Recipes of Chinese herbs for hypochondrium pain caused by the retention of dampness and heat in the liver and the gallbladder

In traditional Chinese medicine, the pain of hypochondrium has five syndromes. This article is about the syndrome caused by the retention of dampness and heat in the liver and the gallbladder.

When pathogenic dampness and pathogenic heat stay in the liver and the gallbladder, the person feels swelling pain or burning pain in the hypochondrium, and sometimes the pain may be very severe. He feels something bitter and sticky in his mouth. His chest feels tightness. He does not have appetite, and he suffers from nausea and vomiting. His urine is dark yellow and slightly red. Bowel movement is not smooth and feces seem not to be emptied. Sometimes the person may have fever and fears coldness, and his skin and the white part of eyes become yellow. His tongue is red, and the coating of the tongue is yellow and looks like lard. His pulse is taut like a string, slippery like a pearl rolling on a plate, and rapid.

The treatment principle for the syndrome is to remove heat and dampness. And the representative recipe for the syndrome is Long Dan Xie Gan Tang.

The recipe Long Dan Xie Gan Tang contains Long Dan Cao (6 g), Huang Qin (9 g), Zhi Zi (9 g), Ze Xie (12 g), Mu Tong (6 g), Che Qian Zi (9 g), Dang Gui (3 g), Sheng Di Huang (9 g), Chai Hu (6 g), and Sheng Gan Cao (6 g). For this syndrome, Chuan Lian Zi, Qing Pi and Yu Jin can be added to the recipe.

If the syndrome accompanies with fever and jaundice, Yin Chen and Huang Bo can be added to the recipe.

If the symptoms caused by heat are more severe than the symptoms caused by dampness, and the person suffers from constipation and feels fullness and distending in the abdomen, Da Huang and Mang Xiao can be added to the recipe.

If the symptoms caused by dampness are more severe than the symptoms caused by heat, and the person feels fullness and something hard in the upper abdomen, and he has no appetite and no strength, Bai Zhu, Fu Ling and Yi Yi Ren can be added to the recipe.

Dampness and heat may be transformed into stones that block the gallbladder, leading to very severe pain in the hypochondrium, which may involve the shoulder and the back. In this case, Jin Qian Cao, Hai Jin Sha, Ji Nei Jin, Yu Jin, Chuan Lian Zi can be added to the recipe. The recipe Xiao Shi Fan Shi San (Xiao Shi, Fan Shi) may be used as appropriate.

If the person feels very severe pain in the hypochondrium and a roundworm is seen in the vomit, the person should be treated with the recipe Wu Mei Wan (Wu Mei 30 g, Xi Xin 3 g, Gan Jiang 9 g, Huang Lian 9 g, Dang Gui 6 g, Fu Zi 6 g, Shu Jiao 5 g, Gui Zhi 6 g, Ren Shen 6 g, Huang Bo 6 g) firstly for calming roundworms in the abdomen, and then be treated with a recipe that has the effect of removing roundworms.

REFERENCES:

1. Zhang, Boli, & Wu, Mianhua. (2017). Internal Medicine of TCM. China Press of Traditional Chinese Medicine.

2. Li, Ji, & Lian, Jianwei. (2016). Recipes of Traditional Chinese Medicine. China Press of Traditional Chinese Medicine.

NOTICE:

Some medicinal materials are not allowed to use in the EU. The knowledge of the article is based on the conditions of China. The actual use of medicinal materials in the EU complies with the regulations of the EU.

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