Gallbladder GALLBLADDER_QI_DEF_BLOOD_STASIS

Gallbladder Qi Deficiency with Blood Stasis

💊 Treatment principle: Strengthen Gallbladder Qi, resolve stasis, drain bile.

Description

Fatigue, pain in right upper abdomen, dark urine, pale face.

Clinical features

Fatigue, dull pain in right upper abdomen, dark urine, pale face, purple tongue, choppy pulse.

🏥 Scientific research

Western understanding:

Gallbladder Qi deficiency with Blood stasis correlates with chronic cholecystitis with bleeding, gallstones, and biliary cirrhosis. Characterized by right upper quadrant pain, jaundice, purple tongue, and a weak choppy pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for cardiovascular disease, respiratory conditions, and digestive disorders. Studies demonstrate efficacy for heart failure, COPD, chronic kidney disease, and IBS. Large-scale RCTs recommended for complex pattern differentiation.

⚠️ Cautions

Caution in patients on anticoagulants. Use shallow needling. Monitor for bleeding.

📚 References

Zhang Y, et al. Acupuncture for heart failure. J Card Fail. 2019. Wang L, et al. Acupuncture for COPD. Chest. 2020. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ 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

SP10 Primary
Xuehai 血海
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ST36 Secondary
Zusanli 足三里
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SP6 Adjuvant
Sanyinjiao 三阴交
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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

Buyang Huanwu Tang 补阳还五汤
🧠 TCM pattern:

Qi deficiency with blood stasis

📋 Indications:

Ischemic stroke (subacute phase, 7 days to 6 months) with hemiparesis and fatigue

📖 Classical source: Yilin Gaicuo (Qing dynasty)
🚫 Contraindications:

Hemorrhagic stroke, acute phase

⚠️ Safety warnings:

Monitor bleeding risk if combined with anticoagulants

Bu Yang Huan Wu Tang 补阳还五汤
🧠 TCM pattern:

Qi deficiency with blood stasis

📋 Indications:

RRMS and SPMS with EDSS 2.0-5.0, fatigue, hemiparesis, numbness, purple tongue, weak pulse

📖 Classical source: Yi Lin Gai Cuo (医林改错) - 清·王清任
🚫 Contraindications:

Acute infection, bleeding, pregnancy, hypertension

⚠️ Safety warnings:

Generally safe; check INR when using anticoagulants

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