If the patient shows signs of impending coma, protein should be temporarily interdicted and gradually reintroduced and increased as clinical improvement takes place. In general, dietary management consists of giving palatable meals as tolerated, without overfeeding. Patients with infectious hepatitis should avoid strenuous physical exertion, alcohol, and hepatotoxic agents. While the administration of small doses of oxazepam or phenobarbital is safe (since they are not metabolized by the liver), it is recommended that morphine sulfate be avoided.
Corticotropin and corticosteroids. Although these agents have been recommended by some authors for the treatment of fulminant hepatitis, controlled studies have demonstrated no benefit in patients with severe viral hepatitis treated relatively early in the course of the disease.
Decoction and dosage: All the above herbs make a dose and six to ten doses are prescribed with one dose daily. Each dose is simmered twice and then the broth of each mixed, half of the mixed broth each time, twice a day.
For jaundice type with loose bowels.
Yin Chen Shi Lin Tang Jia Jian.
Constituents:
Capillary artemisia 60g
Tuckahoe 30g
Umbellate pore 12g
Oriental water plantain 12g
Large-headed atractylodes 12g
Fruit of citron or trifoliate orange 12g
Fruit of hawthorn (baked) 30g
Medicated leaven (baked) 30g
Malt (baked) 30g
Loosestrife 60g
Asiatic plantain 30g
Cogongrass rhizome 60g
Honeysuckle flower 30g
Weeping forsythia 30g
Decoction and dosage is the same.
Acupuncture therapy.
Points: Sp9 Yinlingquan, $36 Zusanli, $9 Renying, B19 Danshu, B40 Yanggang and GV9 Zhiyang.Method: All the above points are acupunctured with moderate stimulation and the needles are retained for 20 minutes. The therapy is given once daily.
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