🌿 Gallstones
Gallstones
(I)
【Differential Diagnosis】Dampness-heat in the liver and gallbladder stagnates, invading the spleen-stomach.
【Treatment Principle】Promote bile flow and expel stones, strengthen spleen and relieve pain.
【Formula Name】Biliary Stone Expelling Decoction.
【Composition】Bupleurum 9g, Prince's Ginseng 15g, White Peony Root 15g, Coin Grass 30g, Curcuma Rhizome 12g, Pollen of Cyperus 6g, Five Spirit Resin 6g, Licorice 3g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Deng Tietao's formula.
(II)
【Differential Diagnosis】Internal dampness-heat accumulates over time, forming stones.
【Treatment Principle】Regulate liver qi, promote bile flow and expel stones.
【Formula Name】Bile Flow and Stone Expelling Decoction.
【Composition】Processed Rhubarb 9g, Citrus Aurantium 9g, Tiger Stick 15g, Curcuma 15g, Coin Grass 30g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Jiang Chunhua's formula.
(III)
【Differential Diagnosis】Liver qi stagnation.
【Treatment Principle】Regulate liver, relieve depression, regulate qi and relieve pain.
【Formula Name】Liver-Soothing and Bile-Promoting Decoction.
【Composition】Bupleurum 10g, Citrus Aurantium 10g, Green Tangerine Peel 10g, Tangerine Peel 10g, Tiger Stick Root 30g, Honeysuckle 30g, Raw Rhubarb 12g, Coin Grass 30g, Capillary Wormwood 30g, Curcuma 12g, Toosendan Fruit 12g, Corydalis 10g, White Peony Root 12g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Xie Xinjian's formula.
(IV)
【Differential Diagnosis】Liver qi stagnation, wood element transforming into fire.
【Treatment Principle】Regulate liver qi, clear heat, resolve stagnation, promote bile flow and expel stones.
【Formula Name】Clear Bile and Stone-Dissolving Decoction.
【Composition】Bupleurum 6g, Goose Grease Grass 15g, Corydalis 6g, Coin Grass 15g, Golden Bell Fruit 10g, Scutellaria 9g, Curcuma 6g, Tongcao 3g, Dandelion 12g, Northern Capillary Wormwood 15g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Weng Gong's formula.
(V)
【Differential Diagnosis】Dampness-heat stagnates in the liver and gallbladder.
【Treatment Principle】Regulate liver and promote bile flow, clear heat and remove dampness, regulate qi and harmonize blood, relieve pain and disperse masses.
【Formula Name】Liver-Soothing and Bile-Promoting Decoction.
【Composition】Bupleurum 10g, Scutellaria 8g, Sea Gold Sand 15g, Coin Grass 15g, Chicken Internal Gold 10g, Curcuma 8g, Stir-fried Golden Bell Fruit 10g, White Peony Root 10g, Stir-fried Citrus Aurantium 10g, Red Poria 15g, Plantain Seed 10g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Li Peisheng's formula.
(VI)
【Differential Diagnosis】Liver-gallbladder qi stagnation, dampness-heat accumulation.
【Treatment Principle】Soothe liver, detoxify, dissolve stones.
【Formula Name】Liver-Soothing and Detoxifying Decoction.
【Composition】Bupleurum 20g, Green Tangerine Peel 20g, Tangerine Peel 20g, Dendrobium 20g, Scutellaria 10g, Sparganium 10g, White Peony Root 15g, Forsythia 15g, Honeysuckle 25g, Dandelion 25g, Coin Grass 25g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Tan Jingqi's formula.
(VII)
【Differential Diagnosis】Liver qi stagnation, dampness-heat accumulation.
【Treatment Principle】Clear heat, soothe liver, regulate qi, purge internally.
【Formula Name】Biliary Stone Expelling Decoction.
【Composition】Coptis 6–12g, Phellodendron 6–12g, Scutellaria 6–12g, Artemisia 12–24g, Curcuma 12g, Coin Grass 30g, Cat’s Claw Herb 9–24g, Rhubarb 5–20g, Pinellia 12g, Western Codonopsis 12g, Costus Root 6–12g, Licorice 6g.
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Xiao Yinchang's formula.
(VIII)
【Differential Diagnosis】Qi stagnation and dampness obstruction.
【Treatment Principle】Soothe liver, relieve depression, clear heat and promote diuresis, regulate qi.
【Formula Name】Gallstone Relief Syrup.
【Composition】Curcuma 15g, Costus Root 15g, Scutellaria 15g, Artemisia 26g, Toosendan Fruit 9g, Tiger Stick 30g, Corn Silk 20g.
【Usage】Coarsely grind costus root to extract active ingredients. Process remaining herbs by mixing and decocting twice, ensuring water level exceeds herbs; boil for 20 minutes after boiling (post-boil time), filter. Combine filtrates, let settle for 24 hours, collect supernatant, concentrate to desired volume. Add sucrose, boil until dissolved. Add preservative 5 minutes before final filtration. Mix with costus root extract, fill into 100ml bottles. Take 33ml before meals 15 minutes, three times daily. One course lasts 30 days, followed by one-week break before next course. Store cold and use as directed.
【Source】Leng Heping's formula.
(IX)
【Differential Diagnosis】Dampness-heat stagnates in the liver and gallbladder, intestinal real heat.
【Treatment Principle】Clear heat and dampness, purge internally, promote bile flow and expel stones.
【Formula Name】Modified San Huang Stone Expelling Decoction.
【Composition】Scutellaria 15g, Raw Rhubarb 15g (added later), Gardenia 15g, Artemisia 30g, Coin Grass 50g, Honeysuckle 15g, Curcuma 15g, Costus Root 10g, Magnolia Bark 12g, Mirabilite 10g (dissolved).
【Usage】Decoct and take orally, one dose per day, twice daily.
【Source】Li Shizhong's formula.