Liver patterns

Question 1

Functions of the Liver

Answer 1

stores the blood
ensures the free flow/smooth flow of Qi
controls the sinews
opens to the eyes
controls tears
houses the Hun
affected by anger

Question 2

a “feel” for liver pathology

Answer 2

rapid changes
up and down fluctuations (energy, mood)
emotionally up and down
moodiness, irritability
eye problems/vision problems
nails
a feeling of "distension"
gynecological problems
scanty menses
Hun-depression
(coexist with SP, ST, GB, Intestine problems)

Question 3

Liver blood nourishes the skin

Answer 3

exterior wind can stir the blood stored in the liver and manifest with skin rashes. It causes or aggravates skin diseases

Question 4

Anger & liver

Answer 4

anger includes frustration and resentment
anger may cause Liver qi stagnation or liver yang rising
anger makes qi rise and is frequent cause of headaches from liver yang rising

Question 5

feeling of distension

Answer 5

chief symptom of qi stagnation. aka “bloating” in English

Question 6

tongue in qi stagnation

Answer 6

may be normal colored; it is not purple. in severe cases it may be red on the sides

Question 7

Liver qi stagnation associated with or deriving from liver blood deficiency in women

Answer 7

LR qi stagnation is often deriving from or associated with Liver blood deficiency in women
symptoms and signs sl different and generally of the deficient type
depression rather than irritability
pulse: fine and only slightly wiry on the left
xiao yao san is for Liver qi stagnation deriving from or associated with blood deficiency
yue ju wan is for pure Liver qi stagnation

Question 8

Kidneys are mother of the liver

Answer 8

a deficiency of Kidneys may induce a secondary Liver qi stagnation

Question 9

1) feeling of distension of hypochondrium, chest, epigastrium or abdomen and sighing
2) melancholy, depression, moodiness, fluctuations of mental state, feeling wound up, feeling of lump in the throat
3) irregular periods, distension of breasts before periods, premenstrual tension and irritability
tongue: body color may be normal. in severe cases it may be slightly red on the sides
pulse: wiry, especially on the left

Answer 9

Liver qi stagnation

Question 10

a feeling of distension, wiry pulse and red sides of the tongue

Answer 10

Liver qi stagnation turning into heat

Question 11

hypochondrial or epigastric distension
a slight feeling of oppression of the chest
irritability
melancholy
depression
moodiness
a feeling of a lump in the throat
a feeling of heat
red face
thirst
propensity to outbursts of anger
premenstrual tension
irregular periods
premenstrual breast distension
heavy periods
tongue red on the sides
wiry pulse

Answer 11

Liver qi stagnation turning into heat

Question 12

belching, irritability and a wiry pulse

Answer 12

Rebellious Liver qi

Question 13

hypochondrial or epigastric distension
hiccups
sighing
nausea
vomiting
belching
churning feeling in the stomach
irritability 
in women breast distension
tongue normal or sl red on the sides
wiry pulse

Answer 13

Rebellious Liver qi

Question 14

stabbing pain and purple tongue

Answer 14

blood stasis

Question 15

frequently causes pain
but may occur without pain
stabbing pain
can occur with or without a purple tongue
potentially leads to serious diseases (unlike qi stagnation)

Answer 15

blood stasis

Question 16

blood stasis & phlegm in elderly

Answer 16

happens frequently

seen in serious conditions such as coronary heart disease, stroke, cancer

Question 17

hypochondrial pain
abdominal pain
vomiting of blood
epistaxis
painful periods
irregular periods
dark and clotted menstrual blood
infertility
masses in abdomen
purple nails
purple lips
purple or dark complexion
dry skin (in severe cases)
purple petechiae
purple tongue
wiry or firm pulse

Answer 17

Liver blood stasis

Question 18

red tongue with redder sides and a dry yellow coating

Answer 18

Liver Fire

Question 19

pathogen that:
dries up fluids (thirst, dark urine, dry stools)
agitates the mind (agitation, insomnia, restlessness)
causes bleeding (menorrhagia, epistaxis)

Answer 19

Fire

Question 20

irritability
propensity to outbursts of anger
tinnitus
deafness
temporal headache
dizziness
red face and eyes
thirst
bitter taste
dream disturbed sleep
constipation with dry stools
dark yellow urine
epistaxis
hematemesis
hemoptysis
red  tongue, redder on the sides, dry yellow coating
full wiry rapid pulse

Answer 20

Liver Fire Blazing

Question 21

feeling of fullness and heaviness and a sticky yellow tongue coat

Answer 21

Damp Heat

Question 22

feeling of fullness and heaviness and a sticky yellow tongue coat tongue body with red sides

Answer 22

Liver damp heat

Question 23

fullness (feeling of fullness, epigastrium or abdomen)
heaviness (feeling of heaviness)
stickiness (sticky taste, oozing skin lesions, sticky stools)

Answer 23

Dampness

Question 24

fullness of the hypochondrium, abdomen or hypogastrium
bitter taste
sticky taste
poor appetite
nausea
feeling of heaviness in the body
yellow vaginal discharge
vaginal itching
vulvar eczema or sores
midcycle bleeding and/or pain
pain
redness and swelling of the scrotum
genital papular or vesicular skin rashes and itching
urinary difficulty
burning on urination
dark urine
red tongue with redder sides
sticky yellow coating
slippery wiry rapid pulse

Answer 24

Damp heat in the liver

Question 25

fullness and distension of the hypogastrium with pain which refers downward to the scrotum and testis and upwards to the hypochondrium the pain is alleviated by warmth straining of the testis or contraction of the scrotum vertical headache feeling of cold cold hands and feet vomiting of clear watery fluid or dry vomiting in women there can be shrinking of the vagina p[ale and wet tongue with a white coating deep wiry slow pulse

Answer 25

stagnation of cold in liver channel

Question 26

blurred vision, pale tongue and choppy pulse

Answer 26

liver blood deficiency

Question 27

Liver blood nourishes the:

Answer 27

``` eyes : blurred vision sinews: tingling, cramps nails: ridged nails uterus: scanty periods Hun: insomnia, dreaming ```

Question 28

Hun is not rooted in Liver blood and may result in excessive coming and going causing insomnia, anxiety and a tendency to have too many projects, aims, dreams, plans in a scattered way

Answer 28

liver blood is deficient

Question 29

not enough coming and going of the Hun, and person may become depressed and have a feeling of aimlessness

Answer 29

both liver blood AND Liver qi is deficient

Question 30

consequences of Liver blood deficiency

Answer 30

heart blood def kidney deficiency secondary liver qi stagnation liver yang rising

Question 31

``` dizziness numbness or tingling of limbs insomnia blurred vision floaters in eyes diminished night vision scanty periods or amenorrhea dull pale complexion without luster pale lips muscular weakness cramps withered and brittle nails dry hair and skin depression a feeling of aimlessness pale tongue, thin and slightly dry choppy or fine pulse ```

Answer 31

Liver blood deficiency

Question 32

dry eyes and tongue without coating

Answer 32

liver yin deficiency

Question 33

consequences of liver yin deficiency

Answer 33

kidney yin deficiency liver yang rising heart yin deficiency

Question 34

``` dizziness numbness or tingling of limbs insomnia blurred vision floaters in eyes dry eyes diminished night vision scanty periods or amenorrhea dull pale complexion without luster but red cheekbones muscular weakness cramps withered and brittle nails very dry hair and skin depression a feeling of aimlessness normal colored tongue without coating or rootless coating floating empty pulse ```

Answer 34

Liver yin deficiency

Question 35

throbbing headaches and wiry pulse

Answer 35

liver yang rising

Question 36

most common cause of chronic headaches

Answer 36

liver yang rising

Question 37

Imbalance between yin and yang excessive rising of liver qi not a heat pattern

Answer 37

liver yang rising

Question 38

``` headache which may be on the temples, eyes or lateral side of the head dizziness tinnitus deafness blurred vision dry mouth and throat insomnia irritability feeling worked up propensity to outbursts of anger stiff neck tongue pale if there is liver blood deficiency tongue without coating if there is yin deficiency wiry pulse ```

Answer 38

liver yang rising

Question 39

4 types of liver wind

Answer 39

1) extreme heat generating wind 2) Liver yang rising generating wind a) LYR from Liver yin deficiency b) LYR from Liver&Kidney yin deficiency c) LYR from liver blood deficiency 3) Liver fire generating wind 4) Liver blood deficiency generation wind

Question 40

``` tremor tic numbness/tingling dizziness convulsions paralysis ```

Answer 40

internal wind

Question 41

``` high temperature convulsions rigidity of the neck tremor of limbs opisthotonos in severe cases coma tongue deep red, stiff, dry yellow coating pulse wiry rapid ```

Answer 41

extreme heat generating wind

Question 42

``` tremor facial tic severe dizziness tinnitus headache hypertension dry throat dry eyes blurred vision numbness or tingling of limbs poor memory tongue: normal colored without coating pulse wiry fine ```

Answer 42

liver yang rising deriving from liver yin deficiency

Question 43

``` tremor facial tic severe dizziness tinnitus headache dry throat dry eyes blurred vision numbness or tingling of limbs poor memory backache scanty urination night sweating possibly hypertension tongue: normal colored without coating pulse wiry fine ```

Answer 43

liver yang rising deriving from liver & kidney yin deficiency

Question 44

``` tremor dizziness tinnitus headache hypertension dry throat blurred vision numbness or tingling of limbs poor memory insomnia tongue: pale and thin pulse wiry fine ```

Answer 44

liver yang rising deriving from liver blood deficiency

Question 45

``` tremor irritability propensity to outbursts of anger tinnitus and/or deafness (sudden onset) temporal headache dizziness red face and eyes thirst bitter taste dream disturbed sleep constipation with dry stools dark yellow urine epistaxis hematemesis hemoptysis tongue: red body with redder sides and dry yellow coating pulse wiry rapid ```

Answer 45

liver fire generating wind

Question 46

``` fine tremor facial tic dizziness blurred vision numbness or tingling of limbs poor memory insomnia scanty periods tongue: pale and thin pulse: wiry fine ```

Answer 46

liver blood deficiency generating wind

Question 47

alternation of constipation and loose stools and a wiry pulse

Answer 47

rebellious liver qi invading spleen

Question 48

liver qi invading spleen - 2 different situations

Answer 48

1) liver is overactive and it invades spleen | 2) spleen is weak and allows itself to be invaded by liver (even when liver is not overactive)

Question 49

irritable bowel syndrome

Answer 49

often rebellious liver qi invading spleen

Question 50

irritability abdominal distension and pain alternation of constipation and diarrhea stools sometimes dry and bitty and sometimes loose flatulence tiredness tongue normal colored or sl red on the sides pulse wiry on the left and weak on the right

Answer 50

rebellious liver qi invading spleen

Question 51

irritability epigastric and hypochondrial distension and pain a feeling of oppression in the epigastrium sour regurgitation hiccups belching nausea vomiting sighing weak limbs tongue: normal colored, or sl red on the sides pulse wiry on the left and weak on the right or wiry on both middle positions

Answer 51

rebellious liver qi invading the stomach

Question 52

``` breathlessness asthma a feeling of fullness and distension of the chest and hypochondrium cough with a yellow or blood tinged sputum headache dizziness red face thirst bitter taste bloodshot eyes scanty dark urine constipation tongue: red with redder sides and dry yellow coating pulse wiry ```

Answer 52

liver fire insulting the lungs

Question 53

``` combined pattern: blurred vision palpitations pale tongue choppy pulse ```

Answer 53

Liver & heart blood deficiency common in women causing scanty periods and postnatal depression

Question 54

3 consequences of liver and heart blood deficiency

Answer 54

1) kidney deficiency 2) dryness 3) yin deficiency of liver and heart

Question 55

``` palpitations dizziness insomnia dream disturbed sleep poor memory anxiety propensity to be startled dull pale complexion pale lips blurred vision floaters in eyes diminished night vision tingling or numbness in limbs scanty periods or amenorrhea cramps muscular weakness dry hair and skin depression a feeling of aimlessness withered and brittle nails tongue: pale thin slightly dry pulse choppy or fine ```

Answer 55

liver and heart blood deficiency