Acute hepatitis B

        No acute icteric hepatitis B incidence far more acute jaundice hepatitis B rate is high, and the slow onset. Some patients without jaundice, and mild symptoms, it is often unclear when their onset, don't even think what does not, just in the physical examination or blood test discovered abnormal liver function or hepatosplenomegaly, especially in serum alanine aminotransferase (ALT) levels to see. Some patients showed weakness, loss of appetite, tired of the oil, nausea and vomiting, abdominal distention, liver enlargement, tenderness, loose stools and low etc.. Abnormal liver function, ALT activity was significantly increased. Duration varies, generally about 3 months is expected to return to normal, about 5% - 10% patients six months after the still delayed healing, often turn into chronic hepatitis.

        In the examination of ALT and hepatitis B core antibody immunoglobulin M (anti HBclgM), a minority of patients because of fatigue, dizziness, insomnia, forgetfulness and misdiagnosed as neurasthenia; abdominal distention, diarrhea, weight loss because of being misdiagnosed as dyspepsia; due to fever, fatigue and suspected tuberculosis or female patients because of rheumatism; with irregular menstruation, swollen and misdiagnosed as gynecological disease; male patients were misdiagnosed as hypogonadism. Until a blood test for liver function, the dynamic observation of HBV specific immunoglobulin M, was diagnosed with acute hepatitis without jaundice hepatitis. With the increase of ALT, the turbidity of liver function (TTT) or mild to moderate abnormal floccalation, but serum bilirubin remained normal, positive anti HBclgM.

        In traditional Chinese medicine, it is believed that acute hepatitis B is caused by dampness, heat, dampness, spleen and spleen. Because of damp heat in liver and less, not caused by the flow of bile, so no jaundice, common are: liver qi stagnation: hypochondrium distending pain, abdominal distension, mouth pain, thin white fur, pulse string number based card. The disharmony between liver and spleen: a hypochondriac pain, abdominal distension, diarrhea, fatigue, thin white fur, pulse string based card. The spleen and stomach type: nausea and vomiting, anorexia, abdominal distension, chest tightness, fatigue, mouth sticky, loose stools, wo fat, pale white or greasy moss, pulse string main symptom.