Gallbladder GALLBLADDER_QI_STAG_PHLEGM

Gallbladder Qi Stagnation with Phlegm

πŸ’Š Treatment principle: Circulate Qi, transform phlegm, clear gallbladder.

Description

Pain in right upper abdomen, nausea, white tongue coating and slippery pulse.

Clinical features

Pain in right upper abdomen, nausea, white sticky tongue coating, slippery pulse.

πŸ₯ Scientific research

Western understanding:

Clinical understanding of GALLBLADDER_QI_STAG_PHLEGM. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for digestive disorders, cardiovascular conditions, and pain management. Studies demonstrate efficacy for IBS, angina, and functional dyspepsia. Large-scale RCTs recommended for temperature-sensitive pattern differentiation.

⚠️ Cautions

Standard acupuncture precautions apply. Assess patient individually. Screen for contraindications including pacemaker, seizures, anticoagulation therapy.

πŸ“š References

Zhang Y, et al. Acupuncture for angina. Heart. 2019. Wang L, et al. Acupuncture for IBS. Gut. 2020. Li M, et al. Acupuncture for functional dyspepsia. Gastroenterology. 2018. WHO Standard Acupuncture Point Locations. 2008.

βœ… Cupping advice

Highly effective
Technique: Moving
⏱️ Duration: 15 minutes
πŸ“… Frequency: 1x per week
πŸ’ͺ 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
View point details β†’
LR3 primary
Taichong ε€ͺ冲
View point details β†’
SP10 primary
Xuehai θ‘€ζ΅·
View point details β†’
BL-18 primary
Ganshu θ‚δΏž
View point details β†’
GB34 secondary
Yanglingquan ι˜³ι™΅ζ³‰
View point details β†’
TE-5 secondary
Waiguan ε€–ι—œ
View point details β†’
BL-12 secondary
Fengmen ι’¨ι–€
View point details β†’

πŸ“ Acupuncture points

ST40 Primary
Fenglong δΈ°ιš†
View point details β†’
TE-5 Secondary
Waiguan ε€–ι—œ
View point details β†’
LR3 Adjuvant
Taichong ε€ͺ冲
View point details β†’

πŸ”₯ Moxa advice

strongly recommended
Recommended moxa points:
GB34 indirect moxa (ginger)
Yanglingquan ι˜³ι™΅ζ³‰
⏱️ Duration: 600 seconds
View point details β†’
ST36 indirect moxa (ginger)
Zusanli θΆ³δΈ‰ι‡Œ
⏱️ Duration: 600 seconds
View point details β†’

πŸ“œ Herbal formulas

Erchen Tang δΊŒι™ˆζ±€
🧠 TCM pattern:

Phlegm-Damp

πŸ“‹ Indications:

Chronic bronchitis, nausea, dizziness, swollen tongue

πŸ“– Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Yin deficiency with dryness

⚠️ Safety warnings:

Pinellia must be prepared (fa ban xia)

Longdan Xiegan Tang 龙胆泻肝汀
🧠 TCM pattern:

Damp-Heat in Liver

πŸ“‹ Indications:

Herpes zoster, hepatitis, cholecystitis, red eye

πŸ“– Classical source: Yifang Jijie
🚫 Contraindications:

Spleen-Qi deficiency

⚠️ Safety warnings:

Do not use long-term – too cold

Xiaoyao San 逍ι₯ζ•£
🧠 TCM pattern:

Liver-Qi stagnation

πŸ“‹ Indications:

PMS, depression, bloating, flank pain

πŸ“– Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Zheng qi deficiency

⚠️ Safety warnings:

Safe; may cause mild diarrhea with prolonged use