Gallbladder disease multiterminal Eight method of syndrome differentiation 
 
 
Zhou Zhongying Nanjing university of Chinese medicine 
 

China's traditional Chinese medicine to 

        Bile is one of the six fu-organs, attached to the short hepatic lobe, foot jue Yin liver bile, foot shaoyang bile complex liver, each other, work with an organic whole, bile helps liver position of conscious thought-process at determination, pathogenesis is up to the total. 
 
        But guided by the idea of centering on the five zang-organs, healer more accurately in liver and slightly in bravery, don't think bravery is the illustration of the inner parts of chi heng, both the inner parts of the form, and have the function of dirty, solid and discontent, and false; Storage transport clean of bile, drain on gastrointestinal, assist the spleen to transport. And liver to promoted to use, bravery to drop and, by lifting, in order to keep dynamic balance. If the ascending and descending, spares and drain disorder, is every easy with liver disease, influence each other. 
 
        And the "heart and bravery are interlinked", "liver with e." (" introduction to medicine "). Rise from on liver of spleen, the stomach drop from bile. Therefore, clinical should not only treat liver does not forget, gallbladder, bile spleen stomach, bile bowel, bravery heart disease pathogenesis, to show the integral treatment of zang-fu organs are interlinked. 
 
        Gallbladder disease common person have jaundice, bravery, pain, abdominal pain, cholecystitis, gallstones, gallbladder polyps, space-occupying lesions, pancreatitis, etc., and have close relationship with various liver diseases. 
 
        Syndrome differentiation with courage and qi stagnation, courage the fire, liver and gallbladder damp and hot, courage, bravery, depressive phlegm and blood stasis phlegm more than one class, with other viscera disease also bile stomach and gallbladder heat relieving, heart DanXu qie, bravery heart disease (bravery heart), etc. But its therapeutic principle shall be made in general use, and on down. Shun their sexual and adjustment. When necessary, on the basis of the pass to fill, can fill and flux. 
 
        Theory of the treatment solution though, but because each syndrome compound and clip, clinical must share of miscellaneous. We take the all regulations below: 
 
        Yue ShuYu: a method aimed at soothing the liver with XieYu, spleen and bile, apply to the liver and qi stagnation syndrome ". Because of more modern stimulation, depression is not caused by, associated with ferrite liver depression. 
 
        Disease see chest pain or pain, about the hand press is not easy, like heave a deep sigh, sentimental, get angry easily, woman menstruation to be not moved, the breast bilges, thin coating on the tongue is red, white, pointy edges pulse string, etc. 
 
        Party with radix bupleuri liver powder, if belong to blood deficiency, liver depression, desirable xiaoyao powder, gas YuHua fire and cortex moutan, gardenia, QiNi alas hey there plus rhizoma coptidis, evodia rutaecarpa, radix paeoniae alba. 
 
        Two method of yue bitter drainage: take their inverse folding of the product, clear drain courage. Apply to "courage the fire card", yu fire, wet miscellaneous. 
 
        See irritability, red face eye red, head bilges headache, dry mouth, bitter, brown urine, skin eczema, wet of the shadow of itch, yellow coating on the tongue is red, dry, pulse string, etc. 
 
        Party use gentian purging liver soup, wet fire the person that weigh and rhizoma coptidis, rhubarb, cortex phellodendri, glabrous greenbrier rhizome; Yu fire the person that weigh flavored, selfheal, cortex moutan. 
 
        3 laws yue thanh hoa: this is heat and wet composite and, to put "courage damp heat syndrome". Hot and humid as well as outside, can also be endogenous, due to overeating thick flavour, excessive drinking, so that the wet heat. 
 
        See side rib pain syndrome, often abdominal distension full, nausea, vomiting, anorexia greasy, defecate pond scale, brown urine, bitter sticky mouth, face yellow, itchy skin, yellow greasy coating on the tongue red, pulse string or number, or moist. 
 
        Choose artemisia capillaris soup, wormwood dew Chen Siling soup, disinfection, Dan. Clinical should defend wet and heavy, hot, damp and hot, with its ebb and flow, primary and secondary dynamic evolution and related dispensed and clip pathological factors. 
 
        Yue and drop four method: this is a bitter legal, bitter XinTong reduction, and in the open, the new drainage liver, bravery, apply to "bile stomach doesn't permit". 
 
        See, the new expansion, rou GUI, noisy pantothenic acid, alas, there mouth, moss yellow string of arteries and veins. Party choose this decoction soup, Zhi Qin two Chen Shang left like gold pill. This is known as the pivot, the four bodies, puts it: "evil in bile, inverse in the stomach, bile leakage, bitter mouth, stomach QiNi ou bitter, therefore yue ou bravery" is also. 
 
        Method of five yue tong: inner parts for general use, the position of conduction, if "bile heat relieving excess", bile can not drain, general guide is broken, relieving choking gas, general clauses pain. 
 
        Disease threats such as ground pain, back pain, heat rejection, fever relaxation, bosom frowsty, mouth evil desire ou, defecate more secret, yellow skin yellow, brown urine, yellow greasy coating on the tongue, pulse string number slip. 
 
        Party take major bupleurum decoction, artemisia Qin bile soup, tong and reconciliation and applied; With jaundice and wormwood, constipation and glauber's salt.
 
 
 
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