Gallbladder GALLBLADDER_QI_DEF_HEAT

Gallbladder Qi Deficiency with Heat

💊 Treatment principle: Strengthen Gallbladder Qi, clear heat.

Description

Fatigue, bitter taste, thirst and red tongue.

Clinical features

Fatigue, bitter taste, thirst, nausea, red tongue with yellow coating, rapid pulse.

🏥 Scientific research

Western understanding:

Gallbladder Qi deficiency with Heat correlates with chronic cholecystitis, right upper quadrant pain, and low-grade fever. Characterized by bitter taste, nausea, and a wiry rapid pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for anxiety, insomnia, respiratory diseases, and digestive disorders. Case series demonstrate positive outcomes for complex pattern differentiation. Large-scale RCTs recommended for specific pattern combinations.

⚠️ Cautions

Caution in febrile conditions. Avoid strong warming techniques. Monitor temperature.

📚 References

Zhang Y, et al. Acupuncture for insomnia. Sleep Med Rev. 2020. Wang L, et al. Acupuncture for anxiety. J Affect Disord. 2019. Li M, et al. Acupuncture for Parkinson disease. Mov Disord. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

⚡ Cupping advice

Moderately effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping kan worden overwogen als aanvullende therapie

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

LI11 Primary
Quchi 曲池
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LR3 Secondary
Taichong 太冲
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LI4 Adjuvant
Hegu 合谷
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🔥 Moxa advice

strongly recommended
Recommended moxa points:
GB34 indirect moxa (ginger)
Yanglingquan 阳陵泉
⏱️ Duration: 600 seconds
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ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
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📜 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