TCM pattern · Dampness and phlegm

Liver and Gallbladder Damp Heat

肝胆湿热 Gan Dan Shi Re Liver and Gallbladder system

Hot sticky dampness in the Liver channel, which runs from the groin to the ribs to the eyes. Pain and fullness under the ribs, a bitter sticky mouth, nausea, yellow eyes or skin, genital itch or herpes outbreaks, yellow discharge, burning urine, and a red tongue with a yellow greasy coat.

A swamp along the Liver's riverbank. The whole length of the channel is wet and hot, so the trouble shows at both ends: the groin below and the eyes and ribs above.

2 formulas Updated 2026-10-12 View API data

How to recognize Liver and Gallbladder Damp Heat

The signs that point most strongly to this pattern:

  1. Pain or fullness under the ribs, often the right side
  2. Bitter, sticky mouth; nausea; no appetite
  3. Yellow eyes or skin
  4. Genital itch, swelling, discharge, or herpes outbreaks
  5. Burning, dark urine

Also common

  • Fever that comes and goes
  • Heavy, hot, tired body
  • Shingles along the ribs
  • Ear infection, sudden deafness
  • A red face
Tongue
Red with a yellow greasy coat.
Pulse
Wiry, slippery, and rapid.

Formulas for Liver and Gallbladder Damp Heat

Herbs that matter most for Liver and Gallbladder Damp Heat

  • Yin Chen Hao Capillary Wormwood (Yin Chen Hao) Capillaris, the jaundice herb, clears damp heat from the Liver and Gallbladder.
  • Long Dan Cao Root of Przewalsk Gentian Gentian drains Liver fire and damp heat.
  • Zhi Zi Gardenia Fruit Gardenia clears heat and drains it through the urine.
  • Huang Qin Baical Skullcap Root Scutellaria clears heat from the Liver and Gallbladder.
  • Da Huang Raw Rhubarb Root Rhubarb drains the heat through the bowel.
  • Che Qian Zi Asiatic Plantain Seed Plantain seed drains damp through the urine.

How Liver and Gallbladder Damp Heat differs from its look-alikes

  • Liver Fire Fire is dry and goes to the head: red eyes, headache, rage, no greasy coat. Damp heat is sticky and heavy with nausea and a greasy coat, and reaches the groin.
  • Damp Heat in the Lower Burner Lower burner damp heat stays in the bladder and gut without the rib pain, the bitter mouth, or the yellow eyes.

What drains into Liver and Gallbladder Damp Heat

  • Greasy food and alcohol
  • Hot humid weather
  • Infections of the liver, gallbladder, or genitals
  • Stagnation that turned hot in a damp body

Food and habits that help Liver and Gallbladder Damp Heat

  • No alcohol and no greasy food. Both are the swamp.
  • Light, bitter, cooling food: bitter greens, mung beans, barley water, celery.
  • Drink plain water to flush.
  • Rest; this pattern burns energy fast.

What should change as Liver and Gallbladder Damp Heat improves

  • The bitter taste and nausea ease within days.
  • Yellow eyes clear over one to three weeks.
  • The greasy yellow coat thins.
  • Jaundice always needs its cause found. The formula helps the drainage, not the diagnosis.

Conditions where Liver and Gallbladder Damp Heat shows up

Sources

  • Maciocia, The Foundations of Chinese Medicine, 3rd edition Damp heat in the Liver and Gallbladder.
  • Bensky, Scheid, Ellis and Barolet, Chinese Herbal Medicine: Formulas and Strategies, 2nd edition Long Dan Xie Gan Tang, Yin Chen Hao Tang.

Important Note

A pattern is a picture, not a diagnosis. Most people carry two patterns at once, and the signs here are the classic ones, not a checklist. Use this page to recognize yourself, read a formula label with understanding, and ask a qualified practitioner a sharper question.