Syndrome Differentiation and Treatment
1. Stagnation of Liver Qi and Gallbladder Qi
Chief Manifestations: Distension, fullness and pain in the right hypochondrium radiating to the right shoulder or aggravated by anger, chest oppression, frequent sighing and belching, acid regurgitation, eructation with foul odor, white and greasy tongue coating, and wiry and large pulse.
Therapeutic Methods: To soothe the liver, increase bile secretion, regulate qi and promote descending.
2. Qi Stagnation and Blood Stasis
Chief Manifestations:Severe localized stabbing pain and tenderness in the right hypochondrium, sallow complexion, dry mouth with bitter taste, dark purple tongue or with ecchymosis on the margin, wiry, thready and unsmooth pulse.
Therapeutic Methods: To soothe the liver, regulate qi, and activate blood to stop pain.
3. Heat Accumulation in the Gallbladder
Chief Manifestations: Burning pain in the right hypochondrium, bitter taste in the mouth, dry throat, flushed face with red eyes, constipation, scanty and deepyellow urine, restlessness, insomnia, irritability, red tongue with yellow, thick and dry coating, and wiry and rapid pulse.
Therapeutic Methods: To clear away heat in the liver and gallbladder, and relieve stagnation to stop pain.
4. Damp Heat in the Liver and Gallbladder
Chief Manifestations: Distension, fullness and pain in the right hypochondrium, chest oppression, impaired appetite, bitter taste in the mouth, restlessness, mucous stools, or jaundice, red tongue with yellow and greasy coating, and wiry and smooth pulse.
Therapeutic Methods: To soothe the liver, increase bile secretion and clear away damp heat.
5. Yin Deficiency and Liver-qi Stagnation
Chief Manifestations: Dull pain or slight burning sensation in the right hypechondrium, dryness in the mouth and throat, irritability, feverish sensation in the chest, vertigo, low fever in the afternoon, red tongue with little coating, and thready and rapid pulse.
Therapeutic Methods: To nourish yin, clear away heat, soothe the liver and increase bile secretion.
6. Yang Deficiency and Liver-qi Stagnation
Chief Manifestations: Intermittent dull pain in the right hypochondrium, distension and fullness in the abdomen, vomiting of saliva, aversion to cold, cold limbs, lassitude, shortness of breath, pale tongue with white greasy coating, and wiry and weak pulse.
Therapeutic Methods: To warm yang, replenish qi, regulate the liver and increase bile secretion.