Hepatitis

Clinic

• Hepatitis is inflammation of the liver tissue.
• Hepatitis is acute if it resolves within six months, and chronic if it lasts longer than six months.
• Acute hepatitis can resolve on its own, progress to chronic hepatitis, or (rarely) result in acute liver failure.
• Chronic hepatitis may progress to scarring of the liver (cirrhosis), liver failure, and liver cancer.
• Hepatitis is most commonly caused by the HAV, HBV, HCV, HDV and HEV
• Other viruses can also cause hepatitis, including CMV, EBV, and YF

Acute hepatitis

Acute viral hepatitis follows three distinct phases:

1. Initial prodromal phase involves non-specific and flu-like symptoms including fatigue, nausea, vomiting, poor appetite, joint pain, and headaches and maybe Fever. Late in this phase choluria (dark urine) and clay-colored stools is occured
2. Jaundice, enlarged liver and right upper abdominal pain or discomfort, enlarged spleen and weight loss.
3. The recovery phase is characterized by resolution of the clinical symptoms of hepatitis with persistent elevations in liver lab values and potentially a persistently enlarged liver.

Fulminant hepatitis

• Fulminant hepatitis, or massive hepatic cell death, is a rare and life-threatening complication of acute hepatitis
• In addition to the signs of acute hepatitis, people can also demonstrate signs of coagulopathy and encephalopathy
• Mortality due to fulminant hepatitis is typically the result of various complications including cerebral edema, GIbleeding, sepsis, respiratory failure, or kidney failure.

Chronic hepatitis

• Chronic hepatitis is often asymptomatic early in its course and is detected only by liver laboratory studies
• As the inflammation progresses, patients can develop constitutional symptoms including fatigue, nausea, vomiting, poor appetite, and joint pain.
• Chronic hepatitis interferes with hormonal functions of the liver which can result in Acne, Hirsutism and Amenorrhea
• Extensive damage and scarring of the liver over time defines Cirrhosis which results in Jaundice, Weight loss, Coagulopathy, Ascites, Peripheral edema, Hepatic encephalopathy, Esophageal varices, Hepatorenal syndrome and liver cancer.

Autoimmune hepatitis

• Autoimmune hepatitis is a chronic disease caused by an abnormal immune response against liver cells
• Autoimmune hepatitis can also be triggered by drugs, liver transplant or viruses such as HAV, EBV or RBOL.
• Many people with autoimmune hepatitis have other autoimmune diseases.
• Autoimmune hepatitis is distinct from the other autoimmune diseases of the liver such as primary biliary cirrhosis and primary sclerosing cholangitis.

Miasms

• HAV
• HBV
• HCV
• HHV-6: Fulminant Hepatitis
• YF

Remedies

Banerji protocols
First line	Chel 6X + Card-m 0 one dose every 3 hour alternately Sul C30 one dose weekly Thuj C30 BD in chronic case of HBV and HCV
Second line	Myrica 0 + Chel 6X one dose every 3 hours alternately Nux-v C30 one dose daily esp in Alchololics Thuj C30 BD in chronic case of HBV and HCV Calc-ars C30 BD

• Chel
• Chin
• Lyc

Tissue Salt Remedies

• KM
• NS