Theoretical and Natural Science

- The Open Access Proceedings Series for Conferences


Theoretical and Natural Science

Vol. 33, 08 March 2024


Open Access | Article

Application of rehabilitation in gastrointestinal dysfunction in patients with hepatitis B

Xinna Xue 1 , Yuan Yuan 2 , Yuxin Zheng 3 , Guohui Zhang 4 , Hong Zhang * 5
1 Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine
2 Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine
3 Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine
4 Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine
5 Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine

* Author to whom correspondence should be addressed.

Theoretical and Natural Science, Vol. 33, 52-60
Published 08 March 2024. © 2023 The Author(s). Published by EWA Publishing
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Citation Xinna Xue, Yuan Yuan, Yuxin Zheng, Guohui Zhang, Hong Zhang. Application of rehabilitation in gastrointestinal dysfunction in patients with hepatitis B. TNS (2024) Vol. 33: 52-60. DOI: 10.54254/2753-8818/33/20240811.

Abstract

The secondary dysfunction of hepatitis B is usually gastrointestinal dysfunction, motor dysfunction, sensory disorders, sleep disorders, and further aggravation may even lead to liver failure. Among them, gastrointestinal dysfunction is the main symptom that troubles patients and is not conducive to prognosis. In this paper, the application of traditional Chinese and Western medicine rehabilitation in hepatitis B gastrointestinal dysfunction and related treatment mechanisms were reviewed. After studying related articles, it was found that: Traditional Chinese medicine rehabilitation pays attention to the overall function of patients, emphasizes the coordination of heart and rest, and focuses on traditional Chinese medicine regulation, body exercises, massage techniques, acupuncture, acupoint application and other methods; Modern medical rehabilitation attaches importance to the ability of patients to return to society, and mainly adopts physical therapy, occupational therapy, speech therapy and other methods. Among them, traditional Chinese medicine has various rehabilitation methods for gastrointestinal dysfunction of hepatitis B, and most of the current research focuses on traditional Chinese medicine and acupuncture. Modern medicine for rehabilitating this dysfunction, clinical research, and basic research are temporarily lacking. The rehabilitation method of integrated Chinese and Western medicine is more advantageous for the treatment of gastrointestinal dysfunction of hepatitis B. This article will provide new ideas for the rehabilitation of patients with gastrointestinal dysfunction of hepatitis B.

Keywords

Hepatitis B, Gastrointestinal dysfunction, Rehabilitation

References

1. Jeng W J, Papatheodoridis G V, Lok A. Hepatitis B[J]. Lancet, 2023,401(10381):1039-1052.

2. Yan F, Zhang Q, Shi K, et al. Gut microbiota dysbiosis with hepatitis B virus liver disease and association with immune response[J]. Front Cell Infect Microbiol, 2023,13:1152987.

3. Lavanchy D. Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures[J]. J Viral Hepat, 2004,11(2):97-107.

4. Li B, Wang S W, Cheng X B, et al. Research progress in the treatment of chronic hepatitis B[J]. Journal of Qingdao University (Medical Edition), 2022,58(06):930-935.

5. Standards of TCM syndrome differentiation for viral hepatitis (2017 edition)[J]. Journal of Integrated Chinese and Western Medicine for Liver Diseases, 2017,27(03):193-194.

6. Gong W. Discussion on the attribution of the liver in traditional Chinese medicine[J]. Journal of Integrated Chinese and Western Medicine for Liver Diseases, 2023,33(09):836-839.

7. Zhang J. Clinical study of acupuncture points treatment for gastrointestinal dysfunction in chronic liver disease[D]. Hubei University of Chinese Medicine, 2016.

8. Guo Z, Zhang J, Li S, et al. Relationship between intestinal flora and the occurrence, development, and prognosis of chronic hepatitis B[J]. Journal of Clinical Hepatology, 2022,38(05):1137-1142.

9. Li Y G, Yu Z J, Li A, et al. Gut microbiota alteration and modulation in hepatitis B virus-related fibrosis and complications: Molecular mechanisms and therapeutic inventions[J]. World Journal of Gastroenterology, 2022,28(28):3555-3572.

10. Zhou H W, Lu Z H, Fu T, et al. Changes in intestinal flora of patients in the acute phase of chronic hepatitis B[J]. Journal of Multiple Organ Diseases in the Elderly, 2023,22(09):641-646.

11. Cai L J, Wang X L, Peng S Q. Efficacy of sodium fructose phosphate combined with Bifidobacterium on rotavirus enteritis in children and its effect on myocardial damage[J]. Chinese Clinical Research, 2020,33(11):1516-1519.

12. Cao C F, Zhang X M, Li X C, et al. Relationship between changes in intestinal flora and HBV-DNA level in patients with hepatitis B cirrhosis[J]. Chinese Journal of Microecology, 2022,34(12):1436-1440.

13. Jiang J M, Xiong Y, Yu H Y, et al. Discussion on the treatment of chronic liver disease based on the traditional Chinese medicine principle of “harmonizing methods”[J]. Journal of Traditional Chinese Medicine and Clinical Pharmacology, 2020,32(11):2029-2033.

14. Li H M, Ye Z H, Zhang J, et al. Clinical trial with traditional Chinese medicine intervention ‘‘tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment’’ for chronic hepatitis B-associated liver failure[J]. World Journal of Gastroenterology, 2014,20(48):18458-18465.

15. Zhai F F, Cui X, Feng L, et al. Clinical study of Ruanjianfang combined with entecavir in the treatment of chronic hepatitis B liver fibrosis of positive deficiency and blood stasis type[J]. Journal of Integrated Chinese and Western Medicine for Liver Diseases, 2021,31(11):987-989.

16. Zeng Y, Xiao S, Yang L, et al. Systematic analysis of the mechanism of Xiaochaihu decoction in hepatitis B treatment via network pharmacology and molecular docking[J]. Computational Biology and Medicine, 2021,138:104894.

17. Chen Z Q, Xu S S. Clinical observation of Xiaochaihu decoction in the treatment of bile reflux gastritis[J]. Practical Traditional Chinese Medicine Journal, 2020,36(02):159-160.

18. Han F F. Effects of Xiaoyao powder combined with antiviral therapy on the curative effect of liver depression and spleen deficiency type hepatitis B[J]. Doctor of Medicine, 2022,7(21):89-91.

19. Liu J, Li J. Mechanism of Tongxiao recipe in the treatment of diarrhea-predominant irritable bowel syndrome based on network pharmacology[J]. Henan Traditional Chinese Medicine, 2023,43(04):543-551.

20. Zeng X, He J, Li X, et al. Clinical efficacy of one-finger meditation massage on IBS-C based on the “gut-brain axis” theory: study protocol for a randomized controlled trial[J]. BMC Complementary Medicine and Therapies, 2023,23(1):185.

21. Bi C, Yang X M, Liu Y, et al. Effects of traditional Chinese medicine acupoint application combined with massage on gastrointestinal function in patients with qi deficiency and blood stasis after laparoscopic myomectomy[J]. Western Chinese Medicine, 2023,36(09):124-127.

22. Zhang W, Zhou W, Kong Y, et al. The effect of abdominal massage on enteral nutrition tolerance in patients on mechanical ventilation: A Randomized Controlled Study[J]. Intensive Critical Care Nursing, 2023,75:103371.

23. Wang L N, He W. Nursing experience of abdominal massage intervention for gastrointestinal dysfunction after lung transplantation[J]. Transplant Immunology, 2022,72:101590.

24. Ruan D, Li J, Liu J, et al. Acupoint Massage Can Effectively Promote the Recovery of Gastrointestinal Function after Gynecologic Laparoscopy[J]. Journal of Investigative Surgery, 2021,34(1):91-95.

25. Dehghan M, Malakoutikhah A, Ghaedi H F, et al. The Effect of Abdominal Massage on Gastrointestinal Functions: a Systematic Review[J]. Complementary Therapies in Medicine, 2020,54:102553.

26. Wu X Y, Chen C L, Liu T J. Healthcare of internal and surgical diseases[M]. Beijing: People’s Health Publishing House, 2018.

27. Shi Lijie, Zhu Huiyi, Huang Tiansheng. Research Progress on Baduanjin Exercise Intervention for Diseases of the Spleen and Stomach. Hunan Journal of Traditional Chinese Medicine, 2020, 36(09): 192-194.

28. Liang Yishen, Zhang Danxuan, Chen Qiao. Research Progress of Traditional Health-Preserving Methods in the Treatment of Spleen and Stomach Diseases. Journal of Traditional Chinese Medicine External Therapy, 2019, 28(01): 60-61.

29. Chen Hui, Cai Lianhuan, Huang Limei. Discussion on the Influence of Tai Chi Yunshou Based on the Brain-Gut-Microbiota Axis Theory on Gastrointestinal Function in Patients with Post-Stroke Fatigue. Heilongjiang Medicine, 2023, 36(03): 528-531.

30. Hui L, Tian H, Qian X, et al. Acupuncture and regulation of gastrointestinal function. World Journal of Gastroenterology, 2015, 21(27): 8304-8313.

31. Shin HC, Kim JS, Lee SK, et al. The effect of acupuncture on postoperative nausea and vomiting after pediatric tonsillectomy: A meta-analysis and systematic review. Laryngoscope, 2016, 126(8): 1761-1767.

32. Kabalak AA, Akcay M, Akcay F, et al. Transcutaneous electrical acupoint stimulation versus ondansetron in the prevention of postoperative vomiting following pediatric tonsillectomy. Journal of Alternative and Complementary Medicine, 2005, 11(3): 407-413.

33. Mu Rong, Zheng Qubin, Yang Weizhu, Jiang Na, Yang Sheng. Efficacy Observation of Acupoint Neiguan Acupuncture in the Intervention of Complications of Hepatocellular Carcinoma. Chinese Journal of Integrated Traditional and Western Medicine, 1995(10): 611.

34. Zhu Qin, Yang Yulin, Yang Xiaole, et al. Clinical Study of Astragalus Acupoint Injection Treatment for Chronic Hepatitis B and Discussion on the Theory of Traditional Chinese Medicine External Treatment. Chinese Journal of Traditional Chinese Medicine, 2011, 29(12): 2695-2697.

35. Luo Biyu. Treatment of 34 cases of chronic type B viral hepatitis with acupuncture regulating liver and invigorating spleen. Journal of Traditional Chinese Medicine External Therapy, 2017, 26(02): 15.

36. Yu Z. Neuromechanism of acupuncture regulating gastrointestinal motility. World Journal of Gastroenterology, 2020, 26(23): 3182-3200.

37. Kagitani F, Uchida S, Hotta H, et al. Manual acupuncture needle stimulation of the rat hindlimb activates groups I, II, III and IV single afferent nerve fibers in the dorsal spinal roots. Japanese Journal of Physiology, 2005, 55(3): 149-155.

38. Wang X, Lu L, Zi L, et al. Electroacupuncture at Acupoint ST36 (Zusanli) Improves Intestinal Motility Dysfunction Via Increasing the Proportion of Cholinergic Neurons in Rat Ileal Myenteric Ganglia after Severe Acute Pancreatitis. Evidence-Based Complementary and Alternative Medicine, 2022, 2022: 7837711.

39. Xie Z, Zhang X, Zhao M, et al. The gut-to-brain axis for toxin-induced defensive responses. Cell, 2022, 185(23): 4298-4316.

40. Huang ST, Chen GY, Lo HM, et al. Increase in the vagal modulation by acupuncture at neiguan point in the healthy subjects. American Journal of Chinese Medicine, 2005, 33(1): 157-164.

41. Jia YJ, Li TY, Han P, et al. Effects of different courses of moxibustion treatment on intestinal flora and inflammation of a rat model of knee osteoarthritis. Journal of Integrative Medicine, 2022, 20(2): 173-181.

42. Wang XM, Lu Y, Wu LY, et al. Moxibustion inhibits interleukin-12 and tumor necrosis factor alpha and modulates intestinal flora in rat with ulcerative colitis. World Journal of Gastroenterology, 2012, 18(46): 6819-6828.

43. Qi Xueyang, Zhang Qinsheng. Effect of Ear Acupoint Pressing Beads on Abdominal Distension and Quality of Life in Patients with Cirrhosis Complicated by Hepatitis B. Chinese Journal of Gerontology, 2017, 37(12): 2982-2984.

44. Jiang Zhaorong, Zhang Jinrong. Clinical Effect of Traditional Chinese Medicine Application on the Treatment of Decompensated Hepatic Cirrhosis with Gastrointestinal Gas. Practical Journal of Hepatic Diseases, 2015, 18(05): 550-551.

45. Liu Zhengcai, Yu Xia. Dietary Therapy for Chronic Liver Disease. Longevity Classic, 2017(07): 30-31.

46. Xing Mingyou, Liu Lu, Fang Jianguo, et al. Short-term efficacy of wolfberry peptide combined with lamivudine in the treatment of chronic hepatitis B. Journal of Drug Epidemiology, 2008(03): 135-137.

47. Wang Donghui, Jiang Suwen, Hu Airong, et al. Mulberry improves oxidative stress-induced non-alcoholic fatty liver disease in rats. Chinese Journal of Clinical Pharmacology and Therapeutics, 2023, 28(06): 609-616.

48. Lu Chao, Du Junying, Fang Jianqiao, et al. Observation on the Efficacy of Different Frequencies of TEAS Combined with Wristband Pressure Stimulation on Preventing Nausea and Vomiting after Laparoscopic Cholecystectomy. Chinese Acupuncture, 2019, 39(01): 9-15.

49. Gong Lijuan, Zhao Shuyun, Liu Jie, et al. Efficacy Observation of WLGY-801 Computer Liver Disease Treatment Instrument in the Treatment of Chronic Liver Disease. Chinese Journal of Hepatology (Electronic Edition), 2015, 7(02): 106-108.

50. Sallam H, McNearney TA, Doshi D, et al. Transcutaneous electrical nerve stimulation (TENS) improves upper GI symptoms and balances the sympathovagal activity in scleroderma patients. Digestive Diseases and Sciences, 2007, 52(5): 1329-1337.

51. Zheng Yijun, Hou Yuyue, Li Fan, et al. Near-infrared light significantly improves depressive-induced intestinal dysfunction in rats. Journal of Southern Medical University, 2023, 43(09): 1591-1598.

52. Zhang Jinming, He Chengqi, Wu Yi, et al. Rehabilitation of Internal and External Diseases. Beijing: People’s Medical Publishing House, 2018.

53. Jiang Xueliang. Application of Probiotic Preparations in the Digestive System. Chinese Digestive Disease and Imaging Journal (Electronic Edition), 2021, 11(02): 49-53.

54. Zhu Ze, Hao Shuangying. Influence of Probiotics on Intestinal Flora in Patients with Chronic Hepatitis B. Journal of Gastroenterology and Hepatology, 2021, 30(01): 88-94.

55. Zorba P, Ozdemir L. The Preliminary Effects of Massage and Inhalation Aromatherapy on Chemotherapy-Induced Acute Nausea and Vomiting: A Quasi-Randomized Controlled Pilot Trial. Cancer Nursing, 2018, 41(5): 359-366.

Data Availability

The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Authors who publish this series agree to the following terms:

1. Authors retain copyright and grant the series right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this series.

2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the series's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this series.

3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See Open Access Instruction).

Volume Title
Proceedings of the 2nd International Conference on Modern Medicine and Global Health
ISBN (Print)
978-1-83558-323-4
ISBN (Online)
978-1-83558-324-1
Published Date
08 March 2024
Series
Theoretical and Natural Science
ISSN (Print)
2753-8818
ISSN (Online)
2753-8826
DOI
10.54254/2753-8818/33/20240811
Copyright
08 March 2024
Open Access
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Copyright © 2023 EWA Publishing. Unless Otherwise Stated