Liver & Gallbladder Diagnosis. /. WOOD Flashcards
ASCENDANT HYPERACTIVITY OF LIVER YANG
signs & symptoms
Vexation, agitation, irascibility
Red face
Headache
Dizziness tinitus
T: RED w yellow fur
P: string-like & rapid
ASCENDANT HYPERACTIVITY OF LIVER YANG
treatment principles
Enrich Yin
calm liver
subdue yang
POINTS:
- KD 3
- SP 6
- SJ 3
- LV 3
- LV 8
Binding depression of liver qi
S/SX
Mental Depression
Sighs - usually loud, big
Chest Oppression
Rib-side pain
T:
P: STRING LIKE pulse
BINDING DEPRESSION OF LIVER QI
treatment principale
Course liver** & **Rectify Qi
Points:
- LV 2
- LV 3
- LV 13
- GB 40
- GB 34
COLD STAGNATING IN THE LIVER VESSEL
signs & symptoms
lesser abdominal pain (aka pudendum or genitals)
testicular pain & restricted testicles
physical cold & cold limbs (relieved by warmth)
T: moist white tongue
P: deep, slow, or tight & wiry pulse
COLD STAGNATING IN THE LIVER VESSEL
treatment principle
warm liver and dissipate cold
- Points:*
- CV 3*
- LV 5*
- LV 1*
- LV 3*
ETIOLOGY for liver patterns fall into 4 categories
1) Emotion - affect
2) Diet
3) Blood Loss
4) Exterior Evils
LIVER BLOOD VACUITY
s/sx
Dull rib-side pain
dizziness,
lusterless face,
dry thin, brittle nails
susceptibility to fear & fright
dry eyes, blurred vision,
diminished menses or menstrual block
P: string like & fine pulse
T: pale, white tongue
LIVER BLOOD VACUITY
treatment plan
Nourish blood** & **soothe liver
Points:
SP 10
PC 6
UB 17
KD 3
UB 23
LIVER FIRE FLAMING UPWARD
s/x
Red face & eyes
Bitter taste, dry mouth
Vexation, agitation
Headache, dizziness tinnitus
T: red tongue w/ yellow fur
P: string-like & rapid pulse
LIVER FIRE FLAMING UPWARD
treatment principles
Clear the liver & Drain the fire
points:
- LV 2
- LV 3
- GB 41
- UB 17
- LI 4
LIVER FIRE INVADING THE LUNG
s/sx
- liver fire flaming upward PLUS:*
- c*ough w/ sticky, yellow sputum
hemoptysis (spitting up blood, blood tinged sputum)
scorching pain in the chest & rib-side
T: red tongue w/ yellow fur
P: string-like & rapid pulse
LIVER GALL BLADDER DAMP HEAT
s/sx
alternating heat & cold,
bitter taste
rib side pain
abdominal pain & distention
aversion to food
scant yellow urine yellow skin
t: yellow slimy fur
p: string-like & rapid pulse
LIVER GALL BLADDER DAMP HEAT
treatment
SP 6
SP 9
LV 3
GB 34
LV 8
GB 40
LIVER GALL BLADDER DAMP HEAT
treatment plan
clear heat and transform dampness
SP 6
SP 9
LV 3
GB 34
LV 8
GB 40
LIVER QI INVADING THE SPLEEN
s/sx
binding depression of liver qi **PLUS**
GLOMUS & FULLNESS AFTER EATING
SLOPPY DIARRHEA
T:
P: STRING LIKE pulse
LIVER QI INVADING THE SPLEEN
treatment
Harmonize the LIVER & SPLEEN
LV 13
LV 3
GB 34
REN 6
ST 25
SP 15
REN12
ST 36
SP 6
LIVER QI INVADING THE STOMACH
S/SX
binding depression of liver qi plus:
N/V ?
Sour Vomit
stomach duct pain
low appetite
T:
P: STRING LIKE pulse
LIVER QI INVADING THE STOMACH
treatment
Harmonize Liver & Stomach
REN 13
REN 10
REN 12
ST 36
ST 21
ST 34
PC 6
REN 17
LV 2
LV 14
LIVER WIND STIRING INTERNALLY
signs & symptoms
severe dizziness, vertigo,
tremors [trembling lips, twitching flesh; if severe pulling of face & eyes;
inhibited speech/ unsteady gait
…shaking, dizzy, vision issues…
iron band sensation rigidity of neck
Sudden collapse, heliplegia, deviated tongue
tingling/numbness of limgs
P: stringlike
T: red w/dry fur
T: red & the tongue fur is dry
LIVER WIND STIRING INTERNALLY
treatment principles
quell wind plus:
- nourish yin,
- nourish blood
- downbear fire
points:
UB 18
LV 2
GB 20
KD 3
UB 23
KD 1
LIVER YANG VACUITY
s/sx
Depression, unhappiness
Blurred vision
Rib side fullness or pain
hypertonicity below the ribs, w/withered sinews
lack of libido
T: pale white tongue fur
P: deep, fine,string like & slow or tight pulse.
LIVER YANG VACUITY
treatment plan
Warm & Supplement the liver
Points:
LV 8
LV 3
HT 7
SJ 3
DU 20
UB 17
UB 18
LIVER YIN VACUITY
s/sx
dizziness headache
dry & rough eyes, blurred vision
dull rib side pain
five center heat, night sweats, bitter taste
T: red tongue no coat or thin yellow fur
P: string like, fine & rapid pulse
LIVER YIN VACUITY
treatment plan
enrich & supplement liver yin
Points:
LV 8
SP 6
REN 4
KD 6
LV 2
LIVERs 4 aspects of free coursing:
1) qi, blood and fluids
2) emotions & spirit
3) digestive functions of ST and SP
4) Reproductive organs; semen & menses
LIVERS main job/activity
Movement of qi. AKA free coursing
points you can use for
LIVER FIRE FLAMING UPWARD
LV 2
LV 3
GB 41
UB 17
LI 4
The LIVER stores
the BLOOD
Treatment Principle for
BINDING DEPRESSION OF LIVER QI
You want to course the liver
&
Rectify Qi
LIVER FIRE INVADING THE LUNG
Treatment plan
Clear heat & drain fire
moisten lung & transform phlegm
LV 2 LV 3
LV 14
REN 17
REN 22
PC 6 LU 7
LI 11
GALL BLADDER FUNCTION
GB qi governs ASCENDING (it likes peace calm & quiet; doesnt like harassed & bothered)
GB IS MINISTER OF JUSTICE (governs decision making & judgement)
GB helps LIVER to course & discharge, regulating mental & emotional issues
GALL BLADDER
etiologies
Digestive issues
difficulty making decisions
Tendency towards obesity
GALL BLADDER
most likely patho changes
Bitter taste in mouth
Jaundice
Timidity & paranoia
GALL BLADDER ( qi ) VACUITY
s/sx
anxiety, indecision
tendency to spook easily
blurred vision
restless sleep, dreaming, earling waking
tinnitus & poor hearing
t: pale tongue
p: thin & wiry or weak pulse
GALL BLADDER ( qi ) VACUITY
treatment
Warm the gall bladder
Quiet the spirit
GB 40
LV 8
ST 36
SP 6
REN 4
UB 18
UB 19
UB 47
GALL BLADDER HEAT
s/sx
Headache
Pain in canthi
alternating fever & cold
bitter taste, dry throat
Hypertoncity & pain below the ribs
insomnia
yellow urine & bound stool
t:
p: wiry & rapid pulse
GALL BLADDER HEAT
treatment
Clear heat
soothe the gall bladder
gb 24
GB 34
DU 9
UB 19
LI 11
SJ 6
ST 9
GB 43
DEPRESSED GALL BLADDER
& HARRASSING PHLEGM
s/sx
dizziness, cloudy vision
fright, palpitations, difficulty sleeping vexing heat
bitter taste w/ desire to vomit
t: red tongue w/thick yellow greasy coat
p: slippery & wiry pulse
DEPRESSED GALL BLADDER & HARASSING PHLEGM
treatment
discharge heat
dispel phlegm
clear the gall bladder
harmonize stomach
GB 34
GB 24
SP 9
ST 19
REN 12
ST 40
LU 7
SJ 6 PC 6
LI 11
