Gastroenterology, Hepatology & Digestive Disorders

Abstract

Distribution of Human Constitutional Types Used In Traditional Mongolian Medicine among Patients with Chronic Hepatitis B

Bayarsaikhan Ochirchuulgan, Yong Li, Tsend-Ayush Damba, Badamjav Sevjid, Tserendagva Dalkh, Tsogtsaikhan Sandag.

Aim of the study: This study was aimed to clarify possible relationship between human constitutional types used in traditional Mongolian medicine and stages of the disease in patients with chronic hepatitis B (CHB).

Materials and methods: In this cross-sectional study were enrolled 101 patients with established state of CHB. There were selected patients only in 3  certain phases of the disease, namely in immune active, immune inactive and immune reactivation phases. Human constitutional types used for differential approaches of diagnostics, treatment and control of diseases in traditional Mongolian medicine were determined in all participants according  with examination tests developed by Sachs R (1995) and modified by Batchimeg et al. (2003). 

Results: Most prevalent constitutional types among patients with CHB were single Badgan or Pekan (earth, water) (24.8%) and single Shar or Tripa (fire) (18.9%) types. When patients were classified by dominant humors single Shar dominated subjects presented with 47.5% of patients. Chronic hepatitis B staging classified that 48/47.5% (25 males and 23 females) of patients are in reactivation phase, 35/34.7% (18 males and 17 females) are in inactive phase and 18/17.8% (10 males and 8 females) are in active phase. There was demonstrated significantly increased distribution of inactive phase among single Badgan type patients and reactivation phase among single Shar and dual Shar-Khii type patients (χ2 =69.5; p=0.001). Significantly high portion of patients with active phases of CHB was demonstrated Khii dominated humors, while more patients with reactivation phases demonstrated Shar dominated humors and patients with inactive phases – Badgan dominated humors (χ2 =55.4; p=0.001). Mean value of serum ALT and AST was significantly low in patients with dominated Badgan humors compared with that of patients with Khii and Shar dominated humors.

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