Gallbladder Heat

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At a glance

Key attributes

Chinese name: 胆热      Pinyin name: Dǎn Rè

Pattern nature: Full

Causes

Precursor patterns: Wind-Heat

Common causes: External pathogenic factor

Diagnosis

Common symptoms: Thirst Nausea Dry throat Hypochondrial pain Epigastrium fullness and two other symptoms

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue description: Red tongue with unilateral sticky yellow coating

Treatment

Treatment principle: Harmonize the Lesser Yang, clear Gallbladder-Heat.

Common formulas: Hao Qin Qing Dan Tang

Pathology

This pattern is almost the same as the Lesser Yang pattern within the Six Stages theory. It is also one of the five patterns of the Qi level, the second level of the Four Levels theory.

The main difference between this pattern and the Lesser Yang pattern is that it is characterized by more Heat and also by some Dampness (hence the sticky tongue coating).

A key characteristic is that the pathogenic factor alternates between the Exterior (causing a feeling of cold or an aversion to cold) and the Interior (causing feeling of heat or a fever). It's important to not these hot and cold feeling alternate, they aren't simultaneous.

Other symptoms are typical of the Gallbladder channel: bitter taste, dry throat and hypochondrial fullness and distension.

Causes

Precursor patterns: Gallbladder Heat can derive from Wind-Heat

External pathogenic factor: The main original cause of Gallbladder Heat is an Exterior Pathogenic Factor (typically Wind-Heat) that has invaded the Interior and progressed to this pattern.

Diagnosing Gallbladder Heat

Pulse type(s): Rapid (Shu) or wiry (Xian)

Tongue description: Red tongue with unilateral sticky yellow coating

Main symptoms: Thirst Nausea Dry throat Hypochondrial pain Epigastrium fullness Bitter taste in the mouth Alternation of hot and cold feeling

Treating Gallbladder Heat

Treatment principle

Harmonize the Lesser Yang, clear Gallbladder-Heat.

Herbal formulas used to treat Gallbladder Heat

Hao Qin Qing Dan Tang

Source date: Qing Dynasty

Number of ingredients: 10 herbs

Key actions: Clears Heat and relieves acute conditions of the Gallbladder. Relieves acute Damp-Heat syndromes. Resolves Phlegm. Harmonizes the Stomach.

Formula summary

Hao Qin Qing Dan Tang is a 10-ingredient Chinese Medicine formula. Invented in Qing Dynasty, it belongs to the category of formulas that harmonize lesser Yang-warp disorders.

Besides Gallbladder Heat, Hao Qin Qing Dan Tang is also used to treat Phlegm or Heat in Gall Bladder.

Read more about Hao Qin Qing Dan Tang

Consequence patterns

Heat in Nutritive Qi level

If left untreated Gallbladder Heat can lead to Heat in Nutritive Qi level

Heat in Pericardium

If left untreated Gallbladder Heat can lead to Heat in Pericardium