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(One treatise)
The treatise states: The Gallbladder Fu-organ is paired with the Liver, and Liver Qi combines with the Gallbladder. The Gallbladder is a Middle-Clear Fu-organ (a hollow organ containing clear fluids). As stated in the *Nan Jing* (Classic of Difficult Issues), the Gallbladder is a pure and clear Fu-organ; as stated in the *Jia Yi Jing* (A-B Classic), it is the organ of middle essence. It is designated as the "General" (the organ of decision-making). Its weight is three taels and three zhu, and its length is three cun and three fen. It is located below the short lobes of the Liver, storing two he of water and essence fluid (the *Nan Jing* records this as three he). Its functions manifest as both anger and joy, both rigidity and flexibility. If the infraorbital area (eye sockets) is excessively large, it indicates that Gallbladder Qi is horizontal and uncontrolled. The Brain, Gallbladder, Marrow, Bones, Vessels, and Uterus are these six organs, generated by Earth Qi. They all store Yin and correspond to the Earth; therefore, they store but do not excrete, and are named the Extraordinary Fu-organs. In contrast, the Stomach, Large Intestine, Small Intestine, Sanjiao (Triple Burner), and Bladder are these five organs, generated by Heaven Qi. Their function corresponds to Heaven; therefore, they excrete but do not store. They receive turbid Qi from the Five Zang-organs and are named the Transmission and Transformation Fu-organs. These organs cannot retain contents for long but serve to transport and excrete. It is said that the Five Zang-organs store Essence-Qi (the *Jia Yi Jing* reads "Shen/Spirit") and do not excrete, thus remaining full but not solidly filled with food/water. The Six Fu-organs transmit and transform substances without storing them, thus being solidly filled but not remaining full. This is because when food and water enter the mouth, the Stomach becomes solidly filled while the Intestines are empty; when food moves down, the Intestines become solidly filled while the Stomach becomes empty. Hence, it is said that the Fu-organs are "solidly filled but not full," while the Zang-organs are "full but not solidly filled."

If the Yang pulse at the Guan position on the left hand is absent, there is no Gallbladder pulse. Symptoms include knee pain, bitter taste in the mouth, squinting eyes, fearfulness as if seeing ghosts, frequent fright, and lack of strength. Treatment involves needling the Foot-Jueyin (Liver) meridian to regulate Yin, using points between the big toe or at the hair follicles near the nail of the big toe. If the Yang pulse at the Guan position on the left hand is excess, it indicates Gallbladder Excess Syndrome. Symptoms include discomfort in the abdomen and a sensation of slight trembling or unease in the body. Treatment involves needling the Foot-Shaoyang (Gallbladder) meridian to regulate Yang, using the point one cun distal to the proximal interphalangeal joint of the second toe.

Patients with Gallbladder disease often sigh deeply, have a bitter taste in the mouth, and vomit retained bile. They feel a palpitations-like fear (dandan fear), as if someone were about to capture them. There is a sensation of obstruction in the throat, and frequent spitting. Examination should focus on the origin and termination of the Foot-Shaoyang meridian, and moxibustion should be applied where the vessels appear depressed. For symptoms of cold and heat alternating, needle the Yanglingquan (GB34) acupoint. If there is frequent vomiting with a bitter taste, prolonged sighing, and a feeling of dandan sadness and fear as if being pursued, the pathogen is in the Gallbladder, and the rebellion is in the Stomach. Gallbladder fluid reflux causes bitterness; Stomach Qi rebellion causes vomiting of bitter fluid, termed "vomiting from the Gallbladder." Treatment involves needling the Zusanli (ST36) acupoint to descend Stomach Qi. If Stomach Qi remains rebellious, needle the blood collaterals of the Foot-Shaoyang meridian to block the pathogen, and regulate deficiency and excess to eliminate the evil.

Gallbladder distension presents with pain and distension under the hypochondrium, bitter taste, and frequent sighing.
If the Liver is diseased anteriorly and the pathology transfers to the Gallbladder, persistent Liver cough will result in vomiting of bile.
When Jue Qi (rebellious Qi) lodges in the Gallbladder, dreams of fighting and litigation occur (the *Jia Yi Jing* adds self-mutilation).
The Liver governs the sinews. Thick nails with yellow color indicate Gallbladder pus; thin nails with red color indicate a thin Gallbladder; hard nails with blue-green color indicate Gallbladder tension; soft nails with red color indicate Gallbladder laxity; straight nails with white color and no constriction indicate a straight Gallbladder; ugly nails with black color and signs of decay indicate Gallbladder knotting.
Bian Que said: The Foot-Jueyin and Foot-Shaoyang meridians are exterior-interior pairs. The exterior is clear, and the interior is turbid. If the disease is excess, extreme heat will damage the spirit, causing spiritual unrest and instability in sleeping and waking. If the disease is deficiency, it leads to contraction of cold pathogens, causing fear, aversion to cold, dizziness, and inability to lie alone. If it develops into Xuan Shui (deep swelling/edema), the root lies in the Gallbladder, starting from the head and face and extending down to the feet. (Prescriptions can be found in the chapter on treating water diseases.)
When the Gallbladder is diseased, the eyebrows may tilt. If the patient's eyebrow roots are tilted, death will occur within seven days.
When the Foot-Shaoyang meridian undergoes pathological changes, it causes bitter taste, frequent sighing, pain in the heart and hypochondrium, and inability to turn over. In severe cases, the face appears dusty, the body lacks luster, and the lateral aspect of the foot becomes abnormally hot, known as Yang Jue (Yang reversal). This meridian governs diseases arising from the bones, including headache, temporal and mandibular pain, pain at the outer canthus of the eye, swelling and pain in the supraclavicular fossa, axillary swelling, mar knife and xiying (types of scrofula), sweating, chills, and malaria. Pain may also occur in the chest, hypochondrium, thigh, lateral knee, up to the Jiegu (fibular head), anterior to the lateral malleolus, and in various joints, with dysfunction of the little toe and the second toe. When the pulse is vigorous, the Renying (carotid) pulse is larger than the Cun Kou (radial) pulse by one degree...