Liver Syndromes - Pathology Flashcards
Liver Blood Xu
Postural dizziness,
numbness tingling limbs, cramps
scanty periods or amenorrhea,
blurred vision, floaters, poor night vision
Dull pale complexion, dry hair and skin, withered and brittle nails
Muscle weakness
Insomnia - waking in night (frequent)
feeling low/aimless
Liver opens into eyes so if Liv blood deficient eyes will lack nourishment causing all eye issues
Liver controls sinews which will not be nourished properly if blood is deficient leading to numbness, tingling weakness and cramps.
Liver manifests in the nails = brittle and withered nails
Directing vessels Ren Mai and Chong Mai rely on Liv blood, therefore if deficient periods will be scanty or missed.
the ethereal soul (Hun) will not properly be anchored at night leading to insomnia, and they may feel aimless and low due to its capacity for planning being diminished.
Liv Yin Xu (deficient condition)
Insomnia
Dry eyes
restless/irritable
Very dry hair and skin, dull pale complexion
Malar flush - feeling of heat in the PM 5 palm heat, night sweats. thirst with desire to drink small sips
Muscle weakness
Aimlessness, depression
scanty periods or anemorrhoea (or heavy if lots of heat
Similar to Liv Bl Xu
Dry eyes - deficient liver yin not nourishing and moistening the eyes
Empty heat agitates the hun which is not rooted due to insufficient yin so it ‘comes and goes’ too much causing anxiety, insomnia, mental restlessness and irritability
All other symps due to yin xu causing empty heat
Liver Yang Rising (mixed condition)
Temporal headaches
irritable, outbursts of anger, feeling worked up
dizziness
tinnitus
deafness
Blurred vision
dry mouth/throat
stiff neck
Very common syndrome
Symps all due to Liv Yang rising to the head
May stem from Liv or Kid Yin Xu or Liv Bl xu. In practice they all exist alongside either Yin or Blood xu.
The headache which is usually unilateral affects the GB channel
Liver Qi Stagnation (Excess condition)
Moody, PMT, irritable
melancholy, depression, anger without cause, wound up
Distention in hypochondrium, chest or abdo
Frequent sighing
Nausea/vomiting
epigastric pain
poor appetite, sour regurgitation, belching, feeling of pulsation in epigastrium
Stomach churning, abdo distention, flatulence, diarrhoea
Plum stone throat
Pre mentrual breast distention
Most symps due to Liv qi stagnating in various parts of the body
Nausea vomiting epigastric pain, no appetite due to Liver Qi invading the St and spleen
Menstual symps due to Liver Qi impairing the movement of Blood in the penetrating vessel (chong mai and directing vessel (ren mai) and effecting the uterus.
Emotional symps due to liver failing to ensure the smooth flow of qi in relation to the mind, which impedes the coming and going of the ethereal soul (hun).
The Liver channel runs through the throat which causes plum stone or difficulty swallowing
Liver Blood Stagnation (excess condition)
Painful periods
dark and clotted menstrual blood
hypochondrial or abdo pain
Haematemesis (vomiting blood)
Nose bleeds
irregular periods
fibroids
purple petechiae
purple nails
purple lips
purple or dark complexion
dry skin (if severe)
Chronic Liver Qi Stagnation (deriving from long term emotional issues)
Cold (e.g swimming when having a period)
Heat
Liver Fire Blazing Upwards (excess condition)
Irritability, outburst of anger,
dream disturbed sleep
red face and eyes
tinnitus
deafbess
temporal headaches
dizziness
thirst
bitter taste
Constipation, dry stools
dark yellow urine
epistasis (nose bleeds)
haematemesis (rare- vomiting blood) haemoptysis (coughing up blood)
Long standing anger
Poor diet - too many heat forming foods
Alcohol - some recreational drugs and alcohol
Liver wind - Liver Blood xu causing Wind agitating within (excess condition)
Mild tremor of limbs, facial tic, numbness, shaking of head
Insomnia,
scanty periods or amenorrhea
floaters or blurred vision
diminished night vision
dull pale complexion
Pale lips, dry hair
Muscular weakness
cramps
withered and brittle nails
aimlessness
feeling low
Poor diet - irregular eating habits, and not enough blood nourishing foods
Heavy blood loss
Excessive physical exercise
Emotional stress
Kidney deficiency
Liver Wind - Extreme heat generating Liver wind (excess condition) (unlikely to see this)
High temp
convulsions
rigidity of the neck
tremor of limbs
opisthotonos - (Opisthotonos is a condition in which a person holds their body in an abnormal position. The person is usually rigid and arches their back, with their head thrown backward. If a person with opisthotonos lies on their back, only the back of their head and heels touch the surface they are on)
Coma (in severe cases)
Invasion of exterior heat or wind heat penetrating to the Blood level.
Liver Yang Rising generating Wind (strokes epilepsy etc.) (excess condition)
Headache
Hypertension
Severe dizziness
Sudden unconsciousness
convulsions
Deviation of the eye and mouth
hemiplegia
aphasia
severe tremor
Dry throat, eyes, blurred vision,
numbness
tingling of limbs
facial tic
tinnitus
scanty urine
night sweating
insomnia
poor memory
Liver Yin Xu
Excess sex
Excess exercise
Excess physical work
Liv Bl xu (in women)
Liver yang rising
Long term emotional problems such as anger frustration and resentment
Damp Heat in the Liver & Gall Bladder (excess condition)
Nausea
Feeling of fullness and heaviness in the chest, abdo and hypochondrium,
vag discharge and itching
Jaundice
Bitter or sticky taste
loss of appetite
pain
redness and swelling in scrotum
difficulty passing urine, dark urine, pain and burning
papular or vesticular (fluid filled blisters) rashes
Dampness (from Sp Qi Xu)
Long term Liv Qi Stag
External climactic damp or damp heat
Stagnation of Cold in the Liver Channel (rare) (excess condition)
Fullness and distention of the hypogastrium with pain that refers to the scrotum and testes and upwards to the hypochondrium, pain alleviated by warmth
Straining of the testes or contraction of the scrotum
Vertex headache
Feeling of cold, cold hab=nd =s and feet
vomiting of clear watery fluid or dry vomiting
In women there may be shrinking of the vagina
Invasion of external cold
