Acute Cholecystitis

|Common Symptoms

Clinical Description:

主症：持续右胁部剧烈灼痛或绞痛；胁痛阵发性加剧，甚则痛引肩背。次症：口苦口黏；恶心呕吐；发热恶寒；身目明显黄染；小便短赤，大便秘结；舌质红，苔黄或厚腻；脉滑数

Plain-Language Explanation:

• Persistent severe burning or twisting pain in the right rib area that is difficult to relieve may occur.
• The rib-side pain may worsen in waves, and in severe cases it may radiate to the shoulder and back.
• There may be a bitter, sticky sensation in the mouth with an unpleasant sticky feeling.
• Nausea and vomiting may occur, with a churning feeling in the stomach and an urge to vomit.
• Fever with chills may appear, feeling hot and cold at the same time.
• The skin and eyes may turn noticeably yellow with an obvious yellow appearance.
• Urine may be scanty, yellowish-red; stools may be dry and hard with difficult, straining bowel movements.
• The tongue appears reddish with a yellow or thick greasy coating.
• The pulse may feel slippery and somewhat rapid, with a slightly hurried beat.

|TCM Approach

Clinical Description:

清热利湿，行气利胆

Plain-Language Explanation:

• By clearing internal heat and draining excess dampness, this approach may help reduce fever and stickiness, and relieve discomforts such as stuffiness, fatigue, bitter sticky mouth, heavy body, thick greasy tongue coating, and scanty yellow urine.
• By regulating qi movement and promoting the smooth flow and excretion of bile, this approach may gradually ease rib distension and chest oppression, and help relieve such issues as bitter taste with poor appetite, nausea, acid reflux, post-meal fullness, and yellow urine.