Gallbladder GALLBLADDER_QI_DEF_PHLEGM

Gallbladder Qi Deficiency with Phlegm

💊 Treatment principle: Strengthen Gallbladder Qi, transform phlegm, drain bile.

Description

Fatigue, nausea, bitter taste, white tongue coating.

Clinical features

Fatigue, nausea, bitter taste, poor appetite, white sticky tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of GALLBLADDER_QI_DEF_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 cardiovascular disease, respiratory conditions, digestive disorders, and urinary conditions. Studies demonstrate efficacy for heart failure, COPD, chronic kidney disease, IBS, and chronic cystitis. Large-scale RCTs recommended for complex pattern differentiation with damp and cold components.

⚠️ Cautions

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

📚 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. Chen X, et al. Acupuncture for IBS. Gut. 2019. 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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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

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