Hepatitis CC aring Ambassadors Program

							            Hepatitis C
              Caring
           Ambassadors
             Program

People Helping People
            Hepatitis C Caring Ambassadors Program
         HCV
Clinical Management
 Chinese Medicine



          Hepatitis C Caring Ambassadors Program
 Define Treatment

Interferon-Based Therapy


Substance Use Referral

        HCV
        Client




                 Hepatitis C Caring Ambassadors Program
         HCV Treatment Choices

 western (allopathic) medicine
 Chinese medicine
 naturopathic medicine
 integrative medicine
 other client chosen options
   Ayurveda, homeopathy, mind-body therapies, etc.



                                Hepatitis C Caring Ambassadors Program
Traditional Chinese Medicine (TCM)
 practiced for >2000 years
 second largest medical system in the world

 modernization during in last 50 years
     modern Chinese medicine (MCM)




                               Hepatitis C Caring Ambassadors Program
              Chinese Medicine
 empirical medicine
 philosophy of balance (yin & yang)
    health – present when there is balance within the body
     and with nature
    disease – result of deviation from balance
    treatment – aimed at restoring balance




                                Hepatitis C Caring Ambassadors Program
       Chinese Medicine Diagnosis

 diagnostic methods
      inquiry
      inspection
      auscultation
      olfaction
      palpation




                       Hepatitis C Caring Ambassadors Program
                 Chinese Medicine
                Treatment Methods
   treatment is holistic and individualized
   herbology
   acupuncture and moxibustion
   therapeutic massage – tui na
   meditative exercise – qi gong




                                  Hepatitis C Caring Ambassadors Program
Comparing Western & Chinese Medicine
Characteristic   Western                 Chinese
                 Medicine                Medicine
Philosophy       biomedical science nature-based
                 evidence-based     empirical
Logic            analytical reductive systemic inductive


Primary Focus    disease                 prevention &
                 management              health maintenance




                              Hepatitis C Caring Ambassadors Program
             Comparing Western &
            Chinese Medicine, cont.
Characteristic   Western                  Chinese
                 Medicine                 Medicine
Diagnosis        history, physical,       history, physical,
                 and diagnostic           and Chinese
                 testing                  diagnostics
Treatment        problem focused          systemic focus

Strengths        acute illness            health maintenance
                 traumatic injury         chronic disease
                 surgical problems


                               Hepatitis C Caring Ambassadors Program
 Modern Chinese Medicine (MCM)*

 modernization of traditional Chinese medicine (TCM)
 integrates Chinese and western Medicine
 teach, study, and practice TCM & western medicine in
  the same medical setting




* This is how MCM is defined in China. Oriental medicine training in the U.S. is often
limited to one or more aspects of Chinese medicine and may or may not include
education in western medical theory and practice.

                                                  Hepatitis C Caring Ambassadors Program
  Modern Chinese Medicine (MCM)
 interprets TCM concepts with terms from western
  medicine:
     pathophysiology and phytopharmacology

 new concepts, therapies, and remedies
 treats intractable and diseases not defined in TCM,
  e.g., viral hepatitis




                               Hepatitis C Caring Ambassadors Program
      MCM Principles for Treating
        Infectious Diseases

 Fu Zheng Qu Xie
     “Support righteous qi and dispel evil.”

 regulate immunity and enhance health to fight off the
  infectious agent
 restoring balance is the primary objective, not ridding
  the body of the virus




                                  Hepatitis C Caring Ambassadors Program
          Functions of the Liver
           in Chinese Medicine
   liver stores blood (energy and menstruation)
   liver blood nourishes sinews and joints, and
   moistens the eyes, skin, hair, tendons, nails
   ensures smooth flow of Qi (body’s vital energy):
     emotional state
     digestion
     bile secretion




                                Hepatitis C Caring Ambassadors Program
  Chinese Differential Diagnosis
          in Hepatitis
There are 10 traditional Chinese medical
patterns specifically associated with acute and
chronic viral hepatitis.
    Patterns are diagnosed depending upon the
   physical examination and an individual’s
   symptomatology

The most common initial patterns found are
spleen, stomach, and liver patterns.



                              Hepatitis C Caring Ambassadors Program
      Seven Treatment Uses of
 Chinese Medicine for Chronic HCV
1. Suppress HCV replication to lower viral load.
2. Control inflammation and restore liver function.
3. Regulate immunity.
4. Improve microcirculation and decrease fibrosis.
5. Facilitate bile secretion and excretion.
6. Lower portal vein pressure.
7. Treat HCV-related symptoms and complications.

                                 Hepatitis C Caring Ambassadors Program