Hepatobiliary dampness and heat syndrome
Hepatobiliary damp-heat syndrome refers to the pattern manifested by damp heat accumulation of liver and gallbladder. It is mostly caused by feeling the evil of dampness and heat, or the preference for fat, sweetness and greasy, brewing dampness and heat, or the spleen and stomach are unhealthy, and the dampness is endogenous, and the depression turns into heat.
The clinical manifestations are flank distension and pain, or lumps, bitter mouth, abdominal distention, lack of vomiting, irregular stool, short and red urine, red and yellow tongue, and the number of pulses. or cold and heat, or yellowing of the body, or eczema, or swelling, heat and pain, or turbidity and itching, etc.
This certificate is on the right flank;Pain in the ribs, sluggishness, yellow urine, and red and greasy tongue are the key points of syndrome differentiation. The apparent heat accumulates the liver and gallbladder, the liver qi is lost in the discharge, the qi is stagnant and the blood stasis, so the flank and rib pain, or the lump is seen. The liver is yellow and insults the soil, the spleen is unhealthy, the stomach is out of harmony, so there is less acceptance, vomiting, and abdominal distention. Bile overflows, it can be seen that the mouth is bitter, damp and hot in the body, dampness is heavier than heat, the stool is loose, and if the heat is heavier than dampness, the stool is unpleasant. If the bladder is gasified, the urine is short and red. If the evil dwelling is less yin, and the cardinal is unfavorable, then the cold and heat come and go. Bile does not follow the usual path and overflows the skin, and the body and eyes turn yellow. The liver veins are around the yin organ, and the dampness and heat are bet with the meridians, then you will see **eczema or **swelling, heat and pain, and in women, you will see cloudy yin itching. The tongue is red and greasy, and the number of pulses and strings are all evidence of dampness and heat in the liver and gallbladder.
Biliary depression and phlegm disturbance syndrome
Biliary depression and phlegm disturbance syndrome refers to the syndrome caused by bile loss and discharge, phlegm and heat internal disturbance. The occurrence of this syndrome is often related to factors such as emotional failure, negligence, and phlegm and fire. Clinically, patients often show symptoms such as dizziness, tinnitus, palpitations, and irritability. They may feel nauseated, chest tightness, yellow tongue, and slippery pulses. For the judgment of this syndrome, we generally take dizziness, tinnitus or palpitations, insomnia, and yellow tongue coating as the key points of syndrome differentiation.
The veins of the gallbladder are directly connected to the leader and enter the ears. When phlegm is disturbed, it can cause dizziness and tinnitus. The gallbladder is seen as a calm body, and phlegm-heat internal disturbances can cause restlessness, which can cause symptoms of restlessness and irritability. When bile qi is stagnant, people feel tightness in their chest and take frequent deep breaths. The overflow of hot steam bile gas will cause bitterness in the mouth, while the bile heat will cause the stomach to lose its normal and descending function, thus causing the symptoms of pan-nausea vomiting.
In addition, the yellow and greasy tongue coating and the smooth pulse are also manifestations of phlegm and heat. These symptoms and signs are correlated with each other and together constitute the pattern characteristics of biliary depression and phlegm disturbance. For the first of this syndrome, the principles of liver and gallbladder soothing, phlegm and heat removal should be followed, so as to restore the normal excretion function of the bile, remove phlegm and heat internal disturbance, and thus alleviate the patient's symptoms.