thus, free flow represents the liver's gentle, comfortable physiological state—neither depressed nor excessive. The liver's free flow function primarily affects the smooth movement of qi in the body. Qi movement refers broadly to the dynamic changes of qi, relating to the functional activities of the organs. If the liver fails to regulate free flow, qi movement becomes unbalanced, leading to emotional abnormalities—either depression or hyperactivity. Conversely, emotional disturbances can also cause liver qi stagnation and unbalanced qi movement. Thus, the liver enjoys flexibility and dislikes depression and sudden anger.
② The liver's free flow function not only regulates qi movement but also assists in the ascending and descending of spleen and stomach qi and bile secretion. Liver dysfunction affects digestion and bile secretion, causing indigestion. Liver qi invading the stomach leads to abdominal distension and lack of appetite. Normal liver free flow also facilitates the triple burner and clears water pathways. If liver free flow is impaired, qi movement becomes unsmooth, blood stasis blocks, and meridians become obstructed, leading to fluid retention and ascites.
③ The liver governs blood storage: The liver has the function of storing blood and regulating blood volume. Liver blood deficiency leads to various disorders. The circulation of liver blood also relies on the liver's free flow and smooth qi movement. If free flow is impaired, qi stagnation and obstruction occur.
Hepatitis B Etiology and Pathogenesis
Viral hepatitis is primarily caused by viruses, transmitted through infection. From an etiological standpoint, it involves both external and internal factors. External factors include exposure to seasonal pathogens, epidemics, and improper diet. Internal factors include deficiency of vital energy and emotional injury leading to imbalance of yin and yang and unsmooth qi movement. These two factors interact and influence each other, making the disease progression complex.
One, External Invasion by Seasonal Pathogens
Due to abnormal climate changes in nature—extreme heat, misty dampness, cold-dampness not dissipating, and poor environment—contaminated food, and epidemics, the body is invaded by external pathogens either from the exterior inward or directly affecting the interior. The pathogens become trapped and fail to resolve, obstructing the middle jiao, impairing spleen and stomach function, leading to liver dysfunction, unsmooth qi movement, and imbalance in ascent and descent. Bile overflows externally, invades the skin, stains the eyes, and flows into the bladder, resulting in jaundice, yellow eyes, and yellow urine.
Two, Damage from Diet and Overwork
Those with weak spleen and stomach constitution or deficient vital energy, overwork, or post-illness spleen yang damage, lead to impaired transport and distribution of body fluids. The source of postnatal nourishment is insufficient. Improper diet, irregular eating habits, excessive alcohol consumption, or overindulgence in rich, fatty foods damage the spleen and stomach. Impaired spleen function fails to transform and distribute nutrients, instead producing dampness and turbidity, which accumulate and transform into heat, scorching the liver and gallbladder, leading to liver yin and blood deficiency or liver dysfunction.
Three, Epidemic Disease
Epidemic disease is neither wind, cold, summer heat, nor dampness—it is a special pathogenic factor from heaven and earth. The transmission route of "evil qi" is through air and contact via mouth and nose.
Four, Liver Qi Stagnation
The liver is the "general officer" governing free flow, favoring flexibility and disliking depression. If emotions are repressed or sudden anger harms the liver, qi stagnates, transforming into fire. Excessive liver fire invades the gallbladder, causing upward flaming of liver fire, disrupting nerves. Fire is the most likely to force fluids outward, deplete body fluids, and deprive tendons of nourishment, leading to internal liver wind. Qi is the commander of blood, blood is the mother of qi. When qi moves, blood moves; when qi stagnates, blood stasis occurs. If the liver fails to regulate freely, prolonged stagnation or strenuous exertion damages the rib meridians, internally causing unsmooth blood and qi movement, blood stasis blocking the rib meridians, leading to rib pain, abdominal distension, and ascites.
Understanding of Diagnosis and Treatment of Viral Hepatitis
For viral hepatitis, the etiology is fundamentally "toxin," with "stagnation" as the basic pathogenesis.
Tsinino believes acute hepatitis often presents with jaundice, and jaundice is mostly due to damp-heat accumulation. Hepatitis A is mostly heat predominance over dampness, while hepatitis B, with longer duration and persistent, lingering course, is mostly dampness predominance over heat. However, acute hepatitis is contagious, so it cannot be explained solely by ordinary damp-heat; it must involve the concept of epidemic toxins. Thus, the fundamental cause of acute hepatitis is pathogenic toxins. These toxins are mostly of damp-heat nature, so damp-heat pathogens are the basic cause of acute hepatitis. Damp-heat epidemic toxins invade and accumulate in the middle jiao, causing blood and qi stagnation, manifesting as jaundice, rib pain, liver enlargement, etc. After the acute phase, although damp-heat symptoms subside, the epidemic toxins remain unresolved and uneradicated, qi movement remains unsmooth, blood circulation remains unsmooth, and prolonged stagnation leads to qi and blood deficiency, liver deficiency, evolving into chronic hepatitis. Chronic hepatitis, a prolonged condition, gradually evolves into accumulation, distension, liver stagnation, liver failure, liver cancer, etc.
Due to the scorching of pathogenic toxins, coma may occur.
Pathogenesis Transformation of Viral Hepatitis
Overall, it is damp-heat epidemic toxins trapped in the spleen and stomach, causing stagnation in the middle jiao, dampness transforming into fire, consuming body fluids, leading to liver and kidney yin deficiency. Thus, the pathological foundation is dysfunction of the liver, spleen, and kidney yin-yang, with pathogenic factors accumulating, damp-heat obstructing, and qi and blood stasis. Chronic hepatitis carriers remain in a persistent viral state, mostly due to deficiency of vital energy, liver yin deficiency, followed by invasion and persistence of epidemic toxins consuming qi and blood, leading to spleen and kidney yang deficiency, qi and yin deficiency, liver yang deficiency, and latent pathogenic toxins. Thus, liver diseases can be both deficiency and excess. Deficiency symptoms include liver blood deficiency, liver yin deficiency, liver yang deficiency; excess symptoms are excess qi-fire or invasion by damp-heat pathogens disturbing the liver, causing internal wind and disturbance. This is considered deficiency at the root, excess at the surface.
For the treatment of viral hepatitis, I believe: since the etiology is fundamentally "toxin" and "stagnation" is the basic pathogenesis, treatment naturally focuses on detoxification and regulating qi to resolve stasis—targeting the root of the disease—and combined with disease progression, syndrome differentiation, and main symptoms for treatment. In clinical practice, it also combines enhancing immune function, boosting immunity, inhibiting viruses, improving liver blood circulation, anti-liver fibrosis, promoting hepatocyte repair, and improving liver function, ultimately aiming to enhance the body's immune function and eliminate the virus. In summary, Tsinino treatment of hepatitis B, based on the liver's function and nature and the pathogenesis of epidemic toxin invasion, follows the principle of nourishing the liver, soothing the liver, regulating qi, resolving stasis, supporting the body, clearing heat, promoting diuresis, and detoxifying.
Syndrome Differentiation and Treatment
One, Epidemic Pathogen Invasion:
Symptoms: Heat pathogen scorching the skin, feverish limbs, chest and rib fullness, silent and unwilling to eat, bitter mouth, dry throat, dizziness, taut pulse, pale coating.
Treatment: Dispel the pathogen from the primordial layer.
Formula: Dafu Yin
Explanation: Areca, cardamom—disperse pathogen from the primordial layer; Scutellaria, Anemarrhena—clear heat from the upper jiao; Bupleurum—relieve Shaoyang, disperse stagnated heat; White Peony, Licorice—relieve pain and soothe the liver; Magnolia Bark—eliminate distension and fullness.
Two, Damp-Heat Obstruction in Middle Jiao:
Symptoms: Chest fullness, epigastric fullness, nausea, dislike of greasy food, poor appetite, yellow skin and eyes, bright yellow complexion, sticky and bitter mouth, yellow urine, yellow greasy coating, taut and rapid pulse.
Formula: Longdan Xiegan Tang, Yinchen Haotang.
Treatment: Clear heat and promote diuresis.
Explanation: Gentian—clear liver and gallbladder damp-heat (primary); Gardenia, Scutellaria—clear heat and dry dampness (secondary); Alisma, Plantain Seed, Hoelen, and others—promote diuresis and drain dampness; Rehmannia, Angelica, Bupleurum—nourish blood and soothe the liver; Licorice—harmonize all herbs; Yinchen—promotes diuresis and removes jaundice.
Three, Liver Depression and Spleen Deficiency:
Symptoms: Distension and pain in chest and ribs, chest tightness, sighing, epigastric fullness and abdominal distension, depression, reduced appetite, bland taste, fatigue, loose stools, pale tongue with tooth marks on edges, thin coating, deep and taut pulse.
Treatment: Soothe the liver, regulate qi, strengthen the spleen.
Formula: Xiaoyao Tang
Explanation: Bupleurum—soothes the liver and resolves depression; White Peony, Licorice—relieve pain and soothe the liver; Angelica—nourishes blood; White Atractylodes, Poria—strengthen the spleen and promote diuresis; Mint—dispel exterior and penetrate the skin.
Four, Liver-Kidney Yin Deficiency:
Symptoms: Dull pain in the ribs, worsens with exertion, soreness in the waist and ribs, dizziness, blurred vision, dry eyes, dry throat, insomnia, vivid dreams, five palms hot, emaciated body, bleeding gums, red tongue with little moisture, fine and rapid pulse.
Treatment: Nourish liver and kidney.
Formula: Yiyuan Jian
Explanation: Raw Rehmannia, Goji Berries—nourish liver and kidney; Sand-particulate, Winter Melon, Angelica—nourish yin and soothe the liver; Chinese Wormwood—soothe the liver and relieve pain.
Five, Liver-Spleen-Kidney Yang Deficiency:
Symptoms: Cold stomach, prefers warmth, cold limbs, fatigue, low back and knee pain, poor appetite, loose stools, edema in lower limbs, cold and damp scrotum or impotence, pale swollen tongue with tooth marks, white coating, deep and fine or slow pulse.
Treatment: Warm blood, dispel cold, strengthen yang.
Formula: Nuanyuan Jian, Danggui Sizhi Tang
Explanation: Ginger—warms the meridians and dispels cold; Angelica, White Peony—nourish blood and harmonize the blood; Cinnamon Twig—enters the liver, circulates blood, promotes life energy; Aconite—warms the kidneys and strengthens yang.
Six, Blood Stasis Blocking Collaterals:
Symptoms: Dull complexion, visible red threads, stabbing pain in both sides, enlarged liver and spleen, firm texture, spider nevi, liver palms, dark tongue or ecchymosis, fine and sluggish pulse.
Treatment: Remove stasis and unblock collaterals.
Formula: Xuanfu Hua Tang
Explanation: Rubia—activate blood and unblock collaterals; Danshen—activate blood and resolve stasis; Xuanfu Hua—soothe the liver, regulate qi, relieve pain; Green Onion—warm and unblock meridians; Honeysuckle, Forsythia, Wild Chrysanthemum, Dandelion—clear heat, detoxify, reduce swelling; Angelica, White Peony—nourish blood, soothe the liver, support the body.
Summary: After over 30 years of clinical practice, meticulous exploration, and dedicated research, I have developed a unique experience-based prescription, the "Chen's Hepatitis Spirit Capsule," with high efficacy for treating hepatitis B.
This formula can gradually eliminate clinical symptoms and positive lab results, achieving recovery. It is an excellent Tsinino remedy for eradicating hepatitis B virus, bringing tremendous social and economic benefits to humanity.
Associate Chief Physician: Chen Hua
Address: Old Traditional Chinese Medicine Clinic, Yanyuan Community, Lu Nan District, Tangshan City, Hebei Province
Phone: 0315—2220343 Home: 0315—2565993
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