Western medicine – gallstones, parasites blocking bile duct, inflammation (cholecystitis), bile duct tumors
TCM – emotional stresses cause Liver Gallbladder Qi stagnation, stones are caused by Damp/Heat or Phlegm.
Caused by western diet, anger attacks, extreme hunger causes parasites to move and cause pain, drastic weather changes can also induce pain. The upper right quadrant of the abdomen becomes severely painful, either constantly or intermittently. The pain radiates to right scapular region. The Gallbladder area dislikes touch, may show rebound tenderness (slow pressure with quick release causes great pain), patient likes to lay in fetal position, is restless, may have aversion to cold, fever, cold sweat, cold limbs, bloating, belching, nausea, vomiting (may progress to vomiting bile or parasites), jaundice, yellow urine, yellow sclera, yellow skin, constipation,
P- wiry rapid or tense.
P/T – soothe Liver Gallbladder, move Qi to relieve pain
Acupuncture Rx – GB 24 (mu, local), 34 (low he-sea), LR 14 (mu, local), Ren 12 (local, fu influential)
– dan nang (gallbladder extra points) – 1-2 cun under GB 34
– soothe Liver – LR 3
– cold – LI 11, SJ 5
– nausea/vomit – ST 36, PC 6
– jaundice – SP 6, 9
– constipation – ST 25, SJ 6
Alternative treatment methods
auricular – Gallbladder, Liver, Spleen, Fu organs, digestive tract, Shenmen, sympathetic,
electro – GB 24, LR 14, LI 20, ST 2
injection – painful area (ashi), codeine