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8 Cards in this Set

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Dizziness due to Liver Qi Stagnation
Pathophysiology
Liver channel travels to vertex of head, so any obstruction of Liver Qi may disrupt the distribution of Qi and Blood to the head and cause dizziness.
LV Qi Stagnation can lead to an accumulation of qi in the head (excess type)or the qi maybe obstructed before it gets to the head (deficient types and usually mild), accumulating in the throat (plum stone qi) or in the chest.
If Liver Qi obstruction is persistent or severe then Heat can be generated. heat in the Liver causes Liver Yang or Fire to rise. Over time the Heat can damage Yin. The progression between Liver Qi stagnation, yang rising and yin deficiency is common.
Dizziness due to Liver Qi Stagnation
Clinical Features
-Dizziness that is worse with stress and generally not related to postural changes
- Tight or full in the chest, often described as difficulty in drawing satisfied breath.
-Hypochondriac discomfort or tightness, freq. signing
-headache or head distension
-Occasional fatigue (may feel better for activity)
-Irritabilty or depression
Abdominal distension, flatulence and alternate constipation and diarrhoea
-Women may have irregular menstruation, pre-menstrual syndrome & breast tenderness
-All symptoms aggravated by stress
T- normal or dark with thin white or yellow coating
P- Wiry
Dizziness due to Liver Qi Stagnation
Treatment Principle and Prescription
Soothe the Liver and Regulate Qi
XIAO YAO SAN modified
Chai Hu 9
Dang Gui 9
Bai Shao 9
Bai Zhu 9
Fu Ling 9
Wei Jiang 9
Bo He 3
Sang Ye 15
Ju Hua 12
Zhi Gan Cao 6
Dizziness due to Liver Qi Stagnation
Modifications for
-Stagnant Heat
-Fullness & Discomfort in the chest and hypochondrium
- If easily woken, startled or frightened
Stagnant Heat:
Mu Dan Pi 9
Shan Zhi Zi 9
Fullness etc:
Zhi Xiang Fu 6
Yu Jin 9
Zhi Ke 6
If easily woken etc:Add one..
Zhen Zhu Mu 30
Long Chi 15
Ci Shi 12
Dizziness due to Shao Yang Syndrome
Clinical Features, Treatment Principle and Prescription
Dizziness following unresolved Wind Attack
with:
-Loss of appetite
-Fatigue
-Alternating chills and fever
-Bitter taste in the mouth
-Dry Throat
P - Wiry

Treatment Principle: Harmonise Shao Yang
RX: XIAO CHAI HU TANG
Chai Hu 9
Huang Qin 6
Ren Shen 6
Ban Xia 9
Zhi Gan Cao 3
Sheng Jiang 9
Da Zao 3
Dizziness due to Liver Qi Stagnation
Patent Medicines
Xiao Yao Wan
Chai Hu, Dang Gui, Bai Shao, Bai Zhu, Fu Ling, Sheng Jiang, Gan Cao, Bo He
Jia Wei Xiao Yao Wan
Chai Hu, Mu Dan Pi, Shan Zhi Zi, Dang Gui, Bai Shao, Bai Zhu, Fu Ling, Gan Cao, Sheng Jiang, Bo He
Chai Hu Shu Gan Wan
Chai Hu, Bai Shao, Xiang Fu, Zhi Shi, Chuan Xiong, Qing Pi, Gan Cao
Dizziness due to Liver Qi Stagnation
Acupuncture
Feng Chi GB-20
Gan Shu BL-18
Tai Chong LV-3 (-)
Xia Xi GB43 (-)
Nei Guan PC-6
Yang Ling Quan GB-34 (-)
Ah Shi points on upper back, neck and superior SCM
Dizziness due to Liver Qi Stagnation
Clinical Notes
This pattern is also associated with stress response, neurasthenia, hepatitis, anaemia and Meniere's disease.

This pattern, particularly when due to stress, often has its origin in muscle spasm in the neck which constricts blood supply to the head. Needling Ah Shi points in these muscles can relieve spasm and re-establish blood flow.