What is Cholecystitis?

Cholecystitis, commonly known as gallbladder inflammation, is a medical condition characterized by the swelling and irritation of the gallbladder. This inflammation often leads to severe pain in the upper right abdomen, potentially radiating to other areas. Cholecystitis can manifest in two forms: Chronic Cholecystitis, which develops slowly, and Acute Cholecystitis, marked by sudden, intense pain.

How Does TCM View Cholecystitis?

Traditional Chinese Medicine (TCM) approaches cholecystitis differently from Western medicine. TCM views it not just as a localized inflammation but as a symptom of imbalance within the body's systems.

According to TCM theory, cholecystitis is often related to imbalances in the Liver and Gallbladder's functions, specifically the accumulation of Heat. TCM practitioners aim to restore balance and proper energy flow within the body, using a combination of herbal remedies, acupuncture, and dietary adjustments.

Causes of Cholecystitis According to TCM

In TCM, cholecystitis is commonly associated with patterns like Heat in the Gallbladder and in the Liver, disrupting the normal flow of Qi and Body Fluids. This disruption can lead to the formation of gallstones and inflammation.

Factors contributing to these patterns include emotional stress, irregular diet, and environmental influences. TCM treatment focuses on clearing Heat, dispelling Dampness, and ensuring the smooth flow of Qi to alleviate symptoms and address the root cause.

TCM Herbal Formulas for Cholecystitis

TCM practitioners often recommend specific formulas and herbs based on the individual's unique pattern of disharmony. For cholecystitis, formulas like Da Cheng Qi Tang and Long Dan Xie Gan Tang are commonly used. Da Cheng Qi Tang helps to alleviate Heat accumulation and promote bowel movement, beneficial in cases of severe Damp-Heat.

Long Dan Xie Gan Tang is effective for clearing excess Heat from the Liver and Gallbladder. Herbs like Rhubarb (Da Huang) and Chinese Gentian (Long Dan Cao) are integral components of these formulas, known for their Heat-clearing properties. These treatments are tailored to the patient's specific TCM diagnosis and overall health condition.

Explore below some TCM herbal formulas used to address cholecystitis, organized by formula type.

  • By Formula Type
  • Formulas that purge heat accumulation
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that harmonize lesser yang-warp disorders
  • Formulas that harmonize stomach-Intestines
  • Formulas that dry dampness and transform phlegm
  • Formulas that promote qi movement
  • Formulas that harmonize liver-Spleen
  • Formulas that warm the middle and dispel cold
  • Formulas that clear heat and resolve toxicity
  • Formulas that reduce food accumulation and transform stagnation
  • Formulas that vent membrane source
  • Formulas that release the exterior and purge the interior
  • Formulas that clear heat and expel dampness
  • Formulas that expel parasites
  • Formulas that clear heat and transform phlegm
  • Formulas that clear qi-level heat
  • Formulas that release the exterior and warm the interior
  • Formulas that tonify qi
  • Formulas that clear internal abscesses and sores
  • Formulas that clear heat from the organs
  • Formulas that warm and purge

All "formulas that purge heat accumulation" recommended for cholecystitis

Formula Key herbs
Da Cheng Qi Tang Rhubarb (Da Huang)
Xiao Cheng Qi Tang

All "formulas that invigorate blood and dispel blood stagnation" recommended for cholecystitis

Formula Key herbs
Dan Shen Yin Red Sage Roots (Dan Shen)
Dang Gui Shao Yao San White Peony Roots (Bai Shao)

All "formulas that harmonize lesser yang-warp disorders" recommended for cholecystitis

Formula Key herbs
Hao Qin Qing Dan Tang Sweet Wormwood Herbs (Qing Hao), Baikal Skullcap Roots (Huang Qin)
Xiao Chai Hu Tang Bupleurum Roots (Chai Hu)

All "formulas that harmonize stomach-Intestines" recommended for cholecystitis

Formula Key herbs
Huang Lian Tang Goldthread Rhizomes (Huang Lian)
Ban Xia Xie Xin Tang Goldthread Rhizomes (Huang Lian)

All "formulas that dry dampness and transform phlegm" recommended for cholecystitis

Formula Key herbs
Huang Lian Wen Dan Tang Crow-Dipper Rhizomes (Ban Xia)
Wen Dan Tang Crow-Dipper Rhizomes (Ban Xia)

All "formulas that promote qi movement" recommended for cholecystitis

Formula Key herbs
Jin Ling Zi San Sichuan Chinaberries (Chuan Lian Zi)
Chai Hu Shu Gan San Bupleurum Roots (Chai Hu)

All "formulas that harmonize liver-Spleen" recommended for cholecystitis

Formula Key herbs
Si Ni San Bupleurum Roots (Chai Hu)
Xiao Yao San Bupleurum Roots (Chai Hu)

All "formulas that warm the middle and dispel cold" recommended for cholecystitis

Formula Key herbs
Wu Zhu Yu Tang Evodia Fruits (Wu Zhu Yu)
Da Jian Zhong Tang Sichuan Pepper (Hua Jiao)

All "formulas that clear heat and resolve toxicity" recommended for cholecystitis

Formula Key herbs
Huang Lian Jiao Du Tang Goldthread Rhizomes (Huang Lian)
Huang Lian Jie Du Tang Goldthread Rhizomes (Huang Lian)

Acupoints for Cholecystitis

Explore below some acupoints used to address cholecystitis, organized by meridian.

  • By Meridian
  • Bladder Channel
  • Extra Points: Lower Extremities (EX-LE)
Ganshu BL-18

Ganshu BL-18

1.5 cun lateral to the lower border of the spinous process of the 9th thoracic vertebra (T9).

Danshu BL-19

Danshu BL-19

1.5 cun lateral to the lower border of the spinous process of the 10th thoracic vertebra (T10).

Dannang EX-LE-6

Dannang EX-LE-6

On the Gall Bladder Channel of the right leg, about 1-2 cun below Yanglingquan GB-34. Around there, palpate and locate Dannang EX-LE-6 at the most tender point.

TCM Herbs for Cholecystitis

Explore below some TCM herbs used to address cholecystitis, organized by herb category.

  • By Herb Category
  • Herbs that drain dampness
  • Herbs that clear heat and dry dampness
  • Herbs that clear heat and purge fire and/or clear summer heat
  • Herbs that warm the interior and/or expel cold
  • Tonic herbs for qi deficiency
  • Herbs that relieve food stagnation
  • Cool/Acrid herbs that release the exterior
  • Warm/Acrid herbs that release the exterior
  • Purgative herbs that drain downward
  • Herbs that invigorate the blood
  • Tonic herbs for blood deficiency
  • Warm herbs that transform phlegm and stop cough
  • Herbs that regulate qi
  • Herbs that stabilize and bind
  • Cool herbs that transform phlegm and stop cough
  • Cathartic herbs that drain downward

"Herbs that drain Dampness" recommended for cholecystitis

Herb Formulas they belong to (if applicable)
Talc (Hua Shi) Gan Lu Xiao Du Dan
Virgate Wormwood (Yin Chen) Gan Lu Xiao Du Dan
Job's Tears (Yi Yi Ren) Yi Yi Fu Zi Bai Jiang San
Corn Silk (Yu Mi Xu) Not applicable

"Herbs that clear Heat and purge Fire and/or clear Summer Heat" recommended for cholecystitis

Herb Formulas they belong to (if applicable)
Sweet Wormwood Herbs (Qing Hao) Hao Qin Qing Dan Tang
Cape Jasmine Fruits (Zhi Zi) Zhi Zi Chi Tang

"Herbs that warm the Interior and/or expel Cold" recommended for cholecystitis

Herb Formulas they belong to (if applicable)
Evodia Fruits (Wu Zhu Yu) Wu Zhu Yu Tang
Sichuan Pepper (Hua Jiao) Da Jian Zhong Tang

"Tonic herbs for Qi Deficiency" recommended for cholecystitis

Herb Formulas they belong to (if applicable)
Ginseng (Ren Shen) Gui Zhi Ren Shen Tang
Milkvetch Roots (Huang Qi) Sheng Yang Yi Wei Tang