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Biliary Colic

How Chinese medicine differentiates biliary colic into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Gallstones and Cholecystitis pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Severe or persistent right-upper-abdomen pain, especially with fever or jaundice, needs prompt medical evaluation to rule out a blocked bile duct or infection before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for biliary colic — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
LR-14Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat. Benefits the sinews.
BL-19Resolves Damp-Heat in Liver and Gall Bladder. Subdues rebellious Qi. Tonifies Gall Bladder Qi.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
L.I.-11Clears Heat and cools the Blood. Resolves Dampness.
BL-18Resolves Damp-Heat. Moves Liver-Qi and eliminates stagnation. Nourishes Liver-Blood.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distending pain in the right upper abdomen fluctuating with emotional stress, frequent sighing, irritability and mood swings, throat-lump sensation, belching/bloating after meals.
Tongue: Normal or slightly dark body with red sides, thin white coat. Pulse: Wiry, taut like a guitar string, especially at the left middle position.
Treatment principle: Soothe the Liver, relieve constraint, move Qi.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

2. Liver and Gallbladder Damp-Heat View full pattern →

Clinical manifestations: Severe colicky pain in the right upper abdomen, bitter taste, nausea/vomiting, jaundice.
Tongue: Red body with thick yellow greasy coating. Pulse: Wiry, slippery, rapid.
Treatment principle: Drain Liver-Gallbladder Fire, clear Damp-Heat, resolve jaundice.
Note: no moxa; jaundice needs medical evaluation regardless. Direct match with this site's own Damp-Heat-in-the-Gall-Bladder-and-Liver slide.

3. Liver Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in the right upper abdomen, worse at night and with pressure.
Tongue: Dark purple with stasis spots on the sides, distended sublingual veins, thin white coat. Pulse: Wiry and choppy, like a knife scraping bamboo.
Treatment principle: Invigorate Blood, dispel stasis, move Qi, alleviate pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide.

4. Toxic-Heat

Clinical manifestations: Intense, constant burning pain in the right upper abdomen, high fever with chills, jaundice, extreme thirst for cold drinks, dark scanty urine, constipation, restlessness and irritability.
Tongue: Red or crimson with prickly thorns, dry yellow coating. Pulse: Rapid and wiry, forceful.
Treatment principle: Clear Heat, drain Dampness, resolve toxicity.
Note: no moxa; high fever with jaundice needs urgent medical evaluation regardless (possible cholangitis). This site has no standalone Toxic-Heat slide on any deck — no pattern link is given here; points still link fine individually.

5. Liver Yin Deficiency View full pattern →

Clinical manifestations: Dull burning pain under the right ribs, dry mouth, gritty eyes, afternoon low-grade fever or night sweats, dizziness, lightheadedness, irritability, restless sleep.
Tongue: Red, thin body with red sides, dry surface, little or no coating. Pulse: Wiry, fine, rapid.
Treatment principle: Nourish Liver-Kidney Yin, soothe the Liver, regulate Qi.
Note: no moxa. Direct exact-name match with this site's own Liver-Yin-deficiency slide.
Related conditions

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