Here are the signs and symptoms that really get me thinking about Damp-Heat in the Liver and Gallbladder (with the really standout ones in bold):
his diet was always greasy and rich
pain is heavy and burning, moves around, and is worse after eating
in the past has had diarrhea 5-8 times/day (shows Dampness)
occasional mucous in his stool, but denies any blood (shows Dampness)
cramps and sensations of nausea
occasional front and temporal headaches prior to bowel movements, which is often relieved by defecation
bitter taste in the mouth after meals
in the morning, he often awakes to belching, a bitter liquid in the mouth, and foul (The liquid is watery and light green to blackish in colour)
occasional low-pitched and high-pitched ringing in his ears
occasional itchy skin with a mild, red rash
all symptoms are worse with spicy and greasy foods
feels warm overall and is easily frustrated and angered
avoids confrontation at all costs
diet is bland at this point as it is all he can handle
poor appetite and fatigue
sclerae are slightly red and yellowish, and his eyes are occasionally watery and itchy
currently has a stye on his upper eyelid of his right eye
upon palpation, he is very tender over the left upper and lower quadrants as well as the hypochondriac region on the right side under the 10th rib
Tongue: red body, some greasy, yellow coat, some areas have little coat, red prickles on the sides and tip
Pulse: Wiry (Xuan), Slippery (Hua), and Forceful (You Li) at the surface and Deficient (Xu) below
If you’re looking for a textbook case of Damp-Heat in the Liver and Gallbladder, this would be it.