四 Differentiation on Liver and G.B. The main physiological function of the liver is in charge of promotion of free flow of whole body s Qi and storing the blood. The common pathogenic changes of liver mainly refers to the distending or running pain in the chest, hypochondriac region, breast or lower abdomen. Headache, dizziness and vertigo, depression, or irritability or easy to get angry, numbness or trembling in hands, indigestion, or eye problem, irregular menstruation, or testis pain.
( 一 )Liver Qi stagnation It refers to the liver qi fails to promote the free flow of Qi resulting in the Qi stagnation. Distending or unfixed pain in the hypochondriac, chest or lower abdomen, oppressive chest with signing, depression or anger, obstruction in the throat with the feeling of difficult to swallow and spit, or goiters, or in female distending pain in the breast, or irregular menstruation, dysmenorrhea, or amenorrhea. Or masses; pale tongue with white coating, wiry or choppy pulse. 1 Liver qi stagnation failure in promotion. 2 depression and pain 3 Distending or unfixed pain in the hypochondriac, chest or lower abdomen, oppressive chest with signing, depression or anger due to liver.
( 二 )Liver fire inflaming upward It refers to the excessive liver fire inflames upward. Dizziness and distending pain, tinnitus as tide, or sudden deaf with swelling and pus in the ears, or swollen and congested eyes, irritation and anger, burning pain in the hypochondriac region, bitter in the mouth, insomnia, or nightmares, flushed face and reddish eyes, or hematemesis and epistaxis; constipation, yellow and scanty urine, red tongue and yellow coating, wiry pulse. 1 excessive liver fire inflaming 2 fire inflaming in liver meridians 3 Dizziness and distending pain, tinnitus as tide, or sudden deaf with swelling and pus in the ears, or swollen and congested eyes, irritation 4 insomnia, or nightmares, flushed face and reddish eyes
( 三 )Liver blood deficiency It refers to the liver blood deficiency fails to nourish the organs and tissues. Dizziness and blurred vision, pale and atrophic complexion, pale nails, blurred eyesight, or night blindness, or numb limbs and tense tendons, trembling on extremities; or in female menstruation with scanty and light colored discharge or even amenorrhea, pale tongue with thread pulse. 1 blood deficiency fails to nourish the organs 2 pale nails, dizziness 3 pale and atrophic complexion 4 Dizziness and blurred vision, pale nails, blurred eyesight, or night blindness, numb limbs and tense tendons, extremities; or in female menstruation with scanty and light colored discharge or even amenorrhea due to liver blood deficiency.
( 四 )Liver Yin deficiency It refers to the liver Yin deficiency produces the internal deficient heat. Dizziness and tinitus, dryness on eyes, burning pain in hypochondriac region, or trembling on extremities, emaciated physique, dry mouth and throat, five center heat, tidal fever and night sweating, flushed complexion, red tongue with little or no coating, thread, wiry and rapid pulse. 1 liver Yin deficiency produces the deficient heat. 2 trembling on extremities 3 emaciated physique, dry mouth and throat, five center heat, tidal fever and night sweating, flushed complexion, red tongue with little or no coating, thread, wiry and rapid pulse. 4 Dizziness and tinnitus, dryness on eyes, burning pain in hypochondriac region,
( 五 )Liver Yang ascending It refers to the liver and kidney Yin deficiency fails to control liver Yang--ascending. Dizziness and tinnitus, distending pain in head, reddish face and congested eyes, irritation and anger, palpitation, insomnia, heavy head, unstable walking, lassitude in loins and legs, red tongue, wiry and forceful or wiry thread pulse. 1 Liver yang ascending due to deficiency 2 distending pain in head, lassitude in loins and legs, heavy head, and long disease course. 3 Dizziness and tinnitus, reddish face and congested eyes, irritation and anger, palpitation, insomnia due to over ascending of liver 4 lassitude in loins and legs, heavy head, unstable walking, due to defi.
( 六 )Internal stirring of Liver wind The main physiological function of the liver is in charge of promotion of free flow of whole body s Qi and storing the blood. The common pathogenic changes of liver mainly refers to the distending or running pain in the chest, hypochondriac region, breast or lower abdomen. Headache, dizziness and vertigo, depression, or irritability or easy to get angry, numbness or trembling in hands, indigestion, or eye problem, irregular menstruation, or
1. Liver Yang changing to wind It refers to the over ascending of liver yang results in internal wind stirring. Serious dizziness, headache with some shakes, trembling on head and extremities, stiff neck, unstable walking, numbs in extremities, dysphasis; or sudden syncope with unconsciousness, facial paralysis, hemiplegia, sputum rumbling in the throat, red tongue and white greasy coating, wiry thred forceful or wiry slippery pulse. 1 The over ascending of liver yang 2 Dizziness and vertigo, then sudden syncope, hemiplegia. 3 trembling on head and extremities, headache 4 unconsciousness, facial paralysis, hemiplegia
2. Excess heat producing wind It refers to the excess heat consumes the body fluid failure in nourishing tendons. High fever, irritability, irritation as mania, convulsion or trembling extremities, stiff neck, mouth closed tightly, starring eyes, opisthotonos, deep red tongue with yellow coating, wiry and rapid pulse. 1 the excess heat consumes the body fluid failure in nourishing tendons. 2 High fever and convulsion 3 High fever, irritability, irritation as mania and deep red tongue with yellow coating, wiry and rapid pulse due to excess heat. 4 convulsion or trembling extremities, stiff neck, mouth closed tightly, starring eyes, opisthotonoes due to liver wind.
3.Yin deficiency producing wind It refers to the Yin deficiency fails to nourish the tendons and vessels. Trembling extremities, dizziness and vertigo, tidal fever and reddish cheek, dry mouth and throat, emaciated physique, red tongue with no coating, thread and rapid pulse. 1 Yin deficiency fails to nourish the tendons and vessels. 2 Yin deficiency and wind stirring 3 dizziness and vertigo, tidal fever and reddish cheek, dry mouth and throat, red tongue with no coating, thread and rapid pulse dueto deficient heat 4Trembling extremities due to wind stirring
4.Blood deficiency producing wind It refers to the blood deficiency fails to nourish the tendons and vessels. Trembling extremities, muscular twitching and cramp, numb extremities, dizziness and vertigo, pale lips and nails, pale face, pale tongue with light white coating, thread and weak pulse. 1 the blood deficiency fails to nourish the tendons and vessels. 2 blood deficiency and wind stirring 3 dizziness and vertigo, pale lips and nails, pale face, pale tongue with light white coating, thread and weak pulse due to blood deficiency. 4 Trembling extremities, muscular twitching and cramp, numb extremities due to wind stirring.
( 七 ) Damp heat retention in liver and gall bladder It refers to the damp heat retention in liver meridian or with gall bladder. Distending pain and masses in the hypochondriac region, abdominal distention, anorexia, bitter mouth, nausea and vomiting, irregular stool, yellow scanty urine; or bright yellow tint of sclera and skin, or alternate attacks of chill and fever, or recessive fever,; or itching in the pubic region (vulva), yellow and fetid leukorrhea; or eczema in pubic region with burning and itching; or swelling and burning pain in the testis. Red tongue and yellow greasy coating, wiry or slippery rapid pulse. 1 damp heat retention in liver meridian or with gall bladder.
( 八 )Cold stagnation in liver meridian It refers to the cold evil invades and stagnates the live meridian. Sinking and cold distending pain in lower abdomen or testis, testicular contraction and dragging pain with the preference for hot compress and aggravation with coldness; cold feeling around body and cold extremities, pale tongue with white and moistened coating, deep and tense or wiry and tense pulse. 1 cold evil invades and stagnates the live meridian. 2 Sinking and cold distending pain in lower abdomen or testis 3 cold feeling around body and cold extremities, pale tongue with white and moistened coating, deep and tense or wiry and tense pulse due to cold 4 Sinking and cold distending pain in lower abdomen or testis due to cold in liver meridian.
( 九 )Gall bladder stagnation with phlegm stirring It refers to the Gall bladder Qi stagnation and phlegm heat retention inside. Timidity with easy to be worried, palpitation, insomnia and dreaminess, irritation, oppressive chest, dizziness and vertigo, bitter taste in the mouth, nausea and vomiting, yellow and greasy coating, wiry rapid or slippery rapid pulse. 1 phlegm heat retention and Qi stagnation 2 palpitation, insomnia and dizziness 3 Timidity with easy to be worried, palpitation, oppressive chest due to gall bladder problem 4 dizziness and vertigo, bitter taste in the mouth, nausea and vomiting, yellow and greasy coating, wiry rapid or slippery rapid pulse due to phlegm heat retention inside.