Pei Zhengxue Health Weibo, Volume 3

3. Zhang Huijuan

Chapter 60

### 3. Zhang Huijuan **Question:** Female, 24 years old. Physical examination shows positive results for the second and fifth items in the hepatitis B two-and-a-half test, with elevated ALT and AST levels. What methods o

From Pei Zhengxue Health Weibo, Volume 3 · Read time 1 min · Updated March 22, 2026

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Section Index

  1. 3. Zhang Huijuan

3. Zhang Huijuan

Question: Female, 24 years old. Physical examination shows positive results for the second and fifth items in the hepatitis B two-and-a-half test, with elevated ALT and AST levels. What methods or dietary therapies can solve this problem?

Answer: I suspect you have hepatitis B small three yang, because the order of testing for the two-and-a-half test varies from place to place. Only those with positive e antigen are considered big three yang. Dietary therapy alone is not enough, because hepatitis B is a chronic progressive disease. Without systematic treatment, even small three yang can relapse at some point in life. All hepatitis B patients need systematic treatment until the surface antigen turns negative, though this is an extremely slow process.

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