title: [Clinical observation on auxiliary treatment with suanzaoren decoction for chronic severe hepatitis].
abstract: OBJECTIVE
  To investigate the curative effect and safety of auxiliary treatment with Suanzaoren Decoction (SZRD) on patients with chronic severe hepatitis (CSH).
  
  
  METHODS
  Sixty patients, with the diagnosis in accordance with the diagnostic criterion of CSH, were assigned to the treated group and the control group, 30 in each group. Patients in the control group were treated with comprehensive therapy including symptomatic supportive treatment, anti-infective therapy and artificial liver plasmapheresis etc., while those in the treated group were orally taken SZRD additionally. Patients' condition of sleeping and changes of total bilirubin (TBIL), prothrombin activity (PTA), tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 (IL-1) were observed before and after treatment, and the adverse reactions were observed as well.
  
  
  RESULTS
  The sleeping status were significantly improved in the treated group after treatment, and the serum levels of TBIL, TNF-alpha and IL-1 were significantly decreased. The improvement rate was 66.7% (20/30) and significantly higher than that (40.0%, 12/30) in the control group.
  
  
  CONCLUSIONS
  SZRD can significantly improve the sleeping status of CSH patients, alleviate the hepato-cellular injury by inflammatory cytokines and without obvious adverse reaction.
authors.affiliation: Department of Infection, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou. zhuhaipeng-0616@sina.com
authors.forename: Hai-peng
authors.initials: HP
authors.lastname: Zhu
authors.forename: Zhi-liang
authors.initials: ZL
authors.lastname: Gao
authors.forename: De-ming
authors.initials: DM
authors.lastname: Tan
mesh_terms: D000328:Adult; D001663:Bilirubin / Q000097:blood; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D006521:Hepatitis, Chronic / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D007375:Interleukin-1 / Q000097:blood; D008297:Male; D008875:Middle Aged; D008517:Phytotherapy; D014409:Tumor Necrosis Factor-alpha / Q000097:blood; D055815:Young Adult
chemical_list: D004365:Drugs, Chinese Herbal; D007375:Interleukin-1; D014409:Tumor Necrosis Factor-alpha; D001663:Bilirubin; C530157:suanzaoren