Lecture 8 Liver Flashcards

1
Q

6 functions of the liver

A
stores the Blood
ensures smooth flow of qi
controls sinews
manifests in nails
opens into eyes
houses the Hun (ethereal soul)
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2
Q

hypochondriac pain, migrating pain, abdominal distension + pain, distension of breasts, discomfort in chest, sighing, sensation of ‘plum seed qi’ in throat, emotional depression & moodiness, anorexia, frustration/irritability/anger, nausea/belching/poor digestion, sour regurgitation and vomiting, epigastric pain + distension, borborygmus, loose stools, jauncide, PMS, infertility, irregular menses, amenorrhea

wiry pulses
normal tongue or light purple

A

liver qi stag

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3
Q

what causes liver qi stag

A

emotional problems

pathogenic attack

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4
Q

dizziness, tinnitus, flushed face, dryness of eyes, hypochondriac pain at night, afternoon fever, nights sweats, feverish sensations in 5 centres, dry throat and mouth, dry skin

wiry, thready, rapid pulses
dry red tongue

A

liver yin def

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5
Q

what causes liver yin def

A

emotional problems
liver qi stag
liver blood def
febrile disorders which injure yin

(blood def leads to yin def)

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6
Q

HA behind eyes or vertex of head, red complexion, red eyes, bitter taste in mouth, sudden tinnitus or deafness, hematemesis and epistaxis, internal ear pain w purulent d/c, dry mouth, irritability, anger, insomnia, nightmares, hypochondriac pain, constipation, yellow scanty urine

wiry rapid full pulses
red tongue w yellow coat

A

liver fire rising

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7
Q

what causes liver fire rising

A

long standing emotional problems like anger, frustration

excessive consumption of alcohol, friend foods and meats

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8
Q

dizziness, tinnitus, sallow complexion, pale + brittle nails, insomnia, excessive dreaming, dryness of the eyes, blurred vision, night blindness, floaters, weakness in limbs, numbness in mm,amenorrhea, scanty menstrual flow, rigidity and stiffness in joints

wiry weak thready pulses
small pale tongue w white coat

A

liver blood def

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9
Q

what causes liver blood def

A
poor nutrition (low protein)
hemorrhage
chronic ds
prolonged liver qi stag
kidney def (qi, essence, or yin)
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10
Q

vertigo, tinnitus, HA, distension and pain in eyes, flushed complexion, red eyes, soreness + weakness in low back and knees, irritability, anger, palpitations, insomnia, excessive dreams, poor memory

wiry strong or thready rapid pulses
red tongue or red w no coat

A

liver yang rising

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11
Q

what causes liver yang rising

A

water not nourishing wood
liver and kidney yin def
anger and anxiety

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12
Q

fullness and distension in chest and hypochondrium, loss of appetite, bitter taste in mouth, n/v, stickiness in mouth, heaviness in body, fever, scanty dark yellow urine, vaginal itching, vaginal d/c, pain, redness + swelling of scrotum, some diarrhea or constipation, irregular BMs, thirst w no desire to drink, lassitude, jaundice, loose stools w offensive odour and stickiness

wiry rapid and slippery pulses
red body tongue w yellow sticky coat

A

damp heat in liver and GB

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13
Q

what causes damp heat in liver and GB

A

spleen qi def
alcoholic drinking
excessive consumption of greasy and sweet food
long-term liver qi stag

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14
Q

lower abdominal cramping, fullness + distension of hypogastrium, straining of testes, pain + distension in testes + scrotum, contraction of scrotum, contraction of labia in women, pain alleviated by warmth

wiry and strong pulses or tight
pale tongue w thick white coating

A

stagnation of cold in the liver

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15
Q

what causes stagnation of cold in the liver

A

liver qi stag

exogenous pathogenic cold

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16
Q

hypochondriac discomfort, abdominal pain, hematemesis, epistaxis, dysmenorrhea, dark flow, irregular menses, clotted flow, infertility, fibroids, endometriosis, purple nails/lips/complexion, purple petechiae

wiry &/or choppy pulses
purple tongue esp on sides

A

liver blood stasis

17
Q

what causes liver blood stasis

A

qi stag
cold
heat

18
Q

n/v, hypochondriac and/or epigastric discomfort, belching, irritability, sighing, breast distension in women, empty sensation in epigastrium area

wiry pulses
no changes to tongue
light violet centre

A

rebellious liver qi

19
Q

neck rigidity, convulsions, high temp, limb tremors, opisthotonus, coma (severe cases)

rapid strong and wiry pulses
deep red tongue w thick yellow coating

A

wind agitating within: extreme heat generating wind

20
Q

what causes wind agitating within: extreme heat generating wind

A

exogenous heat or wind entering the blood level

21
Q

sudden unconsciousness, convulsions, deviation of eye and mouth, hemiplegia, dizziness, aphasia or difficult speech

floating and weak pulses or wiry and rapid
peeled red tongue and deviated

A

wind agitating within: liver yang rising generating wind

22
Q

what causes wing agitating within: liver yang rising generating wind

A

liver yin def

liver yang rising