Cholecystitis and Gallstones — TCM Food Therapy & Dietary Approach

The gallbladder concentrates and stores bile.

Traditional Chinese Medicine Patterns

In TCM, this condition is differentiated into several patterns, each with a classical herbal formula:

Liver Depression and Qi Stagnation

Treatment principle: Soothe the Liver and Regulate Qi

Formula: Xiaoyao San (Free and Easy Wanderer Powder) — from *Formulary of the Bureau of the People's Welfare Pharmacies*; Chaihu Shugan San (Bupleurum Liver-Coursing Powder) — from *Jingyue's Complete Works*

Pathogen Stagnating in the Lesser Yang

Treatment principle: Harmonize the Lesser Yang

Formula: Xiao Chaihu Tang (Minor Bupleurum Decoction) — from *Treatise on Cold Damage*

Damp-Heat in the Liver and Gallbladder

Treatment principle: Clear Heat and Drain Damp

Formula: Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) — from *Yi Fang Ji Jie*

Blood Stasis Obstructing the Collaterals

Treatment principle: Dispel Stasis and Free the Collaterals

Formula: Gexia Zhuyu Tang (Drive Out Blood Stasis Below the Diaphragm Decoction) — from *Corrections of Errors in Medical Classics*

Liver Collaterals Deprived of Nourishment

Treatment principle: Nourish Yin and Emolliate the Liver

Formula: Yiguan Jian (Linking Decoction) — from *Xu Ming Yi Lei An*

Acute Jaundice·Raging Epidemic Toxin

Treatment principle: Clear Heat and Resolve Toxin, Cool Blood and Open the Orifices

Formula: Xijiao San (Rhinoceros Horn Powder) — from *Essential Prescriptions Worth a Thousand Gold for Emergencies*

Yang Jaundice·Heat Predominating over Damp

Treatment principle: Clear Heat and Unblock the Bowels, Drain Damp and Abate Jaundice

Formula: Yinchenhao Tang (Artemisia Capillaris Decoction) — from *Treatise on Cold Damage*

Yang Jaundice·Damp Predominating over Heat

Treatment principle: Drain Damp and Transform Turbidity, Activate the Spleen, Assisted by Clearing Heat

Formula: Yinchen Wuling San (Artemisia Capillaris Five-Ingredient Poria Powder) — from *Synopsis of the Golden Chamber*; Ganlu Xiaodu Dan (Sweet Dew Detoxification Elixir) — from *Warp and Woof of Warm-Heat Diseases*

Yang Jaundice·Stagnant Heat in the Gallbladder

Treatment principle: Soothe the Liver and Drain Heat, Benefit the Gallbladder and Abate Jaundice

Formula: Da Chaihu Tang (Major Bupleurum Decoction) — from *Treatise on Cold Damage*

Yin Jaundice·Cold-Damp Obstruction

Treatment principle: Warm the Middle and Transform Damp, Fortify the Spleen and Harmonize the Stomach

Formula: Yinchen Zhufu Tang (Artemisia, Atractylodes and Aconite Decoction) — from *Yi Xue Xin Wu*

Yin Jaundice·Blood Stasis Obstruction

Treatment principle: Activate Blood and Resolve Stasis to Eliminate Masses

Formula: Biejia Jian Wan (Turtle Shell Decoction Pill) — from *Synopsis of the Golden Chamber*

After Jaundice Subsides·Lingering Damp-Heat

Treatment principle: Clear Heat and Drain Damp

Formula: Yinchen Siling San (Artemisia Four-Poria Powder)

After Jaundice Subsides·Liver-Spleen Disharmony

Treatment principle: Harmonize the Liver and Spleen, Regulate Qi and Assist Transport

Formula: Chaihu Shugan San (Bupleurum Liver-Coursing Powder) — from *Jingyue's Complete Works*; Guishao Liujunzi Tang (Angelica and Peony Six-Gentleman Decoction) — from *Bi Hua Yi Jing*

These formulas are for reference under TCM syndrome differentiation and should only be used under the guidance of a qualified practitioner.

Food Therapy & Diet

Dietary Therapy Recipes

Understanding the Condition

The gallbladder concentrates and stores bile. Cholecystitis is often caused by parasites or bacterial infection in the biliary tract, bile stasis, or reflux of pancreatic juice into the bile duct, and it frequently develops secondary to gallstone irritation and obstruction. Cholecystitis and gallstones often coexist and are mutually causal; the inflammatory exudate of cholecystitis can become the nidus of a gallstone. Cholecystitis is divided into acute and chronic forms. Gallstones are classified by location into common bile duct stones, intrahepatic bile duct stones, and gallbladder stones, and by composition into cholesterol stones, pigment stones, and mixed stones. The main clinical manifestation is right upper abdominal pain; in acute attacks it is colicky, often occurring at night or in the early morning after greasy food or a heavy meal, while in chronic patients the pain is dull. Patients may also have nausea, vomiting, aversion to greasy food, and belching. When the gallbladder suppurates there may be high fever and chills, and bile duct obstruction may be accompanied by jaundice. The condition generally recurs periodically.

This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.