Gallbladder GALLBLADDER_STASIS

Gallbladder Stasis

💊 Treatment principle: Circulate Gallbladder Qi, resolve stasis.

Description

Pain in right upper abdomen, nausea, bitter taste and bloating.

Clinical features

Pain in right upper abdomen (stabbing or distending), nausea, bitter taste, bloating, purple tongue, wiry pulse.

🏥 Scientific research

Western understanding:

Gallbladder Stasis correlates with cholecystitis, gallstones, and biliary colic. Characterized by right upper quadrant pain, jaundice, and a choppy pulse.

Research evidence:

Research evidence for these patterns is emerging from both Chinese and Western studies. Systematic reviews show acupuncture benefits for respiratory diseases, cardiovascular conditions, and gastrointestinal disorders. Case series demonstrate positive outcomes for organ prolapse and chronic stasis patterns. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Caution in patients on anticoagulants. Use shallow needling. Avoid aggressive techniques. Monitor for bleeding.

📚 References

Zhang Y, et al. Acupuncture for COPD. Chest. 2020. Wang L, et al. Acupuncture for GERD. J Gastroenterol. 2019. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective
Technique: Moving
⏱️ Duration: 15 minutes
📅 Frequency: 1x per week
💪 Intensity: Moderate
Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:
LI4 primary
Hegu 合谷
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LR3 primary
Taichong 太冲
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SP10 primary
Xuehai 血海
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BL-18 primary
Ganshu 肝俞
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GB34 secondary
Yanglingquan 阳陵泉
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TE-5 secondary
Waiguan 外關
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BL-12 secondary
Fengmen 風門
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📍 Acupuncture points

LR3 Primary
Taichong 太冲
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LI4 Secondary
Hegu 合谷
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TE-5 Adjuvant
Waiguan 外關
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⚠️ Moxa advice

specialist only

📜 Herbal formulas

Longdan Xiegan Tang 龙胆泻肝汤
🧠 TCM pattern:

Damp-Heat in Liver

📋 Indications:

Herpes zoster, hepatitis, cholecystitis, red eye

📖 Classical source: Yifang Jijie
🚫 Contraindications:

Spleen-Qi deficiency

⚠️ Safety warnings:

Do not use long-term – too cold

Xiaoyao San 逍遥散
🧠 TCM pattern:

Liver-Qi stagnation

📋 Indications:

PMS, depression, bloating, flank pain

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Zheng qi deficiency

⚠️ Safety warnings:

Safe; may cause mild diarrhea with prolonged use