Gall Bladder Syndromes Flashcards
Damp-Heat in the Gall Bladder
1) Symptoms
2) Pulse and Tongue
3) Pathology
4) Aetiology
5) Treatment
1)
Key symptoms: Inability to digest fats, Hypochondrial pain, fullness and distension, bitter taste.
AccompanYing symptoms: Dull headache, nausea, vomiting, gallstones, yellow complexion, turbid or scanty and dark yellow urine, a feeling of heat, fever, thirst with no desire to drink, irritability, feeling of heaviness of the body, loose stools or constipation, yellow sclera.
2)
Pulse: Slippery, Wiry, especially in middle positions, and possibly Rapid. Tongue Coat: Thick, Sticky, Yellow, bilateral or unilateral.
3)
Pathology: Symptoms are all due to Damp Heat. Dampness interferes with the smooth flow of Liver Qi, stagnation of which causes distension and pain. Nausea and vomiting are caused by Dampness obstructing the Middle Burner and preventing Stomach Qi from descending. Stools will be loose if Dampness predominates and there will be constipation if Heat predominates. Dampness may reach the head via the GB channel causing a dull headache. Damp and Heat may invade the urinary system, via the Liver channel, causing urinary symptoms.
4)
Aetiology: a) Long-term anger. b) Poor diet - too much greasy and fatty food. c) External Pathogenic Damp-Heat.
5)
Treatment Principles: Resolve Damp. Clear Heat. Disperse the Liver.
Examples of Points: GB 24, Liv 14, GB 34, Du 9, Bl 18, Bl 19, LI 11, TB 6, ST 19. Needle technique: Even or Reduction.
