Liver Organ Pathology

Front 1

1. Distension of hypochondrium, chest, epigastrium or abdomen, sighing, 2. Melancoloy, depression, moodiness, fluctuations of mental state, feeling wound up, feeling of lump in throat 3. Irregular periods, distension of breasts before periods, PMT and irritability T: normal. maybe slightly red on sides P: wiry esp on LHS

Back 1

Liver Qi Stagnation

Front 2

stabbing pain, dark, clotted menstrual blood, vomiting of blood, hypochondrial pain, epistaxis, painful periods, irregular periods, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry skin (severe cases), purple petechiae T: purple, esp sides, maybe purple spots on sides P: wiry or firm

Back 2

Liver Blood Stasis

Front 3

fullness of hypochondrium, abdomen, bitter and sticky taste (all day) , poor appetite, nausea, feeling of heaviness of body, yellow vaginal discharge, vaginal itching, vulvar exzema or sores, midcycle bleeding and or pain, pain and redness of scrotum, genital skin rashes, urinary difficulty, burning on urination, dark urine, dysuria T: red body with redder sides, sticky yellow coat P: slippery-wiry-rapid

Back 3

Damp heat in Liver

Front 4

dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters, diminished night vision, scanty menstruation, dull-pale complexion w/o lustre, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, depression, feeling of aimlessness T: pale body, esp sides, may be orange colour. Thin, slightly dry. P: choppy or fine

Back 4

Liver blood deficiency

Front 5

Dizziness, numbness or tingling of limbs, insomnia, floaters, dry eyes, diminished night vision, dull-pale complexion without lustru but with red cheekbones, muscular weakness, cramps, withered brittle nails, very dry hair and skin, depression, feeling of aimlessness T: red without coat P: floating-empty or slightly red

Back 5

Liver Yin deficiency

Front 6

throbbing headaches (temples, behind eys, unilateral side of head), dry mouth and throat (only heat signs), plus Lv Fire blazing symptoms (tinnitus, deafness, dizziness), plus underlying Liv Yin +/- Kid Yin Xu symptoms, Lv Blood Xu symptoms T: vary P: wiry (sometimes fine)

Back 6

Liver Yang Rising

Front 7

Irritability, outbursts of anger, tinnitus, deafness, temporal headache (bilateral), bitter taste entire day, dream disturbed sleep, constipation and dry stools, scanty yellow urine, epitaxis, vomiting or spitting blood T: very red body, redder on sides, dry yellow coat P: full wiry rapid

Back 7

Liver Fire blazing

Front 8

high temperature, convulsions, tremor of limbs, rigidity of neck, opisthotonos (head, neck, spine arched backwards), severe cases coma T: deep red, still, dry yellow coat P: wiry-rapid

Back 8

Extreme Heat Generating Wind

Front 9

tremor, facial tick, severe dizziness, tinnitus, head ache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory T: normal colour w/o coat P: wiry-rapid

Back 9

Liver Yang Rising deriving from Liver Yin deficiency

Front 10

tremor, dizziness, tinnitus, h/a, hypertension, dry throat, blurred vision, numbness or tingling limbs, poor memory, insomnia T: pale thin P: wiry-fine

Back 10

Liver yang rising deriving from liver blood xu

Front 11

tremor, irritability, propensity to outbursts of anger,, dizziness, tinnitus, temporal h/a, red face and eyes, thirst, bitter taste, dream disturbed sleep, constipation with dry stools, dark yellow urine, epistaxis t: red with red sides, dry with yellow coat P: rapid-wiry

Back 11

Liver Fire generating wind

Front 12

fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods T: pale-thin P:wiry-fine

Back 12

Liver blood deficiency generating liver wind

Front 13

distension, fullness, pain in the hypgastrium, yellow complexion, nausea, vomiting, bitter taste, thirst w/o desire to drink, fever or feeling of heat, scanty dark yellow urine, feeling of heaviness in body, dizziness, tinnitus, irritability, yellow sclera, swelling of feet t: thick sticky yellow coat P: wiry-rapid-slippery

Back 13

Damp Heat in Gallbladder

Front 14

Nervousness, timidity, propensity to be startled, lack of courage, sighing, dizziness, blurred vision, floaters, t: thin-white coat P: wiry-fine

Back 14

Gallbladder deficient

Front 15

Liver-Qi stagnation

Back 15

GB34 moves lv qi and influences hypochondrial region, Lv3 moves liver qi and affects throat and head, Lv13 regulates Lv qi in middle burner, esp when it invades the spleen, Lv 14 regulate Lv qi esp when it invade stomach, TB6 move Lv qi and affects sides of body, PC 6 moves Lv qi (Jue Yin) exp when stagnation is caused by emotional problems

Hint 15

Smooth Lv Qi and move Qi

Front 16

Liver Blood Stasis

Back 16

Gb34 moves Liv qi, Lv 3 moves liv qi and blood, bl18 moves lv blood, bl17 gathering pt blood and moves blood (no moxa), sp 10 moves blood. Ren 6 movvesqi and qi (and tonifies qi) moves blood in abdomen, sp 4 + PC 6 opens chong mai. St29 moves blood in lower burner and uterus, Ki14 penetrating vessel that moves blood, Lv5 (luo) + Lv 6 (xi-cleft) moves Liv qi and Liv blood

Hint 16

Smooth Lv Qi and move Qi, move blood, eliminate stasis

Front 17

Damp Heat in Liver

Back 17

LV 14 regulate Lv qi in hypochondrium, GB34 resolves damp in lv and gb, bl18, resolves damp from liver, Ren12 tonifies spllen to resolve damp, sp9 + sp 6 resolves damp from lower burner, Li11 resolves damp and clears heat, Lv 2 clears lv-heat

Hint 17

Resolve dampness, clear liver and heat

Front 18

Liver blood xu

Back 18

Lv 8 nourishes liver blood , st 36 + sp 6 tonify post heave qi to produce blood. Ren 4 (direct moxa) nourises blood and exp menstrual blood, bl 18 nourishes lv blood, bl20 tonifys spleen to produce blood, bl23 tonifies Ki to produce blood, bl17 with moxa nourishes blood, yuyoa for dull headaches and blurred vision

Hint 18

Tonify liver, nourish blood

Front 19

Liver Yin Xu

Back 19

Lv8, St36, Sp6, Ren4 plus Ki3 + ki 6, Lv2

Hint 19

Tonify Liver, nourish yin, clear empty heat

Front 20

Liver Yang rising (int/full, xu/hot combined excess/xu

Back 20

Lv3 subdues liver yang, B5 subdues liver yang, esp GB channel h/a, PC6 subdues liver yang, calms mind, LI4 regulates qi, GB43 main distal point for h/a, GB20 subdues liver yang, bl2 + gb9+GB8+GB6 local points for h/a, sp6+Lv8+St36 nourish liver blood and liver yin, Ki3+Ki6 used if Ki xu

Hint 20

Subdue liver yang, nourish yin or blood

Front 21

Liver Fire blazing

Back 21

Li5 sedates fire point, Lv3 and Lv2 drain Liv, GB20 clear Liver fire, subdues ascending LivQi, Taiyang, clears Liv Fire, GB13 subdues rising Liv Yang and calms mind, LI11 +LI4 clears heat, GB1,GB9, GB8, GB6 local points for Lv fire, Sp6 nourish yin, Lv1 clears fire, esp if there is bleeding

Hint 21

Clear Liver, drain fire

Front 22

Extreme Heat generating wind

Back 22

Lv3 extinguishes Liver wind, shixuan extinguishes wind and cools blood, Du20, Du16, GB20 extinguish wind, Du8 relieves spasms to stop convulsions, Du14 is pricked to cool blood

Hint 22

cool blood, nourish yin, extinguish wind

Front 23

Liver Yang rising deriving from liver yin xu

Back 23

Lv3 subdues liver yang and extinguishes wind, GB20 extinguishes wind and subdues yang, LI4 subdues yang, TB5 subdues liver yang, Du19 extinguishes wind, SP6, LV8, LI3 nourish liver yin

Hint 23

subdue liver yang, extinguish wind, nourish Liver Yin

Front 24

Liver yang rising deriving from Liver and Kidney Yin xu

Back 24

Lv3 subdues liver yang and extinguishes wind, GB20 extinguishes wind and subdues yang, LI4 subdues yang, TB5 subdues liver yang, Du19 extinguishes wind, SP6, LV8, plus Ki3, Ki6, ren 4 nourish Kid Yin

Hint 24

subdue liver yang, extinguish wind, nourish Liver Yin and Kidney yin

Front 25

Liver yang rising deriving from liver blood xu

Back 25

Lv3 subdues liver yang and extinguishes wind, GB20 extinguishes wind and subdues yang, LI4 subdues yang, TB5 subdues liver yang, Du19 extinguishes wind, SP6, LV8, plus Ki3 nourish Yin, plus Bl17 and Ren 4 nourish blood.(reinforce)

Hint 25

subdue liver yang, extinguish wind, nourish Liver Blood

Front 26

Liver fire generating wind

Back 26

Lv2 drain fire, Lv3 extinguish liver wind, gB20 extinguish wind, LI11 drain fire, GB1 extinguih liver wind, sp6 nourish yin to help drain fire, LV1 extinguish liver wind, Du8 relieves spasms and tremors

Hint 26

clear Liver, drain fire, extinguish wind

Front 27

Liver blood xu generating liver wind

Back 27

Lv3 and gB20 extinguish wind, Lv4 subdues yang and extinguish wind, TB 5 and Du19 extinguish Lv wind, sp6+Lv8+Ki3 nourish Lv Blood, ren4 and Bl17 nourish blood

Hint 27

nourish Liver blood and extinguish wind

Front 28

Damp Heat in Gallbladder

Back 28

GB24 and Bl19 from mu and back Shu of GB, clears heat, GB24 moves lv qi, resolves damp, clears heat, Gl20 and CV12 harmonise earth, resolves damp, lV 14 promotes smooth flow of LV qi, Du 8 and 9 clears heat in GB, resolves damp, TH6 moves Lv Qi in hypochondrium, clears heat, St 19 treat nausea

Hint 28

Resolve damp, clear heat in GB, stimulate the flow of Lv Qi

Front 29

Gall Bladder Deficient

Back 29

GB40, Lv 8, ST36, Sp6, CV4, Bl18, Bl19, Bl47

Hint 29

Tonify GB

Front 30

The liver (foot jue yin)channel has __ points

Back 30

The liver (foot jue yin)channel has 14 points

Front 31

The gallbladder (foot shaoyang) channel has __ points

Back 31

The gallbladder (foot shaoyang) channel has 44 points