Liver and Gallbladder Damp Heat   肝胆湿热

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Liver and Gallbladder Damp Heat肝胆湿热 • Gān Dǎn Shī Rè
Classification
Category: Zang Fu Syndrome: Complex
Symptoms
Tongue: red, yellow, greasy Coat Pulse: soggy, rapid, wiry
Indications: Hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, THIRST WITHOUT DESIRE TO DRINK, BITTER TASTE, dizziness, yellow sclera, tinnitus, irritability, feeling of heaviness of the body, limb numbness, feet swelling, burning urination, dysuria, excessive vaginal discharge, loose stool or constipation, alternation of hot and cold feeling, genital papular skin rashes and itching, scrotum swelling and heat [33] • Alternative chill and fever, distention pain in hypochondriac region; bitter taste, thirst without large fluid intake, nausea, poor appetite, alternately constipated or loose stool, yellowish urine, body and eyes jaundiced, abdominal distention, fever, vaginal discharge or itching; scrotum itching or swollen. A yellow greasy tongue coating, and a wiry and rapid pulse [32]
Keywords
Fever, fullness of chest and hypochondrium, nausea, sticky yellow coating, slippery pulse[35]   
Treatment 
clear Heat, soothe Liver, dry dampness
Acupuncture 
BL19, BL20, Dan Nang Xue, DU9, GB24, LV14, REN12, GB34, LI11, LV3, LV5, SJ6, ST19 [33] • GB24, GB34, SP9, LI-11[35]
Herb
Long Dan Xie Gan Tang
Etiology
A pattern characterized by damp heat stagnated in both liver and gallbladder, and manifests as yang type jaundice. –  Over eat greasy and sweet foods, or over consuming alcohol, or damp-heat invasion –  Damp-heat obstruct the liver channel cause qi stagnation which lead hypochondriac pain and distention, vaginal discharge or scrotum itching or swollen –  Damp-heat steams up bile to the body surface, lead jaundice, bitter taste in the mouth –  Dampness obstruct in the middle jiao, result poor appetite, bloating, loose stool[32]
Notes
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