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小柴胡汤自中国汉代即开始用以治疗类似感冒症候群如发热、疲乏以及腹部不适及恶心。过去10年中日本用小柴胡汤治疗肝病被认为安全而无副作用,因而常用于肝病患者,本文报告4例因小柴胡汤所致的肝损伤。 例1:51岁女性因疲乏、轻度转氨酶升高而用小柴胡汤7.5g/d。7周后出现黄疽,血胆红素、转氨酶及ALP显著升高。停药10d后转氨酶突然下降,再用该药17d转氨酶又上升。停药26d肝活检见有亚大块融合性架桥样坏死。 例2:52岁女性用taximofen(抗雌激素制剂)后出现转氨酶及ALP轻度升高。停该药而
Xiao Chai Hu Tang has been used since the Han Dynasty in China to treat similar cold syndromes such as fever, fatigue, and abdominal discomfort and nausea. Japan over the past 10 years with Xiao Chai Hu Tang treatment of liver disease is considered safe and without side effects, which is commonly used in patients with liver disease, the paper reported four cases of Xiao Chai Hu Tang caused by liver damage. Example 1: 51-year-old woman due to fatigue, mild aminotransferase with Xiao Chai Hu Tang 7.5g / d. Jaundice appeared after 7 weeks, serum bilirubin, aminotransferase and ALP were significantly increased. Atypical transaminases suddenly dropped after 10 days of withdrawal and then increased with 17 days transaminase. 26d liver biopsy stopped there sub-block fusion-like bridging necrosis. Example: A slight increase in aminotransferase and ALP occurs in a 52-year-old woman after taximofen (antiestrogen). Stop this medicine