How to treat liver fibrosis after diagnosis?

  1, many patients do not understand what is liver fibrosis, liver fibrosis? What is the relationship with chronic liver disease and cirrhosis?  Various chronic liver injuries, excessive deposition of fibrous tissue in the liver during the repair process, resulting in different degrees of liver fibrous tissue hyperplasia, is a reversible pathological phenomenon. Liver fibrosis is a long pathological process that can be further subdivided into mild, moderate and severe liver fibrosis, which can progress to cirrhosis if the disease is not effectively controlled. Therefore, it can also be said that all patients with chronic liver disease have different degrees of liver fibrosis, and the progression of liver fibrosis to cirrhosis is a process of liver fiber proliferation from quantitative to qualitative changes.  For example, if a person’s skin has a wound, there will be scars during the recovery process. If the treatment is timely and effective, the scars will be lighter or even become inconspicuous, but if the wound is large and the recovery is slow, the scars will be heavy, and repeated injuries in the same part or area will cause a large number of scars to be generated, hardening the skin and limiting the function.  2.What are the common causes of liver fibrosis and cirrhosis?  Common causes of chronic liver disease include: chronic viral hepatitis B and C, chronic alcoholic liver disease, drug-related liver disease, schistosomiasis, autoimmune liver disease, genetic metabolic liver disease and malnutrition can lead to liver fibrosis and even cirrhosis.  3, liver fibrosis is an important way to the development of cirrhosis, whether early liver fibrosis can be reversed and how to detect.  Studies now show that liver fibrosis and cirrhosis in the early stages can be reversed through antiviral and antifibrotic treatment. Detection methods include FibroScan, imaging, biochemical index tests and so on. Of course, the most accurate method is the liver biopsy pathology examination. If the patient’s condition has progressed to the decompensated stage of cirrhosis, the possibility of reversal is slim.  4.How should liver fibrosis be treated including etiological treatment and anti-fibrosis treatment, some patients also need symptomatic treatment.  5.Does early antiviral therapy need to be combined with antifibrotic therapy.  In patients with obvious liver disease, especially cirrhosis, early antiviral treatment, such as stable liver function, requires additional anti-fibrotic drug therapy, which can achieve better results.  6. The role of Chinese medicine in anti-liver fibrosis treatment and what are the prominent advantages compared with western medicine.  Chinese medicine does not have the concept of liver fibrosis, but in recent decades, Chinese medicine has accumulated rich experience in the study of liver fibrosis. Chinese medicine believes that the basic pathogenesis of liver fibrosis is Zheng deficiency and blood stasis. The basic treatment is to support positive energy and activate blood circulation to remove blood stasis. However, at different stages of liver fibrosis and in different patients, different types of symptoms can be manifested, including liver-biliary damp-heat, liver-depression, spleen-deficiency and liver-kidney-yin deficiency. In the identification and treatment, the disease should be combined with the evidence, and the basic treatment method should be used flexibly in combination with the evidence-based treatment to achieve individualized treatment. At present, there are many proprietary Chinese medicines such as compound turtle nail soft liver tablets and Fu Zheng Hua Yu capsule, which are formed by following the above theory and have better effect. Therefore, at present, in the treatment of liver disease, it is an effective treatment method to block, control and reverse the occurrence, development and postponement of the process of liver fibrosis with new achievements in Chinese medicine scientific research.