ACUTE HEPATITIS (HEPATITIS A AND E)

Clinical Manifestations
  • Primary Stage: (This is mostly applicable to hepatitis A, in the early stage of the disease.)
    Fatigue
    Occasional jaundice (Damp-Heat Stage affecting the Blood)
  • If the disease is cured at this stage, there will be no further manifestations.
  • If the disease is not cured at this stage: (This stage is not seen in hepatitis C.)
    Fever and chills
    Nausea
    Gas
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Body aches
  • Nasal obstruction
  • Cough with sputum
  • Stuffy nose
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Headache
  • Dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure
Treatment Principle
  • Release the Exterior
  • Augment Qi
  • Remove Wind-Cold-Damp
  • Eliminate Painful Obstruction
  • Circulate Qi and Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Severe sore and swollen throat
  • High fever with convulsions in infants
  • Difficulty swallowing
  • Carbuncles
  • Acute localized infection
  • Lymphangitis
  • Furuncles
  • Boils
  • Abscesses
  • T: Red
  • C: Greasy and yellow
  • P: Rapid
Treatment Principle
  • Relieve Toxic Heat
  • Reduce swelling
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Strong fever and chills
  • Redness of the head and face
  • Swelling and burning pain of the head and face
  • Throat dysfunction
  • Swelling and pain of the throat
  • Thirst
  • Red and swollen eyes
  • Difficulty opening the eyes
  • Aversion to Cold
  • Throat Dryness
  • Facial edema
  • Restlessness
  • T: Red or Dry and red
  • C: Powdery white or Yellow
  • P: Floating, rapid and forceful or Rapid and forceful
Treatment Principle
  • Clear Heat
  • Eliminate Fire toxin
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Headache (wrapping)
  • Fever and chills, fever more pronounced or
  • Chills with afternoon fever
  • Heavy extremities
  • Heavy sensations in the body
  • Stifling sensation in the chest
  • Nausea
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy, white or Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Fever (may be unremitting)
  • Achy limbs
  • A stifling sensation in the chest
  • Abdominal distention
  • Nausea and vomiting
  • Dark, scanty, turbid or red urine
  • Diarrhea or constipation
  • Malaise
  • Sore throat
  • Jaundice
  • Thirst with no desire to drink
  • No perspiration
  • Chest discomfort
  • Swollen throat
  • Pressure headache
  • Anorexia
  • Vomiting and diarrhea
  • Unremitting fever
  • Swelling of the lower cheeks
  • Lumbago
  • Heaviness
  • Sweat
  • Orange-yellow body
  • Jaundice
  • Fatigue
  • Lethargy
  • Low back pain
  • Headache
  • Oliguria
  • Irritability
  • Persistent low grade fever
  • Dysentery
  • Simultaneous bitter and sweet tastes in mouth
  • Bowel dysfunction
  • T: Red or normal or Pale white
  • C: Thick greasy and white or Dry and yellow
  • P: Soft and rapid
Treatment Principle
  • Resolve Dampness
  • Transform turbidity
  • Clear Heat
  • Relieve toxicity
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough or
  • Dry cough
  • Insomnia
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Replenish Qi and Yin
  • Generate Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Emotional tension
  • Irritability
  • Inappropriate anger
  • Fatigue
  • Weakness
  • Cold hands and feet
  • Maybe anorexia
  • A bland taste in the mouth
    Loose stools
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
    Premenstrual syndrome
  • T: Pale or Dark, fat and swollen
  • C: Thin and white or White and slippery
  • P: Slippery and wiry or Thready and wiry
Treatment Principle
  • Soothe the Liver
  • Strengthen the Spleen
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Regulate Liver Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Pronounced chills with light fever or
  • Chills without fever
  • Cold extremities
  • Aversion to Wind
  • Headache
  • Thirst
  • Sweating on the head
  • Irritability
  • Insomnia
  • Dry cough
  • Tuberculosis
  • Diarrhea
  • Palpitations
  • Loose stools
  • Hypochondriac pain
  • A feeling of fullness and clumping in the chest and hypochondrium
  • Rapid Heart palpitations
  • Dysuria
  • Night sweats
  • Gastric distention
  • T: Moist
  • C: White and slippery
  • P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle
  • Harmonize and release the Shao Yang
  • Disperse clumping
  • Warm the Interior
  • Dispel Cold
  • Dispel water accumulation
  • Clear Heat
Herb Formulas
Points

Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Fatigue
  • Fever and chills
  • Nausea
  • Gas
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
  • Long Dan Xie Gan Tang
  • Hao Qin Qing Dan Tang
  • Xiao Cheng Qi Tang
  • With Heat greater than Dampness: Yin Chen Hao Tang modified
  • With Dampness greater than Heat: Yin Chen Wu Ling San
  • For severe nausea: sip every few minutes. After four hours, the urine will be dark and the abdomen will gurgle. The next day the fever will be reduced or gone. Treat for one to four weeks. Reduce the dosage as you go.
  • Chinese Patent Medicines:
    Ji Gu Gan Cao Wan
    Ji Gu Cao Chong Ji
    Li Dan Pian
    Long Dan Xie Gan Wan
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • C: Normal or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Spread the Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Firmness and distention in the lower abdomen which is painful and gives resistance on pressure
  • Smooth urination
  • Manic behavior
  • Forgetfulness
  • Black stools that are easy to expel
  • Delayed menstruation
  • Amenorrhea
  • Irregular menstruation
  • Coagulated blood
  • Thirst
  • Dry mouth
  • Polyuria
  • Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails
  • T: Purplish
  • C: Normal
  • P: Deep, slow and irregular
Treatment Principle
  • Break up and dispel Blood Stasis
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Generalized yellowing
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Body aches
  • Aversion to Wind
  • Thirst
  • Nasal congestion
  • Sore throat
  • Edema
  • Constipation
  • Sneezing with clear watery nasal discharge
  • Itchy throat
  • Irritability
  • A stifling sensation in the chest
  • Heat in the joints with pain and swelling
  • Itching
  • Dysuria
  • Expectoration of yellow Phlegm
  • Dark, scanty urination or bloody urination
  • T: Red
  • C: Yellow
  • P: Floating or Slippery and rapid
Treatment Principle
  • Resolve the Exterior
  • Dissipate Toxins
  • Clear Heat
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Fidgeting
  • Thirst with desire for drinks
  • Skin eruptions
  • Jaundice is acute and worsens quickly
  • Dark yellow or gold colored skin
  • Hot feeling of the skin
  • Irritability
  • Insomnia
  • Mania
  • Unconsciousness
  • Hematemesis
  • Epistaxis
  • Hemafecia
  • Delirium
  • Bleeding from the mouth
  • Bruises easily
  • T: Deep purplish or Deep red
  • C: White, greasy and thick, obvious in the middle part or Thin and white, with scanty fluids or Dry yellow
  • P: Wiry and rapid or Thready and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Simultaneous vomiting and diarrhea
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Irritability
  • Acid regurgitation
  • Anorexia
  • Restlessness
  • Fatigue
  • Abdominal pain
  • A bitter taste in the mouth
  • Dark, scanty, possibly reddish urine
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and rapid or Smooth and wiry
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points