Cholestatic Liver Disease

|Common Symptoms

Clinical Description:

身目黄色鲜明，发热口渴，心烦欲呕，脘腹胀满，饮食减退，小便短赤，大便秘结，苔黄腻或黄糙，舌质红，脉弦数或滑数

Plain-Language Explanation:

  • The skin and whites of the eyes are markedly yellow, bright and clearly visible, with a prominent jaundiced appearance.
  • Fever with thirst and a desire to drink, restlessness and irritability, accompanied by a feeling of nausea.
  • Epigastric and abdominal distension and fullness with a suffocating sensation, feeling uncomfortable as if being stretched, and decreased interest in eating.
  • Scanty urine that is yellowish-red, appearing reddish and turbid when voiding.
  • Dry, hard stools that are difficult to pass, with straining and reduced frequency, and bowel movements not going smoothly.
  • The tongue coating is yellow and sticky-greasy, or yellow and dry-rough, appearing thick and greasy or dry on inspection.
  • The tongue body is reddish, appearing distinctly red when extended, with a relatively bright red color.
  • The pulse feels tight and straight and somewhat rapid, or smooth and somewhat rapid, with a hurried and accelerated rhythm.

|TCM Approach

Clinical Description:

清热化湿，疏肝利胆

Plain-Language Explanation:

  • Helps clear heat and resolve damp-turbidity, reducing discomforts such as fever with restlessness, bitter taste and poor appetite, chest tightness and abdominal distension, or scanty dark urine and thick greasy tongue coating.
  • Helps soothe liver qi and promote the smooth flow of bile, reducing symptoms such as hypochondriac distension and pain, nausea and acid reflux, poor appetite, or yellowing of the eyes and skin.

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|Common Symptoms

Clinical Description:

身目色黄而不光亮，身热不扬，头重身困，胸脘痞满，食欲减退，口不渴不多饮，便稀不爽，小便短黄，苔厚腻或黄白相间，脉濡缓或弦滑

Plain-Language Explanation:

  • The skin and whites of the eyes are yellow, but the color is not bright; the jaundice appears dull and not translucent.
  • The body feels warm but not obviously so; it is not a high, blazing fever.
  • The head feels heavy, the whole body is tired and weak, feeling drowsy when walking or working.
  • The chest and epigastrium feel stuffy and blocked, distended and uncomfortable, as if being stretched.
  • Appetite is decreased, eating little, and showing no interest in food.
  • Do not feel thirsty, and normally have little desire to actively drink water.
  • Stools are loose and soft, passed with difficulty, with a feeling of incomplete evacuation after defecation.
  • Urine is scanty and yellow, voiding is short and not clear.
  • The tongue coating is thick and greasy, or appears yellow-white mixed.
  • The pulse feels soft and somewhat slow, or tight and straight with some smoothness.

|TCM Approach

Clinical Description:

利湿化浊，清热退黄

Plain-Language Explanation:

  • Helps dispel excess dampness and resolve turbid pathogens, reducing symptoms such as body heaviness, dizziness, or difficult urination.
  • Helps clear away heat and relieve jaundice, reducing bitter taste and poor appetite, restlessness and thirst, and gradually lightening yellowing of the skin and eyes.

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|Common Symptoms

Clinical Description:

黄疸胁痛，高热烦躁，口苦口干，胃纳呆滞，恶心呕吐，腹部满胀，大便秘结，小便短赤，苔黄糙，脉弦滑数

Plain-Language Explanation:

  • The skin and whites of the eyes are yellow with pain in the hypochondriac regions, which worsens with movement or pressure.
  • High fever with restlessness and agitation, finding it difficult to relax even when trying to be calm.
  • Bitter and dry mouth, with marked dry and rough discomfort when speaking or swallowing.
  • No appetite, eating slowly without enjoyment, often feeling that the stomach and intestines are not functioning properly.
  • Nausea and retching occur, sometimes with vomiting, and not necessarily feeling better immediately after vomiting.
  • Abdominal distension and fullness, feeling blocked inside, with a stuffy sensation whether sitting or lying down.
  • Stools are dry, hard and difficult to pass, with straining and reduced frequency.
  • Urine is scanty and yellowish-red, appearing reddish and turbid.
  • The tongue coating is yellow and dry-rough, appearing rough and lacking moisture.
  • The pulse feels tight and straight and also smooth and somewhat rapid, with a hurried rhythm.

|TCM Approach

Clinical Description:

清肝利胆，化湿退黄

Plain-Language Explanation:

  • Helps clear fire-heat from the liver and promote the smooth flow of bile, reducing discomforts such as hypochondriac distension and pain, bitter taste and dry throat, nausea and poor appetite.
  • Helps resolve damp-turbidity and alleviate jaundice, reducing body heaviness and scanty dark urine, and gradually lightening yellowing of the skin and eyes.

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The following products are provided for informational reference only and do not constitute medical advice or a prescription. Please refer to the product packaging and instructions, and use them under the guidance of a physician or pharmacist.

|Common Symptoms

Clinical Description:

身目发黄而晦暗，面色黧黑，胁下有癥块胀痛，皮肤可见赤纹丝缕，舌质紫或有瘀斑，脉弦涩或细涩

Plain-Language Explanation:

  • The skin and whites of the eyes are yellow but the color is dark and dull, lacking luster.
  • The complexion is dark and dusky, overall looking blackish and dull.
  • Palpable masses can be felt under the rib-sides with distending pain, worsened by pressure or movement.
  • Fine red thread-like streaks can be seen on the skin surface, appearing as streaks of red lines.
  • The tongue color is purplish or shows purple-dark small spots like stasis marks, more obvious when extended.
  • The pulse feels like a taut string and is rough and not smooth, or thin and rough, not flowing easily.

|TCM Approach

Clinical Description:

活血化瘀，疏肝退黄

Plain-Language Explanation:

  • Helps promote blood circulation and resolve stasis, reducing discomforts such as fixed stabbing pain, bruising, or local distension and pain.
  • Helps soothe liver qi to relieve jaundice, reducing symptoms such as yellow eyes and skin, scanty dark urine, hypochondriac distension, or poor appetite.

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|Common Symptoms

Clinical Description:

面目及肌肤发黄，黄色较淡，小便黄，肢软乏力，心悸气短，纳呆便溏，舌淡苔薄，脉濡细

Plain-Language Explanation:

  • The face and whole body skin appear yellow, light in color, looking yellowish but not bright.
  • Urine is yellow in color, not clear when voiding.
  • The four limbs feel weak and lack strength, the whole body is easily fatigued.
  • Palpitations with an uneasy feeling, easily becoming short of breath when talking or moving.
  • Poor appetite, eating little, stools are loose and unformed, not passed smoothly.
  • The tongue body is pale, with a very thin coating, appearing light and clear when extended.
  • The pulse feels soft and thready, weak in force but still palpable with a rhythm.

|TCM Approach

Clinical Description:

调和肝脾，补养气血

Plain-Language Explanation:

  • Helps soothe liver qi and harmonize spleen and stomach transportation, reducing discomforts such as chest and hypochondriac distension, emotional unease, poor appetite, or abdominal bloating and loose stools.
  • Helps supplement qi and blood, gradually relieving pale complexion, fatigue and shortness of breath, dizziness and palpitations.

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The following products are provided for informational reference only and do not constitute medical advice or a prescription. Please refer to the product packaging and instructions, and use them under the guidance of a physician or pharmacist.

|Common Symptoms

Clinical Description:

黄疸急起，迅即加深，高热烦渴，呕吐频作，脘腹满胀，疼痛拒按，大便秘结，小便短少，烦躁不安，苔黄糙，舌边尖红，扪之干，脉弦数或洪大

Plain-Language Explanation:

  • Jaundice appears suddenly and quickly develops into marked yellowing of the whole body and whites of the eyes.
  • The degree of jaundice deepens rapidly, looking increasingly yellow in a short time.
  • High fever with unbearable thirst, constantly wanting to drink but not easily relieved.
  • Frequent nausea and retching, repeated vomiting that makes the stomach very uncomfortable.
  • Epigastric and abdominal distension and fullness with a stuffy feeling, as if blocked inside.
  • The abdomen is more painful on pressure, with marked unwillingness to be touched when pressed.
  • Stools are dry and hard, difficult to pass, defecation is strenuous and not smooth.
  • Urine is scanty and short, not freely voided and not clear.
  • Restlessness and agitation, unable to sit still, and difficulty calming down to rest.
  • The tongue coating is yellow and dry-rough, lacking moisture.
  • The edges and tip of the tongue are redder, more conspicuously red when extended.
  • The tongue surface feels dry on touch, lacking a moist and glossy appearance.
  • The pulse feels like a taut string and is somewhat rapid, or it is surging, large, forceful, and somewhat rapid.

|TCM Approach

Clinical Description:

清热解毒，泻火退黄

Plain-Language Explanation:

  • Helps clear heat from the body and expel harmful substances, reducing discomforts such as fever with restlessness, sore throat, or boils and redness.
  • Helps drain excessive fire and relieve jaundice, reducing bitter taste, thirst, yellow eyes and skin, or scanty dark urine.

|Related Products

The following products are provided for informational reference only and do not constitute medical advice or a prescription. Please refer to the product packaging and instructions, and use them under the guidance of a physician or pharmacist.