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Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Oct 21, 2008; 14(39): 6060-6064
Published online Oct 21, 2008. doi: 10.3748/wjg.14.6060
Therapeutic effect of traditional Chinese medicine on coagulation disorder and accompanying intractable jaundice in hepatitis B virus-related liver cirrhosis patients
Yang-Mei Li, Hong-Zhi Yang, Wei-Bing Guan, Qian-Shan Ke, Min Dai, He-Ping Xie, Shi-Jun Zhang
Yang-Mei Li, Hong-Zhi Yang, Wei-Bing Guan, Qian-Shan Ke, Min Dai, He-Ping Xie, Department of TCM, The Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou 510630, Guangdong Province, China
Shi-Jun Zhang, Department of TCM, The First Affiliated Hospital of Sun Yat-Sen University, 58# Zhongshan Er Road, Guangzhou 510080, Guangdong Province, China
Author contributions: Li YM and Yang HZ contributed equally to this work, designed and overviewed the research; Li YM, Zhang SJ and Xie HP analyzed the data; Li YM, Ke QS, Guan WB and Dai M performed the research; Li YM wrote the paper.
Supported by Science and Technology Agency of Guangdong Province, NO.  2008B030301041
Correspondence to: Hong-Zhi Yang, Department of TCM, The Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou 510630, Guangdong Province, China. hzyang1960@163.com
Telephone: +86-13318815024 Fax: +86-20-85253336
Received: June 26, 2008
Revised: August 5, 2004
Accepted: August 12, 2008
Published online: October 21, 2008
Abstract

AIM: To observe the therapeutic effects of new traditional Chinese medicine (TCM) therapy on coagulation disorder and accompanying intractable jaundice in HBV-related liver cirrhosis patients.

METHODS: Using stratified random sampling according to fibrinogen (Fib) levels, 145 liver cirrhosis patients due to hepatitis B complicated by coagulation disorder were treated. Of them, 70 in research group were treated with TCM by “nourishing yin, cooling blood and invigorating blood circulation” and Western medicine, 75 in control group were treated with conventional Western medicine. The indexes of liver function, coagulation function and bleeding events were observed and compared.

RESULTS: The prothrombin time (PT) was shorter and the fibrinogen (Fib) level was higher in the research group than in the control group (Fib = 1.6-2.0 g/L, 1.1-1.5 g/L, and ≤ 1.0 g/L). The total bilirubin (TBIL) level was significantly lower in the research group than in the control group, except for the subgroup of FIB ≤ 1.0 g/L.

CONCLUSION: TCM therapy can improve coagulation function and decrease TBIL.

Keywords: Combination of traditional Chinese and Western medicine, Liver cirrhosis, Coagulation disorder, Nourishing yin, Cooling blood and invigorating blood circulation