Do you have a great Gallbladder?

Gallbladder in classics

In acupuncture the Gallbladder channel is used frequently for wide variety of symptoms. The most common mental association are with anger in case of excess or timidity and indecisiveness in case of deficiency. These ideas of Gallbladder (mental) pathologies originate from Sùwèn and Língshū.

Sùwèn explains that Gallbladder is linked to anger (ch. 23) and also explains how a hot gall and indecisiveness are linked to throat and bitter taste in mouth (ch.47).

Língshū tells that weak, dull and fearful mind are part of Gallbladder pathologies (ch. 4). In dreams the Gallbladder can produces themes of fighting, blaming and self cutting (ch. 43: “則夢鬥訟自刳”). The chapter 50 explains how courage of soldier is linked with abundance of Gallbladder qì, strength of liver, heart and Sānjiāo.

But why Gallbladder is associated with decision and judgement? Why does the big gall mean great courage?

The Sùwèn 8 says: “The Gallbladder is official of exact and correct, decision and judgement stem from it.” (膽者中正之官決斷出焉)

中 means center, central, exact and for example in archery hit to the center.
正 means just, correct, upright and correct
決 means to decide, conclude and judge. It also means to execute a person.
斷 means to cut apart, sever and to decide. It also means to put an end to something.

The Gallbaldder is a fǔ organ and its zàng pair is liver. The liver is said to be the general of the imperial army, who is responsible for plans and vision of the situation. But even its decision depends on the gall. In fact Sùwèn 9 states that “All 11 organs obtain their judgement from Gallbladder”.

One of the easiest ways to understand this is by meridians. The gall belongs to Shǎoyáng. The Shǎoyáng is composed of two meridians, one being the gall and other being Sānjiāo. The Sānjiāo (as three burners/jiāo and not just the channel) has its beginning in the space between kidneys or Mìngmén. The much debated Nánjīng chapter 66 explains how the influence of the Sānjiāo stems forth and forms the source of all meridians. Its influence can be found from source or yuán (原) points of every meridian. The Sānjiāo is sometimes thought as a prime mover and a link between the earthly manifestation (of elements/organs and meridians) and the formless Heaven.

The Gallbladder is also one of the six extraordinary fǔ, others being brain, marrow, bones, channels/blood vessels and womb. These extraordinary fǔ are formed of Earthly qì and they function like Earth by storing the essences. The Sānjiāo and these extraordinary fǔ-organs form the structure of essence cultivation and transformation. The Gallbladder has close relation to other extraordinary fǔ-organs. Therefore it is said “the qì that is born within the Gallbladder is the source of 10 000 transformations”. (膽中生氣為萬化之元也)

Gallbladder Shén

The Gallbladder once also had its own Shén called Blaze of the Dragon or Lóngyào (龍耀).

In Xīuzhēntú there is a paragraph about Gallbladder:

膽者金之精水之氣其色青附肝短葉下膽者敢也膽大者必不驚神名龍耀字威明形如龜蛇混形其象如懸袋重三兩三銖為肝之腑若據膽當不在五臟之數應歸於六腑因膽亦受水氣與坎同道又不可同於六腑故別立膽臟合於膀胱亦主毛髮黃庭經曰主諸氣力攝虎兵外應眼瞳鼻柱間腦髮相扶亦俱鮮九色錦衣綠華裙

The Gallbladder is the essence (jīng) of Metal and Qì of the Water
Its color is blue-green (Qīng)
As small sack it is attached under the Liver
Gallbladder is the courage and sureness
When Gallbladder is big one does not fear or be frightened
Its Shén is called Blaze of the Dragon (Lóngyào)
Its function is to be Majestic Brightness (Wēimíng)
Its form is like mixture of the turtle and snake
Gallbladder looks like a hanging sack
It weights three liǎng and three zhū (about 115g)
It is the Fǔ and is like it were grabbed by liver
Gallbladder should not be counted to five Zàng, it belongs to six Fǔ
Gallbladder receives Qì of Water and with Kǎn (坎 ☵) it collects the Tao
So it is not similar as others of the six Fǔ
And it could therefore be counted as Zàng
Together with the Urinary bladder it governs the hair
Huáng Tíng Jīng says:
(Gallbladder) governs all the Qì and strength (Lì)
It directs the strategy of attacking tigers
It has outer relationship to gazing, pupils
And the root of the nose between the eyes
It supports the brains, hair and also everything that is bright
(Its Shén has) nine colored bright cloak and green glorious hems

The quote in the end is from Huángtíngjīng. In Huángtíngjīng just before the quote reads that:

膽部之宮六腑精,中有童子曜威明。

“Within the palace of Gallbladder is the essence of six fu.
At the center is Young child (like) glorious Majestic Brightness.”

The text later continues:

能存威明乘慶雲,役使萬神朝三元。

[Gallbladder] is able to store Majestic Brightness and ascend with the blessed cloud.
Serving as delegation between 10 000 shén and three origins (sānyuán or three pure ones).

With these pieces of information it becomes clear that the courage is born out of qualities associated with clarity and brightness. With Sānjiāo the Gallbladder is connected to Heaven and Tao and can bring down their perspective and clarity to other Shéns. With this clarity and vision the plans (Liver) can be made, the decisions of heart can be firm and found, the fear of kidneys transform to alertness and reaction speed, 7 pòs remain lightened and yì is steady. This is when the true courage is born.

These mental aspects of Gallbladder are treated in classics with GB 40 Qiūxū (丘墟) as it is the yuán (原) point of Gallbladder. Many modern authors seems to use more GB 13 Běnshén (本神). Běnshén being also excellent because it has connection to root of all shéns, Yuánshén (元神) residing in the brains. It also gathers all the shéns and rises the essence to fill the brain.

Following points are have also proven clinically excellent even as they are less known and used in modern practice:

GB 18 – Chéng líng (承靈)

Gallballder in communication with Líng or Heaven.

GB 23 – Zhéjīn (輒筋)

This point was once called 神光 (shén guāng – Shéns brightness) and  膽募 (dǎn mù). It was considered mù point of Gallbladder. Currently the following point rì yuè (日月) is held as mù-point.

GB 27 – Wǔshū (五樞)

The name could be translated as the Axis of five (shéns). It also has connection to Girdle vessel.

GB 28 – Wéidào  (維道)

This point reflects the function of Gallbladder to store and collect Tao with the lower jiāo (坎 ☵).

GB 42 – Dìwǔhuì (地五會)

This is the point of Earthly meeting of five shén. The Heavenly meeting is at St 9.

Over-simplified bodies

Medical Chinese medicine regard the human body as an physical object and the qì or meridians are seen as internal functioning of this physical object. The conscious self within it is seen more or less as a byproduct of bodily functions. Traditional Chinese medicine usually speaks of this self as Shén. Shén could be translated as a spirit. The most used medical classics speak about five shéns and describe various emotions associated with each of them. The shén residing in heart and named Shén and is said to be above others and representing human spirit and in a way the Self. In the Western world many acupuncturist refer this Shén as spirit and other shéns as emotions.

In the past however there were not only one or five Shén in the body but numerous different shéns forming the whole. These shéns were not seen as spiritual counterparts of material human body but the very essence of this material being. The concept that human body is “without an empty spot that is not shén” formed the basis of spirtual cultivation and medical  practices.

The following translations are from 太上老君內觀經 (Tàishàng Lǎojūn Nèiguānjīng) or Classic of inner contemplation. This Táng Dynasty (618-907) text first describes the formation of body and continues explaining that how the formation of body gives us understanding and the way of using contemplation of ones being and mind to trace it back to the source.  Very beautiful Taoist text also defines clearly some terms used in many medical classics. Pieces of the text are quoted in later medical classics.

The formation of body

父母和合人受其生始
一月為胞精血凝也
二月成胎形兆胚也
三月陽神為三魂動而生也
四月陰靈為七魄靜鎮形也
五月五行分藏以安神也
六月六律定腑用滋靈也
七月七精開竅通光明也
八月八景神具降真靈也
九月宮室羅布以定精也
十月炁足萬象成也

When father and mother have intercourse the human being has its begining
During the first month in womb the essence and blood concentrate
During the second month the fetus-form will develop from the embryo
During the third month the Yángshén forms three Húns and begins to move and live
During the fourth month Yīnlíng form seven Pòs to slow and cooldown the form
During the fifth month five phases divide to [their] Zàngs calming their Shéns
During the sixth month six laws fix fǔ-organs to nourish the Líng
During the seventh month seven essences open [their corresponding] orifices to Bright light
During the eighth month the eight luminous Shén can descend true Líng
During the ninth month from the Palace room the threads extend to manage the essence
During the tenth month Qì is sufficient and 10 000 forms are ready

The above quote explain how the body forms during pregnancy. From this follows the fact that this body is seen in ancient texts as concentration of spirit itself. The 7 pòs are sometimes refered as Earth spirits that provides a being instincts and animal qualities. Sometimes these pò spirits are seen in a negative light but their functioning is essential for survival and nourishment of ones being. They represent the animistic life force in body. The 3 húns are seen as heavenly spirit that compose a threefold soul of human. The eight luminous spirits appear in form of the Original spirit (Yuánshén 元神) in later versions of this passage quoted in medical classics.

The “layers” of human embodiment

老君曰從道受分謂之命自一稟形謂之性所以任物謂之心心有所憶謂之意意之所出謂之志事無不知謂之智智周萬物謂之慧動而營身謂之魂靜而鎮形謂之魄流行骨肉謂之血保神養炁謂之精炁清而駛謂之榮炁濁而遲謂之衛總括百神謂之身萬象備見謂之形塊然有閡謂之質狀貌可則謂之體大小有分謂之軀眾思不測謂之神邈然應化謂之靈炁來入身謂之生神去於身謂之死所以通生謂之道

Lǎojūn said:
Dao provides our role and it is known as fate (命 mìng)
[From this] naturally [follow] our qualities and form (形 xíng)
[And that] we call nature (性 xìng)
This [nature] assign beings [their proper places]
We call this heart
In heart resides the memory ( 憶 yì)
We call it intention (意 yì)
When intention manifests we call it will (志 zhì)
Will used without ignorance is called wisdom (智 zhì)
Wisdom about 10 000 beings is called intelligence (慧 huì)
[The spirits/influences that] move and direct are called Húns (魂)
[The spirits/influences that] still and cool are called Pòs (魄)
[That which] flows and moves in bones and flesh we call blood
[That which] protects shén and nourish qì is called essence (精 jīng)
Qì [that is] fast and quick, is known as [nourishing] róngqì (榮炁)
Qì [that is] turbid and slow is known as (defensive) wèi[qì] (衛)
[That which] collects and binds together 100 shén is known as embodiment (身 shēn)
10 000 images becoming whole visible [body] known as form (形 xíng)
Mass that itself blocks [everything] is called matter (質 zhí)
Look and manners that can be imitated is substance/style (體 tǐ)
[The whole composed of] big and small parts is called body (軀 qū)
The whole that can be thought but not measured is called Shén
The distant that is echoed through these transformations is called Líng
Qì coming and entering the embodiment is called life
Shén leaving from embodiment is called death
Therefore opening to life is called to Tao (道 dào)

This description of layers of embodiment give us many keys to deeper understanding of the classics.

The problem is that the terms of  身, 體, 軀 and 形 are usually translated simply as a body. As one can see this is clearly an over simplification or Westernization. Shēn (身) might be better translated as being or embodiment as it contains all these layers. The tǐ (體) is composed of bone or frame(骨) and container (豆) for something unknown (曲). It might be translated as way of being, style or spiritual substance. A strong tǐ refers to (moral) integrity and purity of a man and not just a strong body. Qū (軀) in the other hand is composed of being (身) that works as a box(匸) for small things (品) refers to the physical body.

The knowledge and understanding of exact terms is crucial while reading many taoist and medical classics. It is hard to understand contemplation practices without first understanding what is being contemplated. In study of medical classics the understanding the human is the most important. Only then the rest of the theory can understood correctly.