7 Syndrome differentiation of gallbladder disease
Syndrome differentiation of gallbladder disease reflects the disorder of the gallbladder proper and the disturbance of its functions in storing and secreting bile to assist digestion and absorption of food as well as in making strategy. The commonly encountered symptoms in clinical
practice are hypochondriac pain, bitter taste in the mouth, jaundice, palpitation, timidity and dizziness, etc.
Since the secretion and excretion of bile are closely related to the dispersing function of the liver, the symptoms of gallbladder, such as hypochondriac pain, bitter taste in the mouth and jaundice, usually indicate simultaneous disorder of the liver and gallbladder which will be described in the part of complicated diseases of the viscera. The following mainly describes the syndrome of gallbladder stagnation and phlegm disturbance marked by palpitation, timidity and dizziness.
Syndrome of gallbladder stagnation and phlegm disturbance
Syndrome of gallbladder stagnation and phlegm disturbance refers to the symptoms of gallbladder failing to disperse due to internal disturbance of phlegm- heat. This syndrome is mainly caused by emotional depression and internal disturbance of the gallbladder by a mixture of phlegm and heat due to fire transformed from qi stagnation which scorches fluid into phlegm.
Clinical manifestations: Timidity and susceptibility to fright, palpitation and restlessness, insomnia and dreaminess, dysphoria, difficulty in making decision, thoracic and hypochondriac oppressin and distension, frequent sigh, dizziness and vertigo, bitter taste in the mouth, vomiting, reddish tongue, yellowish and greasy fur as well as taut and slippery pulse. Such symptoms are usually seen in neurasthenia, cholecystitis, arrhythmia and climacteric syndrome.
Analysis of the symptoms: Timidity and susceptibility to fright, palpitation and restlessness as well as difficulty in making decision are caused by internal disturbance of phlegm-heat and disorder of gallbladder qi; insomnia and dreaminess and dysphoria are caused by phlegm-heat disturbing mind; thoracic and hypochondriac oppressin and distension as well as frequent sigh are caused by failure of the gallbladder to disperse and inhibited flow of qi; dizziness and vertigo are caused by phlegm-heat attacking the head along the gallbladder meridian; bitter taste in the mouth and vomiting are caused by heat driving gallbladder qi to rise and failure of the stomach to descend; reddish tongue, yellowish and greasy fur as well as taut and slippery pulse are the signs of internal exuberance of phlegm-heat.
Key points for syndrome differentiation: This syndrome is marked by palpitation, insomnia, dizziness, thoracic and hypochondriac oppression and distension, bitter taste in the mouth and yellowish greasy tongue coating.
Syndrome differentiation of gallbladder disease reflects the disorder of the gallbladder proper and the disturbance of its functions in storing and secreting bile to assist digestion and absorption of food as well as in making strategy. The commonly encountered symptoms in clinical
practice are hypochondriac pain, bitter taste in the mouth, jaundice, palpitation, timidity and dizziness, etc.
Since the secretion and excretion of bile are closely related to the dispersing function of the liver, the symptoms of gallbladder, such as hypochondriac pain, bitter taste in the mouth and jaundice, usually indicate simultaneous disorder of the liver and gallbladder which will be described in the part of complicated diseases of the viscera. The following mainly describes the syndrome of gallbladder stagnation and phlegm disturbance marked by palpitation, timidity and dizziness.
Syndrome of gallbladder stagnation and phlegm disturbance
Syndrome of gallbladder stagnation and phlegm disturbance refers to the symptoms of gallbladder failing to disperse due to internal disturbance of phlegm- heat. This syndrome is mainly caused by emotional depression and internal disturbance of the gallbladder by a mixture of phlegm and heat due to fire transformed from qi stagnation which scorches fluid into phlegm.
Clinical manifestations: Timidity and susceptibility to fright, palpitation and restlessness, insomnia and dreaminess, dysphoria, difficulty in making decision, thoracic and hypochondriac oppressin and distension, frequent sigh, dizziness and vertigo, bitter taste in the mouth, vomiting, reddish tongue, yellowish and greasy fur as well as taut and slippery pulse. Such symptoms are usually seen in neurasthenia, cholecystitis, arrhythmia and climacteric syndrome.
Analysis of the symptoms: Timidity and susceptibility to fright, palpitation and restlessness as well as difficulty in making decision are caused by internal disturbance of phlegm-heat and disorder of gallbladder qi; insomnia and dreaminess and dysphoria are caused by phlegm-heat disturbing mind; thoracic and hypochondriac oppressin and distension as well as frequent sigh are caused by failure of the gallbladder to disperse and inhibited flow of qi; dizziness and vertigo are caused by phlegm-heat attacking the head along the gallbladder meridian; bitter taste in the mouth and vomiting are caused by heat driving gallbladder qi to rise and failure of the stomach to descend; reddish tongue, yellowish and greasy fur as well as taut and slippery pulse are the signs of internal exuberance of phlegm-heat.
Key points for syndrome differentiation: This syndrome is marked by palpitation, insomnia, dizziness, thoracic and hypochondriac oppression and distension, bitter taste in the mouth and yellowish greasy tongue coating.
