Gallbladder GALLBLADDER_BLOOD_STASIS_COLD

Gallbladder Blood Stasis with Cold

💊 Treatment principle: Circulate Blood, expel Cold, resolve stasis, clear gallbladder.

Description

Pain in right upper abdomen that improves with warmth, dark urine, cold limbs.

Clinical features

Pain in right upper abdomen that improves with warmth, dark urine, cold hands and feet, purple tongue, choppy pulse.

🏥 Scientific research

Western understanding:

Gallbladder Blood stasis with Cold correlates with right upper quadrant pain triggered by cold, cold extremities, and nausea. Characterized by flank pain in cold weather, cold sensation, and a choppy slow pulse.

Research evidence:

Research evidence for these patterns is developing. Systematic reviews show acupuncture benefits for chronic disease management, cognitive function, and quality of life. Studies demonstrate efficacy for dementia, chronic kidney disease, and chronic respiratory conditions. Large-scale RCTs recommended for complex pattern differentiation.

⚠️ Cautions

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

📚 References

Zhang Y, et al. Acupuncture for dementia. Alzheimers Dement. 2019. Wang L, et al. Acupuncture for chronic kidney disease. J Am Soc Nephrol. 2020. Li M, et al. Acupuncture for chronic respiratory disease. Am J Respir Crit Care Med. 2018. WHO Standard Acupuncture Point Locations. 2008.

✅ Cupping advice

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

Standaard droge cupping is effectief bij koude syndromen

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

GB20 Primary
Fengchi 风池
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SP10 Secondary
Xuehai 血海
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GV-4 Adjuvant
Mingmen 命門
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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

Xuefu Zhuyu Tang 血府逐瘀汤
🧠 TCM pattern:

Blood stasis

📋 Indications:

Angina pectoris, migraine, insomnia, chest tightness

📖 Classical source: Yilin Gaicuo
🚫 Contraindications:

Severe qi deficiency

⚠️ Safety warnings:

Monitor bleeding risk with anticoagulants

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