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The gallbladder stores, concentrates and secretes bile which is

produced in the liver. The bile is necessary in the intestine for the

digestion and absorption of fat. It is also important for lubricating

the intestinal wall. Once the gallbladder is removed, the bile lost

its storage space and tends to accumulate in the liver. The result is

reduced bile flow because the liver does not contract to squirt the

bile into the intestine like the gallbladder does. The reduced bile

flow usually causes indigestion, constipation or diarrhea. When the

accumulated bile becomes congested in the liver, it weakens the liver

functions and may even lead to depression. According to Chinese

medicine, depression is a sign of blocked liver energy. The combined

effects of liver congestion and intestinal sluggishness may also

cause sleep disorder, insomnia, or bad breath. Furthermore, the

reduced bile flow could weaken the spleen and pancreas so much that

diabetes may result. The spleen is connected to the gallbladder by

nerves. When the gallbladder is removed, the spleen is out of balance

and becomes weakened. According to Chinese medicine, the spleen

provides energy to the heart. A weak spleen therefore results in a

weak heart. Indeed, the statistics do show that heart attacks are

more common among people without gallbladders.

Auto-immune diseases and allergies may also be the result of

gallbladder removal because they are often caused by weak liver and

spleen. Other health problems that may be experienced after

gallbladder removal include itchy skin, arthritis or anemia. Allergy

and arthritis are associated with weak liver and spleen. Itchy skin

is usually caused by weak spleen if rashes (inflammation) are

involved. If there are no rashes, it may be caused by bilirubin (one

of the major components in bile) crystalizing under the skin. When

excessive bilirubin is in the blood due to excessive bile carried to

blood circulation from the liver, bilirubin may crystalize because it

has low solubility in blood. Excessive bile in blood is usually the

result of stagnant bile flow caused by liver congestion or some kind

of blockage.

Our red cells live about 100-120 days. The worn out cells are

destroyed by the spleen or liver. When the spleen and liver are

healthy, the broken down products would be recycled to produce new

red cells. Weak liver and weak spleen that have poor capability of

recycling these broken down products may lead to anemia.

When the liver is badly congested with stagnant bile which quite

often happens to people with their gallbladder removed, the only

relief is to stimulate their bile flow. From our experience working

with many people who had gallbladder surgery, a combination of taking

Chinese Bitters in the morning (to cleanse the liver) and Coptis at

night (to stimulate bile flow) will help to relieve symptoms related

to gallbladder removal, such as sleep problems and difficulty with

bowel movement.

A helpful regimen in the morning is to start with 2 cups of warm

water, then do your exercises. You can take Chinese Bitters ¾-1 hour

later when the water has emptied out of the stomach. Another ½-hour

later, you can have your breakfast. The warm water helps

to " activate " the intestines and kidneys.

It is not uncommon for people who have their gallbladder removed to

have gallstones in their liver. When the bile that is produced in the

liver cannot be stored in the gallbladder anymore, it tends to get

congested and become stagnant in the liver. When the bile is stagnant

in the liver for too long, it becomes too concentrated; then

cholesterol and bile pigments may crystalize to form stones in the

liver similar to what happens in the gallbladder.

A 68-year old man had his gallbladder removed about one year before

he came to see me. I recommended that he should flush his liver by

the following procedure. First he should take our Chinese Bitters in

the morning and Coptis at night. When these are finished, he should

follow up by taking GCG in the morning and Curcuma at night. When he

did his first liver flush (Step 3a above) after he finished the GCG

and Curcuma, he was surpirsed to find that he flushed out more than a

hundred small stones. He told me that he felt at least 10 years

younger.