Bile reflux is related to Liver depression and fire (the lack of liver qi leads to the production of fire and heat), but it may also be related to internal injuries and diet, and physical weakness and prolonged illness. Liver Depression and Fire: Anxiety and irritation injure the liver and damage the spleen; the liver loses its detachment (the liver’s function of detachment is abnormal); the liver violates the stomach (the liver’s qi is not smooth so that it violates the stomach’s function); the spleen loses its tonicity (the spleen’s transport function is dysfunctional); and the gastric qi is stagnated, which triggers bile reflux. Internal injuries to diet: uncontrolled diet, or over-feeding and over-starvation, damages the spleen, stomach, liver and gallbladder, and the stomach qi becomes congested, resulting in a loss of gastric healing and descending (obstruction of the stomach’s descending and ventilating functions), which leads to pain when there is no circulation. Excessive flavors, excessive spiciness, fat, sweet, thick and greasy, and drinking alcohol, will contain dampness and generate heat, injuring the spleen and hindering the stomach, and the stagnation of qi can block the qi of the liver and gallbladder, triggering the reflux of bile. Deficiency and chronic illness: the spleen and stomach are the officials of the granary, the main receptor (acceptance) and transportation of water and grain, if the spleen and stomach are weak, transportation and transformation of the duties, the qi is not smooth, or the middle yang is insufficient, the middle jiao is cold, the wood for the soil, triggering the reflux of bile. If you are not feeling well, you should go to the hospital in time to get a clear diagnosis and have your doctor arrange a treatment plan, so do not take it lightly to avoid delays.