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Liver Gall Bladder Damp Heat
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Pin Yin:
gan dan shi re
Symptoms:
fatigue;
aversion to heat; heat effusion.
appetite, lack of; absence of thirst; [or] thirst
but no desire to swallow; prefers cold drinks.
dark urine ; diarrhea or loose stool; diarrhea
alternating with constipation; stools with foul odor; nausea; vomiting.
Pain:
oppressive, distended pain; of ribside; of
epigastrium; of upper abdomen; relieved by cold; aggravated
by pressure or touch.
Activity and movement:
, sluggish.
Affect:
irritable.
Signs:
Tongue Body:
red.
Tongue Coat:
yellow; thick; greasy.
Pulse:
rapid; strong; bowstring.
Complexion, other:
complexion orange-yellowish.
Pattern derived from:
Spleen Stomach Damp Heat, which
is in turn derived from Interior-Heat-Repletion.
Key indications for Spleen Stomach Damp Heat, which are the same as
for Heat Dampness of Liver and Gall Bladder, are notated by red
type; the additional differentiations for Dampness of Liver
and Gall Bladder are notated by purple type.
Herbs:
-- Clear Heat, Dry Dampness
--Regulate Qi
--Drain Dampness, Promote Urination; especially those herbs like Poria that strengthen Spleen and are not harsh.
-Transform Cold Phlegm; especially herbs like Rz Pinelliae that resolve Dampness and Phlegm of Middle Burner, and even though warm in nature, can be combined with other bitter-cold herbs to provide the appropriate overall effect.
--Aromatic-transform Dampness
-- Clear Summer Heat; especially those that also resolve Dampness and strengthen Spleen.
Formulas:
-- Clear Heat, Dry Dampness (Three-Nut Decoction; Coptis and Magnolia Bark Decoction; Artemisia Yinchenhao Decoction; Separate and Reduce Fullness in the Middle Pill)
-Clear Heat and transform Phlegm (Warm the Gallbladder Decoction)
-Clear Heat and relieve Toxicity (Drain the Epigastrium Decoction)
-Clear Heat from Organs (Gentiana Longdancao Decoction to Drain the Liver)
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