what are some general indications for a Liver pattern?
- sx worse with stress, since LV is responsible for flow of qi
- sx change with relationship to menstrual cycle
- difficulty with anger (ranges from irritability & expression of anger, to inability to express anger)
- coughing related to emotional issues, that occurs at inappropriate times
what distinguishes LV Qi Stagnation from LV Qi Depression?
LV Qi Stagnation = Hyperactive LV Qi, where LV Qi has gone past its bounds and will exert influence on other organ system including SP, LU, and ST. TX: Move Qi, Invigorate Qi.
LV Qi Depression = Inhibition of LV Qi, a deficient situation where LV Qi is congested. TX: Dredge the LV.
could LV Qi Stagnation become LV Qi Depression?
No - LV Qi Depression could become LV Qi Stagnation but not vice versa
what distinguishes LV Fire Flaming Upward from Ascending Hyperactivity of LV Yang (aka LV Yang Rising)?
both look identical in terms of outward action, but LV Fire Flaming Upward is ALWAYS present and eyes will always be red/bloodshot whereas with LV Yang Rising will come & go
these s/sx are which pattern, how do you Tx?
- depression
- tendency to sigh
- “plumpit qi”
- distention & pain in chest & ribside
- distention of breasts
- abdominal pain pre-menses
- irregular menstruation
- wiry pulse
- tongue could be normal
Binding Depression of LV Qi (aka LV Qi Depression)
TX: Dredge & Course the LV, Regulate Qi
GB 34, LV 3, LV 13, LV 14, PC 6
these s/sx are which pattern, how do you Tx?
- irritable / easy to anger
- red face & eyes that could be swollen & painful
- redness that is omnipresent*
- temporal or vertex HA
- dizziness
- bitter taste in mouth
- dream-disturbed sleep / bad nightmares*
- dry throat
- constipation
- short, reddish urination
- red tongue, yellow coat
- wiry, rapid pulse
LV Fire Flaming Upward
TX: Drain Fire, Sedate the LV
LV 2, LV 3, GB 20, TaiYang, GB 13, LI 11
these s/sx are which pattern, how do you Tx?
- sx that come & go*
- tenseness
- agitation
- tendency to be easily angered
- red face & eyes
- temporal or vertex HA
- dizziness
- red tongue, yellow coat
- wiry, rapid pulse
Ascending Hyperactivity of LV Yang (aka LV Yang Rising)
TX: Calm the LV, Subdue the Yang, also may need to nourish blood if there is deficient blood (pale tongue) or nourish yin if there is deficient yin (red tongue with no coat or with vertical cracks along edges of tongue in profile view).
LV 2, LV 3, GB 34, SP 6, UB 18, GB 20
what are the 3 types of LV Wind patterns?
1) Extreme Heat Generating Wind
2) Deficiency of LV Yin with Ascending LV Yang, leading to LV Wind
3) Deficiency of LV Blood leading to LV Wind
these s/sx are which pattern, how do you Tx?
- high fever*
- convulsions
- rigidity of neck
- tremor of limbs
- opisthontonos
- in severe cases, coma
- deep red tongue, stiff, yellow coat
- wiry, rapid pulse
Extreme Heat Generating Wind
TX: Clear Heat, Subdue Wind, Sedate LV
LV 3, LV 2, SI 3, Du 20, Du 16, GB 20
these s/sx are which pattern, how do you Tx?
- sudden unconsciousness
- convulsions
- numbness of limbs
- deviation of eye & mouth*
- hemiplegia*
- aphasia or difficulty with speaking*
- dizzy
- red peeled tongue, could be deviated*
- wiry, fine, rapid
LV Yang Rising Causing Wind
TX: Settle the LV, Subdue the Yang, Extinguish Wind, (Dispel Phlegm)
LV 8, LV 3, UB 18, SP 6, KD 3, Du 16, GB 20
these s/sx are which pattern, how do you Tx?
- numbness of limbs
- tics
- shaking of head
- tremor of limbs
- pale, deviated tongue*
- thin or choppy pulse
LV Blood Vacuity Causing Wind
TX: Nourish LV Blood, Subdue Wind
LV 8, LV 3, SP 6, KD 3, UB 17, UB 18, UB 20, UB 23, LI 4, GB 20, Du 16, Du 20
these s/sx are which pattern, how do you Tx?
- dizziness
- numbness of limbs
- insomnia, wakes often*
- blurred vision, “floaters” in vision*
- amenorrhea or pale, scanty menses*
- dull, pale complexion
- muscle weakness
- muscle cramping/spasms
- brittle hair, nails, dry skin*
- pale sides of tongue, could have overall orange hue
- choppy or thin pulse
LV Blood Vacuity
TX: Nourish Blood, Tonify LV
UB 17, UB 18, UB 20, LV 8, SP 6, ST 36, Ren 4
these s/sx are which pattern, how do you Tx?
- full sensation in hypogastrium over the bladder, with pain referring into scrotum & testes
- painful sensation usually in groin, but can be in the whole channel*
- pain alleviated by warmth
- pale, wet, white coat
- wiry, deep, slow pulse
Cold Stagnating in the LV Channel
Tx: DIsperse Cold, Warm the LV Channel
Ren 3 (moxa), LV 5, LV 1 (can use moxa)
these s/sx are which pattern, how do you Tx?
- ribside fullness & pain*
- fever
- nausea/vomiting
- jaundice*
- itching in genitals
- scanty, dark urine
- bitter taste in mouth
- copious, foul vaginal discharge*
- red tongue, greasy yellow coat
- slippery, wiry, rapid pulse
LV-GB Damp Heat
TX: Resolve Dampness, Clear Heat, Disperse LV & GB
GB 34, LV 5, Ren 12, Li 11, SP 9, SP 6, UB 18, UB 19, UB 20
these s/sx are which pattern, how do you Tx?
- irritability
- distention & pain in epigastrium & hypochondria*
- sour/acid regurgitation
- belching
- nausea/vomiting
- red on sides of tongue
- weak right pulse, wiry left pulse in guan positions*
LV-ST Disharmony
TX: Harmonize LV, Tonify ST
LV 14, LV 13, GB 34, Ren 10, Ren 12, ST 44, UB 18, UB 21
these s/sx are which pattern, how do you Tx?
- irritability
- abdominal distention & pain
- alternating constipation/diarrhea
- flatulence
- tiredness
- red sides or pale sides of tongue
- weak right pulse, wiry left pulse in guan positions*
LV-SP Disharmony
TX: Harmonize LV, Tonify SP
LV 3, GB 34, SP 6, ST 36, Ren 12, LV 13, UB 20
these s/sx are which pattern, how do you Tx?
- dizziness
- indecision*
- timid*
- restless sleep & dreaming, waking early
- tendency to spook easily, easily frightened
- lack of courage
- blurred/flowery vision (when accompanied by LV Blood Xu)
- pale tongue, or no change
- weak pulse
GB Vacuity
TX: Nourish the Blood, Calm the Spirit, Clear Heat, Boost the Qi
GB 40, LV 5, Du 10, Du 20, Ren 6, LI 10, ST 36, SP 4, SP 6, UB 14
Note: GB Vacuity is more of a description of a personality, rather than a pattern of illness. May be due to severe deficiency of blood.
GB Divergent is the only one that penetrates the HT.
these s/sx are which pattern, how do you Tx?
- gallstones
- fever alternating with cold
- bitter taste in mouth
- unceasing retching
- hypertonicity & pain below ribs*
- yellow urine
- bound stools
- red tongue, yellow coat
- wiry, rapid pulse
GB Heat (or Shao Yang Disharmony)
TX: Clear Heat, Soothe GB
GB 24, GB 34, Dan Nang Xue, Du 9, UB 19, LI 11, SJ 6, ST 19, GB 43
name the LV patterns:
1) LV Qi Depression
2) LV Fire Flaming Upward
3) LV Yang Rising
4) LV Wind
a) Extreme Heat Generating Wind
b) Deficiency of LV Yin with Ascending LV Yang, leading to LV Wind
c) Deficiency of LV Blood leading to LV Wind
5) LV Blood Vacuity
6) Cold Stagnating in the LV Channel
7) LV-GB Damp Heat
8) LV-ST Disharmony
9) LV-SP Disharmony
what are the replete LV patterns?
- LV Qi Stagnation
- Lateral Counterflow of LV Qi = wood overacting on earth (LV-ST Disharmony, LV-SP Disharmony)
- LV Fire Flaming Upward
what are the vacuous LV patterns?
- LV Qi Depression
- LV Blood Vacuity
- LV Yin Vacuity
name the GB patterns:
1) GB Vacuity
2) GB Heat (or Shao Yang Disharmony)
also LV-GB Damp Heat
