1. Combined Patterns
1.1. Rebellious Liver Qi invading the Stomach
1.1.1. Clinical Manifestations
1.1.1.1. Belching/Vomiting
1.1.1.2. Butterflies
1.1.1.3. Nausea
1.1.1.4. Loss of appetite
1.1.1.5. Churning/pulsating feeling in the stomach
1.1.2. Key indicators for diagnosis
1.1.2.1. Stomach symptoms alongside symptoms of Liv Qi Stag
1.1.3. Presenting western conditions
1.1.3.1. Hepititis
1.1.3.2. Chronic Gastritis
1.1.3.3. Gastic ulcers
1.1.4. Aetiology
1.1.4.1. When Liv Qi Stagnates, Liv fails to harmonise digestion and affects the normal function of the Stomach
1.1.5. Pathology
1.1.5.1. Liver Qi moves sideways to interfere with the normal descending function of Stomach Qi, leading to local stagnation and irritation in the stomach.
1.1.5.2. Pathological development
1.1.5.2.1. Qi stagnation generates heat or Liver Fire, potentially causing Stomach Heat or Fire, in which case appetite may increase.
1.1.6. Tongue
1.1.6.1. Pink with thin white coat
1.1.7. Pulse
1.1.7.1. Wiry
1.1.8. Treatment Principle
1.1.8.1. Harmonise Stomach
1.1.8.1.1. PC-6 Neiguan
1.1.8.1.2. Ren-12 Zhongwan
1.1.8.2. Smooth Liver
1.1.8.2.1. Liv-3 Taichong
1.1.8.2.2. Liv-14 Qimen
1.1.9. Key points
1.1.9.1. Liv-3 Taichong
1.1.9.1.1. Spreads & soothes Liver Qi
1.1.9.2. Liv-14 Qimen
1.1.9.2.1. Spreads Liv Qi. Particularly useful for symptoms of vomiting.
1.1.9.3. PC-6 Neiguan
1.1.9.3.1. Spreads Liv Qi and harmonises Stomach
1.1.9.4. Ren-12 Zhongwan
1.1.9.4.1. Regulates Stomach
1.2. Rebellious Liver Qi Invading the Spleen
1.2.1. Clinical Manifestations
1.2.1.1. Alternating constipation and diarrhoea
1.2.1.2. Rumbling in the lower Jiao
1.2.1.3. Flatulence
1.2.1.4. Abdominal distension
1.2.1.5. Irregular periods
1.2.1.6. Breast distension and pain before periods
1.2.2. Key indicators for diagnosis
1.2.2.1. Spleen symptoms alongside symptoms of Liv Qi Stag e.g. Diarrhea, borgorygmus, Greasy tongue, slippery pulse
1.2.3. Pathology
1.2.3.1. The erratic invasion of Liver Qi impairs the Spleen functions of transforming and transporting, resulting in loose stools when Spleen deficiency is predominant, and constipation when the Liver Qi Stagnation effect is dominant. An already deficient Spleen will “allow” this invasion easily.
1.2.4. 5 Elements
1.2.4.1. Wood controls Earth in the 5 element Ke cycle.
1.2.5. Presenting western conditions
1.2.5.1. Infectious Hepititis
1.2.5.2. Chronic Gastritis
1.2.5.3. Liver cancer
1.2.6. Tongue
1.2.6.1. Pink with greasy white coat
1.2.7. Pulse
1.2.7.1. Slippery and Wiry
1.2.8. Treatment Principle
1.2.8.1. Tonify Spleen
1.2.8.1.1. Liv-13 Zhangmen
1.2.8.1.2. SP-6 Sanyinjiao
1.2.8.1.3. ST-36 Zusanli
1.2.8.2. Smooth Liver
1.2.8.2.1. Liv-3 Taichong
1.2.9. Key points
1.2.9.1. Liv-3 Taichong
1.2.9.1.1. Spreads & soothes Liver Qi
1.2.9.2. Liv-13 Zhangmen
1.2.9.2.1. Front Mu point for Spleen. Aids middle jiao and symptoms of Sp Xu
1.2.9.3. SP-6 Sanyinjiao
1.2.9.3.1. Spreads Liv Qi and Strengthens Sp
1.2.9.4. ST-36 Zusanli
1.2.9.4.1. Tonifies Stomach/Spleen
1.3. Rebellious Liver Qi Invading the chest (women)
1.3.1. Clinical manifestations
1.3.1.1. Shortness of breath
1.3.1.2. Breast distension
1.3.1.3. feeling of oppression in the chest
1.3.2. Pathology
1.3.2.1. Upwards movement of Qi into the chest, not invading a particular organ in this case, but creating a general stagnation of Qi in the Upper Jiao. This is particularly evident in women and affects the breasts.
1.4. Liver-Fire Insulting Lungs
1.4.1. Clinical Manifestations
1.4.1.1. Breathless
1.4.1.2. Asthma
1.4.1.3. Cough with Yellow/Blood tinged sputum
1.4.1.4. Distension of chest
1.4.1.5. Red face
1.4.1.6. Thirst
1.4.1.7. Blood shot eyes
1.4.1.8. Scanty dark urine
1.4.1.9. Constipation
1.4.2. Key indicators for diagnosis
1.4.2.1. Breathlessness
1.4.2.2. Distension of Hypochondrian
1.4.2.3. Wiry pulse
1.4.3. Aetiology
1.4.3.1. Emotional stress
1.4.3.1.1. Prolonged anger, frustration and resentment lead to Qi not flowing smoothly and getting "stuck"
1.4.3.2. Diet
1.4.3.2.1. Hot, greasy foods
1.4.4. Pathology
1.4.4.1. Lung controls smooth flow of Qi and therefore plays an important part to Lung Qi. The ascending of Fire (heat) to the chest from chronic stagnation of Liver Qi impairs Lungs function of descending Qi.
1.4.4.2. Pathological Precursor
1.4.4.2.1. Chronic Liver Qi Stagnation
1.4.4.2.2. Liver Yang Rising
1.4.4.3. Pathological Development
1.4.4.3.1. Yin Xu (Heat dries up body fluids)
1.4.4.3.2. Phlegm (condensing body fluids with impaired descending Lung Qi)
1.4.5. Tongue
1.4.5.1. Red, very red sides, dry yellow coat
1.4.6. Pulse
1.4.6.1. Wiry
1.4.7. Treatment Principle
1.4.7.1. Clear Liver
1.4.7.2. Drain Fire
1.4.7.2.1. Liv-2 Xingjian
1.4.7.3. Subdue Liver Qi
1.4.7.3.1. Liv-3 Taichong
1.4.7.3.2. Liv-14 Qimen
1.4.7.3.3. Pc-6 Neiguan
1.4.7.4. Stimulate descending of Lung Qi
1.4.7.4.1. Ren-17 Shanzhong
1.4.7.4.2. Ren-22 Tiantu
1.4.7.4.3. Lu-7 Lieque
1.5. Heart & Liver Blood Xu
1.5.1. Clinical Manifestations
1.5.1.1. Palpitations
1.5.1.2. Dizzy
1.5.1.3. Insomnia
1.5.1.4. Dream disturbed sleep
1.5.1.5. Poor memory
1.5.1.6. Anxiety
1.5.1.7. Depression
1.5.1.8. Easily startled
1.5.1.9. Dull/pale complexion
1.5.1.10. Impaired night vision
1.5.1.11. Floaters in eyes
1.5.1.12. Scanty periods
1.5.1.13. Feels aimless
1.5.2. Key indicators for diagnosis
1.5.2.1. Blurred vision
1.5.2.2. Palpitations
1.5.2.3. Choppy pulse
1.5.2.4. Pale tongue
1.5.3. Western Diagnosis
1.5.3.1. Post natal depression
1.5.4. Aetiology
1.5.4.1. Emotional stress
1.5.4.1.1. Anxiety, worry, sadness and grief affect both Heart Blood and Liver Blood, leading to deficiency
1.5.4.2. Diet
1.5.4.2.1. Lack of blood nourishing foods
1.5.4.3. Excessive physical work
1.5.4.3.1. Injure the sinews. Excess jogging may injure Heart Blood
1.5.4.4. Severe blood loss e.g. child birth
1.5.5. Pathology
1.5.5.1. Pathological Precursor
1.5.5.1.1. Liver Blood Xu
1.5.5.1.2. Kidney Xu
1.5.5.2. Pathological Development
1.5.5.2.1. Kidney Xu
1.5.5.2.2. Dryness
1.5.5.2.3. Liver Yin Xu
1.5.5.2.4. Heart Yin Xu
1.5.5.3. Heart governs Blood, Liver stores Blood so these two Zang have very close relationship. Their clinical manifestations also often overlap
1.5.6. Tongue
1.5.6.1. Pale, thin, slightly dry
1.5.7. Pulse
1.5.7.1. Choppy, fine
1.5.8. Treatment Principle
1.5.8.1. Nourish Blood
1.5.8.1.1. He-7 Shenmen
1.5.8.1.2. Ren-14 Jugue and Ren-15 Jiuwei
1.5.8.1.3. BL-20 Pishu and BL-17 Geshu
1.5.8.2. Tonify Liver
1.5.8.2.1. Sp-6 Sanyinjiao
1.5.8.2.2. Liv-8 Ququan
1.5.8.2.3. St-36 Zusanli
1.5.8.2.4. Sp-6 Sanyinjiao
1.5.8.2.5. Liv-8 Ququan
1.5.8.2.6. St-36 Zusanli
1.5.8.3. Tonify Heart
1.5.8.3.1. Pc-6 Neiguan
1.5.8.4. Calm the Mind and the Ethereal Soul
1.6. Liver Qi Stagnation & Liver Qi Xu
1.6.1. Pathology
1.6.1.1. Liver Blood Xu leads to Liver Qi Stagnation due to lack of nourishment
1.6.2. Clinical Manifestations
1.6.2.1. PMS
1.6.2.2. Feeling aimless
1.6.2.3. Pale tongue
1.6.2.4. Depression
1.6.2.5. Tearful
1.6.2.6. Choppy or fine pulse, wiry on the left
1.6.3. Mixed pattern of excess and deficiency
1.6.4. Qi is the commander of Blood, Blood is the mother of Qi. Together, they nourish the body and create balance (Yin and Yang). When one is out of balance, it has an effect on the other.
1.6.5. Common in women with menstrual problems
1.7. Liver Qi Stagnation & Liver Yang Rising
1.7.1. Clinical Manifestations
1.7.1.1. Abdominal distension
1.7.1.2. Depression
1.7.1.3. Moodiness
1.7.1.4. Chronic, throbbing headaches
1.7.2. Pathology
1.7.2.1. Liver Qi Stagnation
1.8. Liver Blood Xu, Liver Qi Stagnation, Liver Blood Stasis & Liver Yang Rising
1.8.1. Pathology
1.8.1.1. Liver Blood Xu - Liver Qi Stagnation - Liver Yang Rising and Liver Blood Stasis
1.9. Liver Blood Xu, Liver Yang Rising & Rebellious Liver Qi
1.9.1. Pathology
1.9.1.1. Rebellious Liver Qi - Liver Blood Xu - Liver Yang Rising
1.10. Rebellious Liver Qi and Liver Yang Rising
1.10.1. Pathology
1.10.1.1. Rebellious Liver Qi - Liver Yang Rising
1.11. Liver Qi Stagnation and Liver Fire
1.11.1. Pathology
1.11.1.1. Urinary problems due to Liver Fire descending and infusing with the lower jiao, causing symptoms of burning and frequency with urination.
1.11.2. Clinical Manifestation
1.11.2.1. Distension
1.11.2.2. Irritability
1.11.2.3. Moodiness
1.11.2.4. Depression
1.11.2.5. Feeling of Heat
1.11.2.6. Thirst
1.11.2.7. Bitter taste
1.11.2.8. Blood shot eyes
1.11.2.9. Chronic urinary problems in women
1.11.3. This combination is common as stagnation often leads to Heat or Fire.
2. Rebellious Liver Qi
2.1. General Clinical Manifestations
2.1.1. Epigastric distension
2.1.2. Belching
2.1.3. Nausia
2.1.4. Hiccoughs
2.1.5. Sighing
2.1.6. Irritability
2.1.7. Churning of the stomach
2.1.8. Vomiting
2.2. Key indicators for diagnosis
2.2.1. Belching
2.2.2. Irritibility
2.2.3. Wiry pulse
2.3. Aetiology
2.3.1. Emotional stress
2.3.1.1. Anger, frustration and resentment lead to Qi not flowing smoothly and getting "stuck"
2.3.2. Diet
2.3.2.1. Eating in a hurry
2.3.2.2. Eating whilst working or under stress
2.3.2.3. Eating standing up
2.4. Pathology
2.4.1. Forceful movement of Qi sideways invades the Zang Fu in the Middle Jiao. It can also move upwards and affect the chest/breasts
2.4.2. Pathological Precursor
2.4.2.1. Liver Qi Stagnation
2.4.3. Pathological Development
2.4.3.1. Liver Yang Rising
2.5. Tongue
2.5.1. Normal or slightly red in the sides
2.6. Pulse
2.6.1. Wiry in both middle positions (Liver & Spleen)
2.7. Treatment Principle
2.7.1. Smooth Liver
2.7.1.1. GB-34 Yanglingquan
2.7.1.1.1. Smoothes and moves Liver Qi. It acts on the hypochondrium.
2.7.1.2. Liv-3 Taichong
2.7.1.2.1. Yuan Source point. Smoothes and moves Liver Qi. It acts on the hypochondrium.
2.7.1.3. SJ-6 Zhigou
2.7.1.3.1. Moves Liver Qi
2.7.2. Subdue Liver Qi
2.7.2.1. Liv-14 Qimen
2.7.2.1.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
2.7.2.2. P-6 Neiguan
2.7.2.2.1. Subdues rebellious Liver Qi, descends Stomach Qi and calms the mind
2.7.2.3. Li-4 Hegu
2.7.2.3.1. Regulates the ascending and descending of Qi, helping to Subdue Liver-Qi
2.8. Common Points
2.8.1. GB-34 Yanglingquan
2.8.1.1. Smoothes and moves Liver Qi. It acts on the hypochondrium.
2.8.2. SJ-6 Zhigou
2.8.2.1. Moves Liver Qi
2.8.3. Liv-3 Taichong
2.8.3.1. Yuan Source point. Smoothes and moves Liver Qi. It acts on the hypochondrium.
2.8.4. Liv-13 Zhangmen
2.8.4.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
2.8.5. Liv-14 Qimen
2.8.5.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
2.8.6. P-6 Neiguan
2.8.6.1. Subdues rebellious Liver Qi, descends Stomach Qi and calms the mind
2.8.7. Li-4 Hegu
2.8.7.1. Regulates the ascending and descending of Qi, helping to Subdue Liver-Qi
3. Liver Qi Stagnation
3.1. Clinical Manifestations
3.1.1. Distension of chest or abdomen
3.1.2. Frequent sighing
3.1.3. Fluctuations moods
3.1.4. Irregular periods
3.1.5. Breast distension
3.1.6. Plum stone throat that comes and goes
3.2. Key indicators for diagnosis
3.2.1. Melancholy, depression, anger, frustration
3.2.2. Frequent sighing to move and release stagnant Qi in the chest
3.2.3. No eye or head symptoms
3.2.4. Feeling aimless, lack of projects or dreams
3.3. Aetiology
3.3.1. Emotional stress
3.3.1.1. Lead to Qi not flowing smoothly and getting "stuck"
3.4. Pathology
3.4.1. Menstrual problems & breast distension
3.4.1.1. Due to impaired movement of Qi and Blood in the penetrating vessels (Ren Mai & Chong Mai) affecting the Uterus
3.4.2. Pathological precursors
3.4.2.1. Liver Blood Xu
3.4.2.1.1. This combination of Shi and Xu is found in women, showing as more deficient S & S e.g. depression. This is because Liver Qi and Liver Blood are the Yang and Yin aspect of the Liver and they mutually influence each other.
3.4.2.2. Gall Bladder Empty Heat
3.4.3. Pathological development
3.4.3.1. Heat
3.4.3.2. Damp
3.4.3.3. All other excess Liver Patterns
3.4.3.4. Liver Qi attacks Stomach
3.5. Associated western conditions
3.5.1. Mastitis
3.5.2. Bloated stomach
3.5.3. Neurosis
3.5.4. Tight chest
3.5.5. PMS
3.6. Tongue
3.6.1. Normal or slightly red in the sides
3.7. Pulse
3.7.1. Wiry, particularly on the LMP
3.8. Treatment Principle
3.8.1. Smooth Liver
3.8.1.1. Liv-13 Zhangmen
3.8.1.1.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
3.8.1.2. Liv-14 Qimen
3.8.1.2.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
3.8.2. Move Stagnation
3.8.2.1. GB-34 Yanglingquan
3.8.2.1.1. Moves Liver Qi
3.8.2.2. Liv-3 Taichong
3.8.2.2.1. Yuan Source point. Moves Liver Qi & affects throat and head
3.8.2.3. P-6 Neiguan
3.8.2.3.1. Moves Liver Qi and opens the chest. Particularly effective when cause by emotional problems and anxiety
3.9. Common Points
3.9.1. GB-34 Yanglingquan
3.9.1.1. Moves Liver Qi
3.9.2. GB-41 Lingqi
3.9.2.1. Breast distension, menstrual disorders
3.9.3. Liv-3 Taichong
3.9.3.1. Yuan Source point. Moves Liver Qi & affects throat and head
3.9.4. Liv-13 Zhangmen
3.9.4.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
3.9.5. Liv-14 Qimen
3.9.5.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
3.9.6. P-6 Neiguan
3.9.6.1. Moves Liver Qi and opens the chest. Particularly effective when cause by emotional problems and anxiety
4. Liver Qi Stagnation leading to Heat
4.1. Clinical Manifestations
4.1.1. Epigastric distension
4.1.2. Feeling of oppression
4.1.3. Lump in the Throat
4.1.4. Red face
4.1.5. Thirst
4.1.6. Outbursts of anger
4.1.7. PMT
4.1.8. Heavy periods
4.2. Key indicators for diagnosis
4.2.1. Feeling of heat
4.2.2. Thirst
4.2.3. Normal tongue with obvious red sides
4.3. Aetiology
4.3.1. Emotional stress
4.3.1.1. Lead to Qi not flowing smoothly and getting "stuck"
4.3.2. Diet
4.3.2.1. Excessive consumption of Hot energy foods
4.3.2.1.1. E.g. Red meat, spices, alcohol
4.4. Pathology
4.4.1. Presence of Heat makes a person prone to outbursts of anger whereas with Liver Qi Stagnation, a person is likely to suppress their mental state and present with moodiness and/or distension.
4.4.1.1. Liv Heat = express anger. Liv Qi Stag = Suppress anger.
4.4.2. Pathological Precursor
4.4.2.1. Liver Qi Stagnation
4.4.3. Pathological Development
4.4.3.1. Liver Fire
4.5. Tongue
4.5.1. Normal or slightly red in the sides
4.6. Pulse
4.6.1. Wiry, particularly on the LMP
4.7. Treatment Principle
4.7.1. Smooth Liver
4.7.1.1. Liv-13 Zhangmen
4.7.1.1.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
4.7.1.2. Liv-14 Qimen
4.7.1.2.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
4.7.2. Move Qi
4.7.2.1. GB-34 Yanglingquan
4.7.2.1.1. Moves Liver Qi
4.7.2.2. Liv-3 Taichong
4.7.2.2.1. Yuan Source point. Moves Liver Qi & affects throat and head
4.7.2.3. P-6 Neiguan
4.7.2.3.1. Moves Liver Qi and opens the chest. Particularly effective when cause by emotional problems and anxiety
4.7.3. Clear Heat
4.7.3.1. Liv-2 Xingjian
4.7.3.1.1. Clear Heat from the Liver
4.8. Common Points
4.8.1. GB-34 Yanglingquan
4.8.1.1. Moves Liver Qi
4.8.2. Liv-2 Xingjian
4.8.2.1. Clear Heat from the Liver
4.8.3. Liv-3 Taichong
4.8.3.1. Yuan Source point. Moves Liver Qi & affects throat and head
4.8.4. Liv-13 Zhangmen
4.8.4.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
4.8.5. Liv-14 Qimen
4.8.5.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
4.8.6. P-6 Neiguan
4.8.6.1. Moves Liver Qi and opens the chest. Particularly effective when cause by emotional problems and anxiety
5. Mixed Xu & Shi
5.1. Liver Yang Rising
5.1.1. General Clinical Manifestations
5.1.1.1. Throbbing, temporal headache or headache over the eyes
5.1.1.2. Dizziness
5.1.1.3. Tinnitus/deafness
5.1.1.4. Dry mouth
5.1.1.5. Insomnia
5.1.1.6. Irritability
5.1.1.7. Palpitations
5.1.1.8. Feeling overworked
5.1.1.9. Outburts of anger
5.1.1.10. Stiff neck
5.1.2. Key indicators for diagnosis
5.1.2.1. Empty Heat
5.1.2.2. ThrobbingHeadache
5.1.2.3. Irritability
5.1.2.4. Wiry pulse
5.1.3. Western Conditions
5.1.3.1. Hypertension
5.1.3.2. Meniere's Disease
5.1.3.3. Hyperthyroidism
5.1.3.4. Menopause
5.1.4. Aetiology
5.1.4.1. Emotional stress
5.1.4.1.1. Chronic anger, frustration and resentment lead to Qi rising in an excessive upward movement
5.1.4.2. Diet
5.1.4.2.1. Eating in a hurry
5.1.4.2.2. Eating whilst working or under stress
5.1.4.2.3. Eating whilst angry
5.1.5. Pathology
5.1.5.1. Pathological Precursor
5.1.5.1.1. Liver Yin Xu
5.1.5.1.2. Liver Blood Xu
5.1.5.1.3. Kid Yin Xu
5.1.5.1.4. Kid Yang Xu
5.1.5.2. Pathological Development
5.1.5.2.1. Liver Fire
5.1.5.2.2. Liver Wind
5.1.5.3. Imbalance between Yin and Yang
5.1.5.4. Excessive rising of Liver Qi
5.1.6. Tongue
5.1.6.1. Arising from Liv Blood Xu
5.1.6.1.1. Pale
5.1.6.2. Arising from Liv Yin Xu
5.1.6.2.1. Red and dry, without coat
5.1.7. Pulse
5.1.7.1. Wiry on one side, wiry but fine on the other, rapid
5.1.8. Treatment Principle
5.1.8.1. Subdue Liver Yang
5.1.8.1.1. Liv-3 Taichong
5.1.8.1.2. PC-6 Neiguan
5.1.8.1.3. LI-4 Hegu
5.1.8.1.4. GB-20 Fenchi
5.1.8.2. Nourish Yin
5.1.8.2.1. Kid-3 Taixi
5.1.8.2.2. Kid-6 Zhaohai
5.1.8.3. Nourish Blood
5.1.8.3.1. Sp-6 Sanyinjiao
5.1.8.3.2. Liv-8 Ququan
5.1.8.3.3. St-36 Zusanli
5.1.8.3.4. BL-17 Geshu
5.1.9. Common Points
5.1.9.1. Liv-3 Taichong
5.1.9.1.1. Subdues Liver-Yang and nourishes Yin
5.1.9.2. PC-6 Neiguan
5.1.9.2.1. Subdue Liver-Yang and calm the mind
5.1.9.3. LI-4 Hegu
5.1.9.3.1. Regulates movement of Qi and therefore subdues Liver Yang
5.1.9.4. GB-20 Fenchi
5.1.9.4.1. Subdue Liver-Yang (adjacent Point)
5.1.9.5. Kid-3 Taixi
5.1.9.5.1. Nourish Kid and Liv Yin
5.1.9.6. Kid-6 Zhaohai
5.1.9.6.1. Nourish Kid and Liv Yin
5.1.9.7. Sp-6 Sanyinjiao
5.1.9.7.1. Tonify post heaven Qi to produce blood. Combine with St-36 and Liv-8
5.1.9.8. Liv-8 Ququan
5.1.9.8.1. Tonify post heaven Qi to produce blood. Combine with St-36 and Sp-6
5.1.9.9. St-36 Zusanli
5.1.9.9.1. Tonify post heaven Qi to produce blood. Combine with Sp-6 and Liv-8
5.1.9.10. BL-17 Geshu
5.1.9.10.1. Nourishes Blood (use moxa)
5.2. Liver Wind Agitating
5.2.1. General Liver Wind Symptoms
5.2.1.1. Tremor
5.2.1.2. Tic
5.2.1.3. Dizziness
5.2.1.4. Vertigo
5.2.1.5. Headache
5.2.2. The four types of Liver Wind
5.2.2.1. Liver Yang Rising generating Wind
5.2.2.1.1. Pathological Precursors
5.2.2.2. Liver Fire generating Wind
5.2.2.2.1. General Clinical Manifestations
5.2.2.2.2. Western Conditions
5.2.2.2.3. Aetiology
5.2.2.2.4. Pathology
5.2.2.2.5. Tongue
5.2.2.2.6. Pulse
5.2.2.2.7. Treatment Principle
5.2.2.3. Liver Blood Xu generating Liver-WInd
5.2.2.3.1. General Clinical Manifestations
5.2.2.3.2. Aetiology
5.2.2.3.3. Pathology
5.2.2.3.4. Tongue
5.2.2.3.5. Pulse
5.2.2.3.6. Treatment Principle
5.2.2.4. Extreme Heat generating Wind
5.2.2.4.1. General Clinical Manifestations
5.2.2.4.2. Western Conditions
5.2.2.4.3. Aetiology
5.2.2.4.4. Pathology
5.2.2.4.5. Tongue
5.2.2.4.6. Pulse
5.2.2.4.7. Treatment Principle
6. Stagnation of Cold in the Liver Channel
6.1. Clinical Manifestations
6.1.1. Coldness/Contractions in the lower jiao, eased by warmth
6.1.2. Distension of the lower jiao (hypogastrium)
6.1.3. Vertical headache
6.1.4. Cold extremities
6.1.5. Vomiting clear watery fluid
6.2. Key indicators for diagnosis
6.2.1. Hypogastic pain/cold referrung to the scrotum
6.3. Typical western conditions
6.3.1. Hernia
6.3.2. Intestinal Spasm
6.3.3. Pelvic Inflammatory Disease
6.4. Aetiology
6.4.1. Diet
6.4.1.1. Too much cold/raw food and drink causes stagnation of Qi in the Lower Jiao
6.4.2. Invasion of Exterior cold causing stagnation of Qi and Blood in the Lower Jiao.
6.5. Pathology
6.5.1. Pathological Development
6.5.1.1. Liver Qi Stagnation in the Lower Jiao
6.5.2. Pathological Precursor
6.5.2.1. Yang Xu
6.5.2.2. Liver Qi Stagnation
6.6. Tongue
6.6.1. Pale, wet with white coat
6.7. Pulse
6.7.1. Deep, Wiry, Slow
6.8. Treatment Principle
6.8.1. Expel Cold
6.8.1.1. Ren-3 Zhongji
6.8.1.1.1. Disperses cold with moxa
6.8.1.2. Liv-1 Dadun
6.8.1.2.1. Clears channel and removes cold obstruction
6.8.2. Clear Liver
6.8.2.1. Liv-5 Ligou
6.8.2.1.1. Connecting point of the Liver Connecting channel, which flows around the genitals, helping to disperse Cold from the Liver Channel
6.9. Common Points
6.9.1. Liv-5 Ligou
6.9.1.1. Connecting point of the Liver Connecting channel, which flows around the genitals, helping to disperse Cold from the Liver Channel
6.9.2. Ren-3 Zhongji
6.9.2.1. Disperses cold with moxa
6.9.3. Liv-1 Dadun
6.9.3.1. Clears channel and removes cold obstruction
7. Liver Blood Stagnation (Stasis)
7.1. Clinical Manifestations
7.1.1. Purple lips, nails, face
7.1.2. Emaciation
7.1.3. Dry skin = obstruction of circulating fluids
7.1.4. Distension and/or sharp pain in flanks. This pain is fixed and may be accompanied by a mass/swelling that comes and goes.
7.1.5. Suffocating sensation in chest
7.1.6. Frequent sighing
7.1.7. Melancholy, irritability, depression, inappropriate anger
7.1.8. Painful/irregular periods
7.1.9. Menstrual blood is dark and clotted
7.1.10. Infertility
7.1.11. Vomiting blood = Blood Stasis in the Liver Channel
7.2. Key indicators for diagnosis
7.2.1. Stabbing pain
7.2.2. Purple tongue
7.3. Typical western conditions
7.3.1. Hepatomegaly
7.3.2. Splenomegaly
7.4. Aetiology
7.4.1. No direct aetiology. Developed primarily from pathological factors.
7.5. Pathology
7.5.1. Chronic Liver Qi Stagnation
7.5.2. Blood Stasis in the Directing and Penetrating Vessels affects menstruation = Blood Stasis in the Uterus
7.5.3. Pathological Development
7.5.3.1. Dryness
7.5.3.1.1. Impairs the production of Body Fluids
7.5.4. Pathological Precursor
7.5.4.1. Qi Stagnation
7.5.4.1.1. When Qi moves, Blood Flows
7.5.4.2. Cold/Heat
7.5.4.2.1. Heat condenses Blood
7.5.4.2.2. Cold congeals Blood
7.5.4.3. Qi/Blood Xu
7.5.4.4. Phlegm
7.5.4.4.1. Seen often in the elderly, presenting with serious diseases e.g. heart disease, stroke, cancer
7.6. Tongue
7.6.1. Purple sides, sometimes with purple spots
7.7. Pulse
7.7.1. Wiry, choppy, slow
7.8. Treatment Principle
7.8.1. Smooth Liver
7.8.1.1. Liv-13 Zhangmen
7.8.1.1.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
7.8.1.2. Liv-14 Qimen
7.8.1.2.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
7.8.2. Move Qi
7.8.2.1. GB-34 Yanglingquan
7.8.2.1.1. Moves Liver Qi. In order to move Blood, must move Qi.
7.8.2.2. Liv-5 Ligou
7.8.2.2.1. Move Liver Qi and Liver Blood
7.8.3. Move Blood
7.8.3.1. BL-18 Ganshu
7.8.3.1.1. Moves Liver Blood
7.8.3.2. BL-17 Geshu
7.8.3.2.1. Gathering Point for Blood. Moves Blood.
7.8.3.3. SP-10 Xuehai
7.8.3.3.1. Moves Blood. Often used in combination with BL-17.
7.8.3.4. SP-4 Gongsun & P-6 Neiguan
7.8.3.4.1. Opens the Chong Mai (penetrating vessel), named the "Sea of Blood". Aids movement of Blood.
7.8.3.5. Liv-5 Ligou
7.8.3.5.1. Move Liver Qi and Liver Blood
7.9. Common Points
7.9.1. GB-34 Yanglingquan
7.9.1.1. Moves Liver Qi. In order to move Blood, must move Qi.
7.9.2. Liv-3 Taichong
7.9.2.1. Yuan Source point. Moves Liver Qi & Blood
7.9.3. BL-18 Ganshu
7.9.3.1. Moves Liver Blood
7.9.4. BL-17 Geshu
7.9.4.1. Gathering Point for Blood. Moves Blood. Often used in combination with SP-10
7.9.5. SP-10 Xuehai
7.9.5.1. Moves Blood. Often used in combination with BL-17.
7.9.6. SP-4 Gongsun & P-6 Neiguan
7.9.6.1. Opens the Chong Mai (penetrating vessel), named the "Sea of Blood". Aids movement of Blood.
7.9.7. Liv-5 Ligou
7.9.7.1. Move Liver Qi and Liver Blood
7.10. Blood Stasis can be very dangerous and lead to serious disease e.g. heart disease, stroke and cancer
8. Liver Fire Blazing
8.1. Clinical Manifestations
8.1.1. Outbursts of anger
8.1.2. Tinnitus
8.1.2.1. High pitched whistle
8.1.3. Deafness
8.1.4. Temporal headache
8.1.4.1. Intense, throbbing
8.1.5. Dizziness
8.1.6. Red, flushed face
8.1.7. Red, swollen or painful eyes
8.1.8. Thirst
8.1.9. Bitter taste in mouth
8.1.10. Dark Urine
8.1.11. Insomnia/Restlessness
8.1.12. Constipation/Dry stools
8.1.13. Dream disturbed sleep
8.2. Key indicators for diagnosis
8.2.1. Tongue
8.3. Typical western conditions
8.3.1. Migraines
8.3.2. Hypertension
8.3.3. Diseases of the eye e.g. glaucoma, conjunctivitis
8.3.4. Meniere's disease
8.4. Aetiology
8.4.1. Chronic Liv Qi Stagnation
8.4.2. Diet and Lifestyle e.g. smoking, drinking, red meat, fried foods
8.4.3. Extreme emotions
8.4.3.1. Long standing anger, resentment that may have been repressed, leads to Qi stagnating and imploding, giving rise to heat
8.5. Pathology
8.5.1. Rising of Liver-Fire causes clouding of the orifices, agitates the mind, dries up body fluids.
8.5.2. Pathological Development
8.5.2.1. Liv Yin Xu
8.5.2.2. Liver Fire attacking Stomach
8.5.2.3. Heart Fire
8.5.2.4. Liver-Fire Insulting Lungs
8.5.2.4.1. Clinical Manifestations
8.5.2.4.2. Key indicators for diagnosis
8.5.2.4.3. Aetiology
8.5.2.4.4. Pathology
8.5.2.4.5. Tongue
8.5.2.4.6. Pulse
8.5.2.4.7. Treatment Principle
8.5.3. Pathological Precursor
8.5.3.1. Chronic Liv Qi Stagnation plus external Heat e.g. smoking and drinking
8.5.3.2. Gall Bladder Empty Heat
8.6. Tongue
8.6.1. Red tip and edges, dry yellow coating
8.7. Pulse
8.7.1. Wiry, rapid, full (constant)
8.8. Treatment Principle
8.8.1. Clear the Liver
8.8.1.1. Liv-3 Taichong
8.8.1.1.1. Yuan Source point. Clears the Liver
8.8.1.2. BL-18 Ganshu
8.8.1.2.1. Back Shu point for Liv. Moves Liver Blood
8.8.2. Subdue Fire
8.8.2.1. Liv-2 Xingjian
8.8.2.1.1. Ying-Spring point of the Liv channel. Main point in subduing fire.
8.8.2.2. GB-20 Fengchi
8.8.2.2.1. Drains Liv Fire and subdues ascending Liv Qi. Particularly good for symptoms relating to the head e.g. headache, eye problems
8.8.2.3. Taiyang
8.8.2.3.1. Clears Liv Fire. Very good for temporal headaches
8.8.2.4. SP-6 Sanyinjiao
8.8.2.4.1. Nourishes yin to help drain Fire
8.9. Common Points
8.9.1. Liv-2 Xingjian
8.9.1.1. Ying-Spring point of the Liv channel. Main point in subduing fire.
8.9.2. Liv-3 Taichong
8.9.2.1. Yuan Source point. Clears the Liver
8.9.3. BL-18 Ganshu
8.9.3.1. Back Shu point for Liv. Moves Liver Blood
8.9.4. GB-20 Fengchi
8.9.4.1. Drains Liv Fire and subdues ascending Liv Qi. Particularly good for symptoms relating to the head e.g. headache, eye problems
8.9.5. Taiyang
8.9.5.1. Clears Liv Fire. Very good for temporal headaches
8.9.6. SP-6 Sanyinjiao
8.9.6.1. Nourishes yin to help drain Fire
9. Damp Heat in the Liver
9.1. Clinical Manifestations
9.1.1. Pain and fullness in the lower and middle jiao
9.1.2. Bitter/sticky taste in mouth
9.1.3. Nausia/Vomiting
9.1.4. Poor appetite
9.1.5. Anorexia
9.1.6. Heaviness of the body
9.1.7. Dark yellow urine
9.1.8. Gynecological problems
9.1.8.1. Burning urination
9.1.8.2. Yellow discharge
9.1.8.3. Redness or swelling of scrotum
9.1.8.4. Mid-cycle bleeding/pain
9.1.8.5. Vaginal itching
9.2. Key indicators for diagnosis
9.2.1. Always involves Stomach/Spleen patterns
9.2.2. Wiry pulse
9.2.3. Bitter taste in mouth
9.3. Typical western conditions
9.3.1. Cystitis
9.3.2. Cirrhosis of the Liver
9.3.3. Acute pancreatitis
9.3.4. Acute hepititis
9.4. Aetiology
9.4.1. Diet
9.4.1.1. Long term over indulgence in alcohol, fatty or sweet foods causing dampness
9.4.2. External Pathogens
9.4.2.1. Damp Heat invading the St/Sp
9.4.2.2. Damp Heat invading the Liver channel of the leg. Particularly prominent in hot, tropical countries.
9.4.3. Chronic Liver Qi Stagnation, causing Liver to invade Spleen
9.5. Pathology
9.5.1. Dampness settles heavy in the body, often causing irritation and obstruction, explaining why it manifests in genitals
9.5.2. Damp obstruct middle jiao impairing the descending function of the Stomach
9.5.3. Pathological Development
9.5.3.1. Phlegm
9.5.3.2. Spleen Qi Xu
9.5.4. Pathological Precursor
9.5.4.1. Spleen Qi Xu
9.5.4.2. Spleen/Stomach Damp Heat
9.5.4.3. Chronic Liver Qi Stagnation
9.6. Tongue
9.6.1. Red sides, sticky yellow coat
9.7. Pulse
9.7.1. Slippery, wiry, rapid
9.8. Treatment Principle
9.8.1. Clear Damp
9.8.1.1. Liv-14 Qimen
9.8.1.1.1. Front Mu point for Liver. Clears damp-heat from Liv/GB
9.8.1.2. BL-18 Ganshu
9.8.1.2.1. Back Shu point for Liv. Clears Damp Heat
9.8.1.3. Li-11 Quchi
9.8.1.3.1. Resolves damp and clears Heat
9.8.1.4. GB-34 Yanglinquan
9.8.1.4.1. He-Sea point for GB channel. Clears damp, cools Heat.
9.8.1.5. Sp-9 Yinlingquan and Sp-6 Sanyinjiao
9.8.1.5.1. Resolve damp from the Lower Jiao
9.8.2. Clear Liver Heat
9.8.2.1. Liv-2 Xingjian
9.8.2.1.1. Ying-Spring point of the Liv channel. Main point in subduing fire.
9.9. Common Points
9.9.1. Liv-2 Xingjian
9.9.1.1. Ying-Spring point of the Liv channel. Main point in subduing fire.
9.9.2. Liv-14 Qimen
9.9.2.1. Front Mu point for Liver. Clears damp-heat from Liv/GB
9.9.3. BL-18 Ganshu
9.9.3.1. Back Shu point for Liv. Clears Damp Heat
9.9.4. GB-34 Yanglinquan
9.9.4.1. He-Sea point for GB channel. Clears damp, cools Heat.
9.9.5. Sp-9 Yinlingquan and Sp-6 Sanyinjiao
9.9.5.1. Resolve damp from the Lower Jiao
9.9.6. Li-11 Quchi
9.9.6.1. Resolves damp and clears Heat
10. The "General"
10.1. Liver Functions
10.1.1. Stores the Blood
10.1.2. Ensures smooth flow of Qi
10.1.3. Controls the Sinews
10.1.4. Manifests in the nails
10.1.5. Opens into the eyes
10.1.6. Controls tears
10.1.7. Houses the Ethereal Soul (Hun)
10.1.8. It is affected by Anger
10.2. Signs and Symptoms
10.2.1. Rapid changes to physical state e.g. Skin disease or sudden tinnitus
10.2.2. Up and down fluctuation in energy or mood
10.2.3. Moodiness, irritability
10.2.4. Pain
10.2.5. Eye problems
10.2.6. Distension
10.2.7. Gynecological problems
10.3. Signs and Symptoms
10.3.1. Exterior pathogenic factors
10.3.2. Emotions - Anger
10.3.3. Emotions - Worry
10.3.4. Emotions - Sadness
10.3.5. Diet
10.4. 5 Elements: Wood
10.4.1. Season: Spring
10.4.2. Planet: Jupiter
10.4.3. Time of day: 1am - 3am
10.4.4. Fu organ: Gall Bladder
10.4.5. Governed by: Lungs
10.4.6. Weather: Wind
10.4.7. Fortifies: Ligaments
10.4.8. Manifests: Nails, hands and feet
10.4.9. Smell: Rancid
10.4.10. Flavour: Sour
10.4.11. Opens into: Eyes
10.4.12. Sense: Sight
10.4.13. Governing fluid: Tears
10.4.14. Emotion: Anger
10.4.15. Voice: Shouting
10.4.16. Grain: Wheat
10.4.17. Fruit: Peach
10.4.18. Meat: Poultry
10.4.19. Vegetable: Root veggies
10.4.20. Number: 8
10.4.21. Dreams: Mushrooms, trees, fights, cutting one's own body
10.4.22. Animal: Tiger
10.5. Balancing the Liver
10.5.1. Qi Gong
10.5.1.1. Palm Healing
10.6. Diet
10.6.1. The Good
10.6.1.1. Carrots, most fruits, lemons, artichokes, beetroot, asparagus, celery, onios, garlic, cabbage, dandelion, millet, rye, brown rice, oats, sprouted seeds, pulses, a little honey, thyme, rosemary, camomile tea
10.6.2. The Bad
10.6.2.1. Fried food, dairy, alcohol, meat, processed fats/oils, sugar, tobacco, food chemicals, tea and coffee
11. Deficiency Liver Patterns
11.1. Liver Blood Xu
11.1.1. General Clinical Manifestations
11.1.1.1. Dizzy
11.1.1.2. Numbness/tingling in limbs
11.1.1.3. insomnia
11.1.1.3.1. Relates to the function of Liver "Anchoring the etherial soul"
11.1.1.4. Blurred vision
11.1.1.5. Floaters in the eyes
11.1.1.6. Diminished night vision
11.1.1.7. Scanty periods
11.1.1.8. Dull, pale complexion/lips
11.1.1.9. Dry skin/nails
11.1.1.10. Feeling aimless
11.1.1.11. Lots of projects and dreams that are quite scattered or a feeling of aimlessness (etherial soul)
11.1.1.12. Vivid dreams
11.1.2. Key indicators for diagnosis
11.1.2.1. Diminished night vision
11.1.2.2. Blurred vision
11.1.3. Aetiology
11.1.3.1. Blood loss e.g. Child birth
11.1.3.2. Excessive exercise
11.1.3.2.1. Injures the Yang (Spleen and Kidneys) as Gu Qi is the nourisher of Blood. It also injures the sinews (Liver controls Sinews).
11.1.3.3. Worry, grief, sadness. Depletes Qi and then fails to produce Blood
11.1.3.4. Over use of the eyes
11.1.3.5. Diet
11.1.3.5.1. Lack of blood nourishing foods e.g. meat and grains, which ultimately weakens the spleen (therefore cannot make enough blood). When not enough blood is made by the Spleen, Liver can't store Blood.
11.1.4. Pathology
11.1.4.1. More common in women than men
11.1.4.2. Pathological Precursor
11.1.4.2.1. Kid Blood Xu
11.1.4.3. Pathological Development
11.1.4.3.1. Liver Yang Rising
11.1.4.3.2. Chronic Liver Blood Xu will lead to Liver Yin Xu
11.1.4.3.3. Wind
11.1.5. Tongue
11.1.5.1. Normal or slightly red in the sides
11.1.6. Pulse
11.1.6.1. Wiry in both middle positions (Liver & Spleen)
11.1.7. Treatment Principle
11.1.7.1. Nourish Liver Blood
11.1.7.1.1. Sp-6 Sanyinjiao
11.1.7.1.2. Liv-8 Ququan
11.1.7.1.3. St-36 Zusanli
11.1.7.1.4. BL-17 Geshu
11.1.7.2. Tonify Liver
11.1.7.2.1. Bl-20 Pishu
11.1.7.2.2. BL-23 Shenshu
11.1.7.2.3. BL-18 Ganshu
11.1.8. Common Points
11.1.8.1. GB-34 Yanglingquan
11.1.8.1.1. Smoothes and moves Liver Qi. It acts on the hypochondrium.
11.1.8.2. SJ-6 Zhigou
11.1.8.2.1. Moves Liver Qi
11.1.8.3. Liv-3 Taichong
11.1.8.3.1. Yuan Source point. Smoothes and moves Liver Qi. It acts on the hypochondrium.
11.1.8.4. Liv-13 Zhangmen
11.1.8.4.1. Front Mu point for Spleen. Regulates Liver Qi in the middle Jiao i.e. Liver invading Spleen
11.1.8.5. Liv-14 Qimen
11.1.8.5.1. Front Mu point for Liver. Regulates Liver Qi in the middle Jiao i.e. Liver invading Stomach
11.1.8.6. P-6 Neiguan
11.1.8.6.1. Subdues rebellious Liver Qi, descends Stomach Qi and calms the mind
11.1.8.7. Li-4 Hegu
11.1.8.7.1. Regulates the ascending and descending of Qi, helping to Subdue Liver-Qi
11.2. Liver Yin Xu
11.2.1. General Clinical Manifestations
11.2.1.1. Liver Blood Xu signs and symptoms
11.2.1.2. Dry eyes
11.2.1.3. Muscular weakness
11.2.2. Key indicators for diagnosis
11.2.2.1. Dry eyes
11.2.2.2. Tongue without coat
11.2.2.3. Red cheekbones
11.2.2.3.1. Due to an empty heat rising Yin Xu
11.2.2.4. Empty heat
11.2.3. Aetiology
11.2.3.1. Kidney Yin Xu due to Kidney Jing Xu
11.2.3.2. Liver Blood Xu
11.2.3.3. Excessive exercise
11.2.3.4. Worry, grief, sadness. Depletes Qi and then fails to produce Blood
11.2.3.5. Over use of the eyes
11.2.3.6. Diet
11.2.3.6.1. Lack of blood nourishing foods e.g. meat and grains, which ultimately weakens the spleen (therefore cannot make enough blood). When not enough blood is made by the Spleen, Liver can't store Blood.
11.2.4. Pathology
11.2.4.1. Pathological Precursor
11.2.4.1.1. Kid Yin Xu
11.2.4.1.2. Liver Blood Xu
11.2.4.2. Pathological Development
11.2.4.2.1. Kid Yin Xu
11.2.4.2.2. Chronic Yin Xu
11.2.4.2.3. Liver Yang Rising
11.2.4.2.4. Heart Yin Xu
11.2.5. Tongue
11.2.5.1. Normal colour without coat
11.2.6. Pulse
11.2.6.1. Floating, empty, slightly rapid
11.2.7. Treatment Principle
11.2.7.1. Tonify Liver
11.2.7.1.1. Sp-6 Sanyinjiao
11.2.7.1.2. Liv-8 Ququan
11.2.7.1.3. St-36 Zusanli
11.2.7.2. Nourish Yin
11.2.7.2.1. Kid-3 Taixi
11.2.7.2.2. Kid-6 Zhaohai
11.2.7.3. Clear empty-heat
11.2.7.3.1. Liv-2 Xingjian
11.2.8. Common Points
11.2.8.1. Sp-6 Sanyinjiao
11.2.8.1.1. Tonify post heaven Qi to produce blood. Combine with St-36 and Liv-8
11.2.8.2. Kid-6 Zhaohai
11.2.8.2.1. Nourish Kid and Liv Yin
11.2.8.3. Liv-8 Ququan
11.2.8.3.1. Tonify post heaven Qi to produce blood. Combine with St-36 and Sp-6
11.2.8.4. St-36 Zusanli
11.2.8.4.1. Tonify post heaven Qi to produce blood. Combine with Sp-6 and Liv-8
11.2.8.5. Kid-3 Taixi
11.2.8.5.1. Nourish Kid and Liv Yin