Chronic: A pathologic term for a thick walled,  fibrotic,  contracted
 gallbladder clinically,  it is used to describe chronic gallbladder disease characterized by symptoms that include recurrent biliary colic.
 
Acute: Acute inflammation of the gallbladder wall,  usually as a response to cystic duct obstruction by a gallstone.
 
This condition is characterized by severe pain that becomes localized in the upper right quadrant,  radiating to right lower 
scapula. Nausea &vomiting are common. Murphy's sign is found.   Cholecystitis responds well to herbal treatment given time,  which the 
patient may not allow it because of the extreme pain.  Diet is pivotal as any fats will precipitate the pain.
 
Allopathic 
medicine tends to downplay the role of the gall bladder and of bile in digestion. That may be why the gall bladder is so often 
surgically removed when gallstones are present,  and it is said that such people lead perfectly normal lives thereafter. Even though the
 absence of the gallbladder is tolerable,  the presence of a healthy gallbladder helps ensure digestive effectiveness which directly 
decreases the chances of arteriosclerosis,  irritable bowel syndrome,  hypertension,  heart disease,  stroke,  and so forth. 
 
Actions indicated for the processes behind this disease
 
Hepatic tonics will support the work of the liver 
and so have a positive metabolic effect .
 
Anti-inflammatories may help in reducing the severity of swelling.
 
Anti-spasmodics may help ease the colic in the gallbladder or ducts. 
 
"Eliminative support" must be given to help 
the body as a whole deal with the systemic problems  that ensue from the digestive repercussions as well as the pain induced stress..
 
Alteratives/Tonics will support the body as a whole in its healing work.
 
Nervines help ease the strain from the pain 
and general worry.
 
Anti-microbials will be helpful as surface immune support even if there is no infection present.
 
Caution: Bitters and strong cholagogues are contraindicated because they increase the strength of muscle contraction.
 
Specific Remedies
The usual hepatic tonics and anti-lithics will be useful here but are not specifics 
as such.
 
One possible prescription
-  Wild Yam - 2 parts 
-  Fringetree Bark - 2 parts 
-  
Valerian - 2 parts 
-  Dandelion root - 1 part 
-  Black Root - 1 part   to 5 ml taken tree times a day.
 
     
An infusion of a carminative,  anti-spasmodic,  nervine should be taken regularly throughout the day.  Chamomile is an excellent example. 
 
This supplies anti-spasmodic,  hepatic,  nervine preventative anti-lithicactions.  Many other herbs could be used.
 Consider Balmony,  Vervain,  Oregon Grape etc.. The eclectics would have suggested Golden Seal in small amounts as part of 
such a mixture,  as well as Lobelia.
 
Broader Context of Treatment
Diet and stress management are crucial.  Chemical 
pain relief may be indicated in the severe cases.