Phlegm in Kidneys or Gallbladder

At a glance

Key attributes

Chinese name: 在肾或胆之痰      Pinyin name: Zài Shèn Huò Dǎn Zhī Tán

Pattern nature: Full

Causes

Precursor patterns: Liver Qi Stagnation Spleen Qi Deficiency

Common causes: 1. Emotional stress, 2. External Damp and Heat

Diagnosis

Common symptoms: Bloody urine Urinary difficulty Frequent and urgent urination

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue description: Swollen tongue with yellow sticky coating

Treatment

Treatment principle: Remove Damp-Heat, resolve Phlegm, smooth the Liver, regulate Liver Qi

Common formulas: Si Ni San Pai Shi Tang

Pathology

According to Chinese medicine, gallstones or Kidney stones are a form of Phlegm. It is the consequence of Phlegm left untreated in the Gallbladder and the Kidneys.

Over a long period of time, stagnant Dampness can give rise to a large amount of Heat which then dries up Body Fluids and solidify Phlegm, resulting in the formation of stones.

In the same time, there will be urination related symptoms. The patients might also suffer from back or abdomen pain as the Phlegm disturbs the normal circulation of Blood and Qi

Causes

Precursor patterns: Phlegm in Kidneys or Gallbladder can derive from Liver Qi Stagnation Spleen Qi Deficiency

Emotional stress : Oppressed emotional stress can give rise to Liver Qi Stagnation, which then cause the Damp-Heat in the Kidneys and the Gallbladder.  The Liver and the Gallbladder have the direct relationship and influence each other.

External Damp and Heat: Prolonged exposure to a hot and wet environment can cause this pattern.

Diagnosing Phlegm in Kidneys or Gallbladder

Pulse type(s): Slippery (Hua) or wiry (Xian)

Tongue description: Swollen tongue with yellow sticky coating

Main symptoms: Bloody urine Urinary difficulty Frequent and urgent urination

Diagnosis commentary: Key characteristic symptoms of this pattern are the Kidney stones or Gallstones.

Treating Phlegm in Kidneys or Gallbladder

Treatment principle

Remove Damp-Heat, resolve Phlegm, smooth the Liver, regulate Liver Qi

Herbal formulas used to treat Phlegm in Kidneys or Gallbladder

Si Ni San

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Regulates Liver and Spleen. Eliminates Internal Heat.

Formula summary

Si Ni San is a 4-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that harmonize Liver-Spleen.

Besides Phlegm in Kidneys or Gallbladder, Si Ni San is also used to treat Rebellious Qi or Rebellious Liver Qi.

Read more about Si Ni San

Pai Shi Tang

Number of ingredients: 10 herbs

Key actions: Discharge Gallstones. Clear Damp-Heat. Facilitate urination.

Formula summary

Pai Shi Tang is a 10-ingredient Chinese Medicine formula. It belongs to the category of formulas that clear Heat and expel dampness.

Read more about Pai Shi Tang

Diet recommendations

Avoiding foods that is high in cholesterol such as animal guts.

Try eat more sour taste foods such as vinegar or lemon.