Gallbladder GALLBLADDER_BLOOD_DEF_FOOD_STAG

Gallbladder Blood Deficiency with Food Stagnation

💊 Treatment principle: Nourish Gallbladder Blood, resolve food stagnation, drain bile.

Description

Fatigue, pale face, bloating and bitter taste.

Clinical features

Fatigue, pale face, pale lips, bloating, bitter taste, pale tongue, thick coating.

🏥 Scientific research

Western understanding:

Gallbladder Blood deficiency with Food stagnation correlates with postprandial right upper quadrant discomfort, fatigue, and poor fat digestion. Characterized by discomfort after fatty meals, fatigue, and a fine weak pulse.

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

Caution in patients with severe digestive disorders. Avoid needling immediately after large meals.

📚 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.

✅ 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

ST36 Primary
Zusanli 足三里
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SP6 Secondary
Sanyinjiao 三阴交
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CV12 Adjuvant
Zhongwan 中脘
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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

Siwu Tang 四物汤
🧠 TCM pattern:

Blood deficiency

📋 Indications:

Dysmenorrhea, pale face, dizziness, insomnia

📖 Classical source: Xian Shou Huo Ren Fang
🚫 Contraindications:

Damp-heat

⚠️ Safety warnings:

Safe; may cause constipation due to shudi

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