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Syndrome Differentiation > Liver Syndromes > Flashcards

Liver Syndromes Flashcards

In this deck, we cover Liver Deficiency, Excess, and Wind Syndromes.

1
Q

What are the different types of LR Xu Syndromes?

A

LR Xue Xu, LR Yin Xu, LR Yin XU with Empty Heat.

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2
Q

What are the different types of LR XS Syndromes?

A

LR Qi Stagnation, LR Fire, Cold in the LR Meridian, LR Yang Hyperactivity, Damp Heat in the LR, LR Blood Stasis, LR Fire insulting LU, LR Qi invading SP, LR Qi invading ST.

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3
Q

What are the different types of LR Wind syndromes?

A

LR Wind d/t Xue Xu, LR Wind d/t Excessive Heat, LR Wind d/t LR Yang Hyperactivity

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4
Q

What is the aetiology of LR Qi Stagnation?

A

Prolonged emotional disturbance like a state of frustration, repressed anger or resentment over a long period of time.

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5
Q

What are the accompanying patterns with LR Qi stagnation?

A

Kidney Xu, LR Xue Xu, SP Qi Xu

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6
Q

What are the signs and symptoms of LR Qi Stagnation?

A

Melancholy, depression, moodiness, epigastric distention, feeling of oppression in chest, sighing, irritability, PMS, breast tenderness, irregular period, epilepsy.

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7
Q

What is the tongue and pulse with LR Qi Stagnation?

A

Tongue is slightly red sides, or white slippery coating, pulse is wiry.

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8
Q

What are the treatment principles for LR Qi Stagnation?

A

Sooth LR Qi, Resolve Depression

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9
Q

What are some acupuncture points for LR Qi Stagnation?

A

P6 (Regulates LR Qi), LR 13 (Harmonize LR/SP), LR 3 (Courses LR Qi), GB 34, SJ 6 (Regulates LR, eases hypochondriac).

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10
Q

Herbal formulas for LR Qi Stagnation?

A

Chai Hu Shu Gan San, Yue Ju Wan, Xiao Yao San

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11
Q

What is the aetiology for LR FIre?

A

Long standing anger, resentment, frustration, excessive alcohol, sweet fatty foods, red meat.

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12
Q

What are some accompanying patterns with LR Fire?

A

LR Fire generating Wind, LR Fire insulting LU, LR Qi Stagnation transforming, depressed internal Damp Heat.

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13
Q

What are the signs and symptoms of LR Fire?

A

Red face, red eyes, irritability, bitter taste, thirst, fever, constipation, dark brown urine, headaches, dizziness, vomiting, hemoptysis, dream-disturbed sleep.

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14
Q

What is the tongue and pulse with LR Fire?

A

Red tongue, yellow coating. Pulse is wiry and rapid.

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15
Q

What is the treatment method for LR Fire?

A

Clear Liver, Drain Fire, Cool Blood

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16
Q

What are some points for LR Fire?

A

LR 2 (Clears LR Fire), GB 34 (Soothes LR Qi), LV 1 (Clears Heat from the Blood), Taiyang (Clears LR Fire), Gb 43 (Clears LR Heat), GB 20 (Subdues ascending LR Qi).

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17
Q

What are some herbal formulas for LR Fire?

A

Zhi Zi Dau Huang Tang, Long Dan Xie Gan, Dang Gui Long Hui Wan

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18
Q

What is the aetiology for Cold in the LR Meridian?

A

Invasion of exterior cold

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19
Q

What are the signs and symptoms of Cold in the LR Channel?

A

Severe pain in the lower abdomen and genital region, alleviated pain with warmth, contraction of the scrotum or testes, bright white complexion, cold extremities, aversion to cold, loose stool.

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20
Q

What are the tongue and pulse with Cold in the LR Channel?

A

Pulse is deep, wiry, slow. Tongue is pale and/or white coating.

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21
Q

What is the treatment principle for Cold in the LR Channel?

A

Warm the Liver, Dissipate Cold, Rectify Qi, Stop Pain

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22
Q

What are some acupuncture points for Cold in the LR Channel?

A

Ren 4 (scatters cold in the genitals), SP 6 (Warms Liver, Nourishes Blood), LR 5 (Scatter Cold from LR Channel), Ren 6 (Warms the Lower Burner), LR 1 (Clears LR Channel)

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23
Q

What are some herbal treatments for Cold in the LR Channel?

A

Ju He Wan, Nuan Gan Jian

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24
Q

What is the aetiology of LR Yang Hyperactivity?

A

Prolonged anger, frustration, resentment.

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25
Q

What are some accompanying patterns with LR Yang Hyperactivity?

A

LR Yang Hyperactivity generating Wind, KD Yin Xu, LR Yin Xu, LR Xue Xu, Hypertension

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26
Q

What are signs and symptoms of LR Yang Hyperactivity?

A

Distending H/A, dizziness, tinnitus, red face, red eyes, irritability, insomnia, dry mouth/throat, profuse dreaming, wound up, easily angered, dry eyes, palpitations, trembling extremities.

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27
Q

What is the tongue and pulse with LR Yang Hyperactivity?

A

Red tongue, scanty coating. Pulse is rapid, wiry, thready.

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28
Q

What is the treatment principle for LR Yang Hyperactivity?

A

Nourish Yin, Calm Liver, Subdue Yang

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29
Q

What are some points for LR Yang Hyperactivity?

A

LR 3 (Subdues Yang), SJ 5 (Subdues Yang for headache), P6 (Calms the Spirit), GB 43 (Subdues Yang), BL 18 (Enriches LR Yin), KD 3 (Enrich KD Yin)

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30
Q

What are some herbal formulas for LR Yang Hyperactivity?

A

Tian Ma Gou Teng, Ling Jiao Gou Teng

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31
Q

Temporal headache, dizziness, red and dry eyes, irritable, red tongue, and rapid wiry pulse. What am I?

A

LR Yang Hyperactivity.

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32
Q

Severe pain in the genital region, cold extremities, alleviation with warmth, tongue with white coating, and deep tight pulse. What am I?

A

Cold in the LR Channel

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33
Q

Irritability, hypochondriac pain, irregular periods, and depression. Wiry pulse, white slippery coating. What am I?

A

LR Qi Stagnation

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34
Q

Bitter taste in the mouth, red face, thirst, fever, constipation, tinnitus, headache, and nose bleeds. Wiry, rapid pulse. Red tongue with yellow coating. What am I?

A

LR Fire

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35
Q

What is the aetiology of Damp Heat in the LR?

A

Irregular lifestyle and diet, excessive anger or climatic damp heat.

36
Q

What are common patterns alongside LR Damp Heat?

A

Spleen Qi Xu with Dampness, LR Qi Stagnation, GB Damp Heat

37
Q

What are the signs and symptoms of Damp Heat in the LR?

A

Bitter taste, nausea, heaviness of the body, yellow vaginal discharge, fullness in the hypochondria, vaginal itching, genital rashes, redness and swelling of the scrotum, dysuria.

38
Q

What is the tongue and pulse with Damp Heat in LR?

A

Red sides, yellow sticky coating, Pulse is wiry, rapid.

39
Q

What is the treatment principle for Damp Heat in the LR?

A

Soothe LR, Clear Damp Heat. Transform Damp in Middle Jiao.

40
Q

What are the acupuncture points for Damp Heat in the LR?

A

BL 18 (Dispels Hepatocystic Damp Heat), LR 14 (Calms Liver), GB 24 (Transforms Damp Heat), Sp 9 (Moves central burner and transforms Damp Heat)

41
Q

What is an herbal formula for Damp Heat in the LR?

A

Long Dan Xie Gan

42
Q

What is the aetiology of LR Blood Stasis?

A

Emotional stress stagnating LR Qi, local blood stasis from knocks, falls, Qi Xu, Heat/Cold impairing the free flow of blood

43
Q

What conditions can present LR Blood Stasis?

A

Cardiovascular diseases, hepatosplenomegaly, menstrual disorders, heterotopic pregnancy, postpartum disorders

44
Q

What are the signs and symptoms of LR Blood Stasis?

A

Fixed, stabbing pain, superficial bruising, abdominal masses, dark purple clotted menstrual blood, painful irregular menstruation, infertility, rough, dry lustreless skin.

45
Q

What is the treatment principle for LR Blood Stasis?

A

Course Liver, Rectify Qi/Xue.

46
Q

What are acupuncture points for LR Blood Stasis?

A

LI 4 (relieves pain), GB 34 (Soothes LR), BL 18 (Rectifies LR Blood), SP 10 (Rectifies Blood), SP 8 (Harmonizes the Womb), KD 14 (Moves Xue SS), Pair SP 4/PC6 to open Chong Vessel to invigorate blood, LR 6 (Regulates Blood), BL 60 (Uterine Blood Stagnation).

47
Q

What are some herbal formulas for LR Blood Stasis?

A

Tao Hong Si Wu Tong, Ge Xia Zhu Yu Tang

48
Q

What is the aetiology of LR Xue Xu?

A

Diet poor in nourishment or lacking in protein, damage to yin/blood as a result of prolonged illness, blood loss, excessive physical work, chronic illness, too much sexual activity. Focus in too many directions.

49
Q

What are some accompanying patterns with LR Xue Xu?

A

LR Qi Stagnation, SP Qi Xu, KD Yin Xu, LR Yin Xu

50
Q

What are the signs and symptoms of LR Xue Xu?

A

Dizziness, numbness/tingling of the limbs, insomnia, blurred vision, visual floaters, poor night vision, dull pale complexion, pale lips, muscular weakness, cramps, dry skin/hair, depression

51
Q

What is the treatment principle for LR Xue Xu?

A

Tonify Yang, Nourish Xue.

52
Q

What is the tongue and pulse for LR Xue Xu?

A

pale body, pale sides. maybe orange sides. Choppy or fine pulse. Thready or Wiry.

53
Q

What are some acupuncture points for LR Xue Xu?

A

BL 18 (Nourish LR Blood), BL 17 (Nourish Blood), LR 14 (Calm LR), SP 6 (Nourish Blood), ST 36 (Supplements Blood), BL 20 (Fortify SP to Nourish Blood), LR 8 (Supplement Xue). Ren 4 (Supplements Blood)

54
Q

What is an herbal formula for LR Xue Xu?

A

Ba Zhen Tang, Bu Gan Tang, Si Wu Tang

55
Q

What is the aetiology of LR Yin Xu?

A

A diet lacking in nourishment, excessive use of drugs, chronic illness, too much sexual intercourse, overexertion.

56
Q

What are the accompanying patterns with LR Yin Xu?

A

KD Yin Xu, LR Xue Xu

57
Q

What are the signs and symptoms of LR Yin Xu?

A

Dizziness, tinnitus, insomnia, eye floaters, dry eyes, poor night vision, scanty menstruation, malar flush, muscular weakness, brittle nails, very skin and hair, depression. Afternoon fever, night sweating.

58
Q

What are the tongue and pulse for LR Yin Xu?

A

Red tongue, scanty coating. Thready, wiry rapid.

59
Q

What is the treatment principle for LR Yin Xu?

A

Tonify Yin, Nourish Blood.

60
Q

What acupuncture points are applicable for LR Yin Xu?

A

BL 17, BL 23, SP 6, ST 36, KD 6, BL 20, LR 8, KD 3, Ren 4

61
Q

What herbal formula would you use for LR Yin Xu?

A

Bai Gui Di Huang Wan

62
Q

What is the aetiology for LR Wind d/t Xue Xu?

A

Diet poor in nourishment or lacking in protein, blood loss, excessive physical work, chronic illness, too much sexual activity.

63
Q

What are the signs and symptoms for LR Wind d/t Xue Xu?

A

Fine tremor, facial tic, dizziness, blurred vision, numbness and tingling of the limb, poor memory, insomnia, light menstruation

64
Q

What is the tongue and pulse with LR Wind d/t Xue Xu?

A

Tongue pale and thin. Pulse wiry, fine.

65
Q

What is the treatment principle for LR Wind d/t Xue Xu?

A

Nourish blood and extinguish wind.

66
Q

What are the acupuncture treatments for LR Wind d/t Xue Xu?

A

LR 2 (calm liver, extinguish wind), SP 6 (regulates LR, nourish xue), GB 20 (extinguish interior wind), LI 4 (eliminate wind from the face), SJ 5 (extinguish wind), DU 19 (calms tremors), RN 4 (nourishes blood)

67
Q

What is the herbal treatment for LR Wind d/t Xue Xu?

A

Shi Quan Da Bu Tang, E Jiao Ji Zi Huang Tang

68
Q

What is the aetiology for LR Wind d/t Excessive Heat?

A

Invasion of exterior heat or wind penetrating to the blood level, generating internal wind.

69
Q

What are the accompanying patterns with LR Wind d/t Excessive Heat?

A

This is only encountered with acute febrile disease.

70
Q

What are the signs and symptoms with LR Wind d/t Excessive Heat?

A

High fever with thirst, red face and eyes, convulsions, rigidity of the neck and back, upwards staring eyes, restlessness, dark scanty urine, constipation.

71
Q

What is the treatment principle for LR Wind d/t extreme heat?

A

Calm the LR, and extinguish wind, clear heat.

72
Q

What is the tongue and pulse for LR Wind d/t Extreme Heat?

A

Tongue is deep red, pulse is wiry and rapid.

73
Q

What are some acupuncture points for LR Wind d/t Extreme Heat?

A

GB 20 (Extinguish Interior Wind), LI 11 (subdue hyperactive LR Qi), HT 8 (Quiet HT), LV 2 (Clear LR Heat), DU 20 (Extinguish Interior Wind), LR 3 (Disperse LR, Subdue Wind), P8 (Extinguish Wind, Cools Blood).

74
Q

What is an herbal formula for LR Wind d/t Extreme Heat?

A

Ling Jiao Gou Ten Tan, An Gong Niu Huang Wan.

75
Q

What is the aetiology for LR Wind d/t LR Yang Hyperactivity?

A

Prolonged anger, resentments, and frustration.

76
Q

What are the accompanying patterns with LR Wind d/t LR Yang Hyperactivity?

A

KD Yin Xu, LR Yin Xu, LR Xue Xu, Hyperactivity of LR Yang.

77
Q

What are the signs and symptoms of LR Wind d/t LR Yang Hyperactivity?

A

(STROKE) Tremors, facial tic, shaking head and trembling of limbs, severe dizziness, sluggish speech, sudden collapse, tinnitus, hemiplegia, headache, hypertension, dry throat, dry eyes, blurred vision, numbness of limbs and poor memory.

78
Q

What is the treatment principle of LR Wind d/t LR Yang Hyperactivity?

A

Calm Liver, Extinguish Wind, Subdue Yang, Enrich Yin

79
Q

What is the tongue and pulse for LR Wind d/t LR Yang Hyperactivity?

A

Red tongue, yellow coating, and wiry, fine rapid pulse.

80
Q

What are some acupuncture points for LR Wind d/t LR Yang Hyperactivity?

A

DU 20 (Extinguish Wind, Subdue Yang), GB 20 (same as DU 20), GB 43 (benefits the head), LI4 w/ LR3, DU19 (extinguish wind, calm spirit), LR 8 (Nourish LR Blood and Yin), SP 6 (Harmonizes LR, Calms Shen)

81
Q

What herbal formula can treat LR Wind d/t LR Yang Hyperactivity?

A

Tian Ma Gou Teng

82
Q

A patient comes in with dizziness and trembling. Her menstruation is scanty, pulse is thready & wiry, and tongue is pale. What does she have?

A

LR Wind d/t Xue Xu

83
Q

A patient comes in after collapsing with convulsions. He has high fever, and thirst. His tongue is deep red, and pulse is wiry & rapid. What pattern does he have?

A

LR Wind d/t Extreme Heat

84
Q

A patient comes in after sudden collapse and loss of consciousness. They are irritable, dizzy and have headache. Limbs are trembling, face is red. Pulse is wiry and rapid, tongue is red with yellow coating. What do they have?

A

LR Wind d/t LR Yang Hyperactivity

85
Q

Patient complains of troubles falling asleep and night sweats. Their eyes are dry, and they are often dizzy. Menstruation is scanty, pulse is thready wiry and rapid, and tongue is red with scanty coating. What pattern does this patient have?

A

LR Yin Xu

86
Q

Patient complains of insomnia, with a lot of dreaming. Their eyes are dry, and they are often dizzy. Menstruation is scanty, pulse is thready and wiry, and tongue is pale with thin white coating. What is the diagnosis?

A

LR Xue Xu

Syndrome Differentiation (40 decks)

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