Gallbladder GALLBLADDER_PHLEGM_FIRE

Gallbladder Phlegm-Fire

💊 Treatment principle: Transform Phlegm, clear fire, clear gallbladder.

Description

Pain in right upper abdomen, nausea, bitter taste and yellow tongue coating.

Clinical features

Pain in right upper abdomen, nausea, bitter taste, yellow sticky tongue coating, slippery rapid pulse.

🏥 Scientific research

Western understanding:

Gallbladder Phlegm Fire correlates with acute cholecystitis, gallstones with infection, and fever. Characterized by right upper quadrant pain, nausea, and a slippery rapid pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for respiratory diseases, digestive disorders, and neurological conditions. Studies demonstrate efficacy for asthma, COPD, GERD, and IBS. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Caution in acute febrile conditions. May indicate serious infection requiring antibiotics. Acupuncture as adjunctive therapy only.

📚 References

Zhang Y, et al. Acupuncture for asthma. Cochrane Database. 2019. Wang L, et al. Acupuncture for GERD. Am J Gastroenterol. 2020. Li M, et al. Acupuncture for Parkinsons disease. Neurology. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective
Technique: Flash
⏱️ Duration: 5 minutes
📅 Frequency: 2x per week
💪 Intensity: Light
Clinical notes:

Flash cupping is effectief bij damp, flegm en longaandoeningen

Special notes:

Quick application: cups are placed briefly and removed immediately. Repeat 5-10x per session. Excellent for back in chronic cough, asthma and phlegm.

🚫 Contraindications:

Severe lung diseases (COPD, asthma attack), fever, acute infection, fragile skin

Recommended cupping points:
BL13 primary
Feishu 肺俞
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ST40 primary
Fenglong 丰隆
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BL-20 primary
Pishu 脾俞
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BL-13 secondary
Feishu 肺俞
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LU-1 secondary
Zhongfu 中府
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

ST40 Primary
Fenglong 丰隆
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LI11 Secondary
Quchi 曲池
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LR3 Adjuvant
Taichong 太冲
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🚫 Moxa advice

not recommended

📜 Herbal formulas

Erchen Tang 二陈汤
🧠 TCM pattern:

Phlegm-Damp

📋 Indications:

Chronic bronchitis, nausea, dizziness, swollen tongue

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Yin deficiency with dryness

⚠️ Safety warnings:

Pinellia must be prepared (fa ban xia)

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