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Yellow Emperor asked: When treating bitter taste in the mouth, Yanglingquan (GB34) is selected. What is the name of this disease? How does it arise? Qibo replied: The disease is named Dan Fan (Gallbladder Heat).

The Gallbladder is the Fu-organ that stores essence and juice (this sentence is absent in *Suwen*). The Liver is the General, whose decisions depend on the Gallbladder; the pharynx serves as its conduit. This type of person often deliberates extensively but fails to make decisions, causing Qi of the Gallbladder to overflow upward, resulting in a bitter taste in the mouth. Treatment should involve the Front-Mu and Back-Shu points of the Gallbladder, which follows the principles of mutual regulation among the twelve Zang-Fu organs.

Those who are prone to anger yet desire food, while speaking less and less, should be treated by needling the Foot-Taiyin Spleen Meridian. Those who are angry and talk excessively should be treated by needling the Foot-Shaoyin Kidney Meridian (*Taisu* reads Foot-Shaoyang Gallbladder Meridian). For shortness of breath and Heart Bi pain, with sorrow and anger causing rebellious Qi, anger, and manic changes, Yuji (LU10) is the primary point. For Heart pain accompanied by frequent sadness, cold extremities, a sensation of emptiness in the heart like hunger, a calm yet startled state of mind, Da ling (PC7) and Jianshi (PC5) are indicated. For full-face heat and thirst, Xingjian (LR2) is indicated. For Spleen deficiency causing aversion to cold, unhappiness, and frequent sighing, Shangqiu (SP5) is indicated. For a pale-green complexion, frequent sighing, a dying appearance, chills and tremors, and difficult defecation, Zhongfeng (LR4) is indicated. For a sensation of the heart hanging suspended, sorrowful confusion, frequent fear, swelling inside the throat, palpitations of fear as if being hunted, excessive sweating, asthma, shortness of breath, and insufficient inspiration, Ran gu (KI2) is indicated. For fright, frequent sadness and unhappiness, a sensation of falling, absence of sweat, a dusty black facial complexion, Phlegm-Fluid retention with loss of appetite, Zhaohai (KI6) is indicated. For Gallbladder disorders causing vertigo and cold reversal in the limbs, arm pain, frequent fright, forgetfulness, disordered speech, red face, and weeping, Yimen (GB23) is indicated.

For sudden great fright causing breast pain, Liangqiu (ST34) is indicated.

When pathogenic factors invade the Heart, Heart pain occurs, along with frequent sadness and occasional fainting. One should assess excess or deficiency and regulate the Shu points accordingly. Patients with Gallbladder diseases often sigh frequently, have a bitter taste in the mouth, vomit overnight fluids (*Lingshu* reads overnight juices), experience palpitations in the epigastrium, feel frequent fear as if being hunted, suffer from dryness in the throat, and cough up saliva frequently. The pathological signs manifest at the root and branch of the Foot-Shaoyang Gallbladder Meridian; one should also moxa areas where the vessels appear sunken. If there are alternating chills and fever, Yanglingquan (GB34) is selected. When pathogens reside in the Gallbladder and rebellion occurs in the Stomach, leakage of Gallbladder fluid causes bitterness in the mouth; rebellious Stomach Qi causes vomiting of bitter juices, hence termed "vomiting of the Gallbladder." Zusanli (ST36) is selected to direct the Qi downward. If Stomach Qi rebels, blood collaterals of the Foot-Shaoyang Gallbladder Meridian are needled to arrest the rebellious Gallbladder Qi, and their excess or deficiency is regulated to eliminate the pathogen.