Zang Fu Patterns: LV Invading; GB Patterns Flashcards
Liver Qi Invades Spleen Etiology
- Mental depression or irritation (anger, frustration, restentment) injures Liver
- Irregular food intake injures Spleen
- Overstrain, overwork, stress
- Liver excess with a Spleen insufficiency will lead to a “Wood” attack on “Earth”
Liver Qi Invades Spleen Western Conditions
- Colitis
- Gastroenteritis
- Hyperthyroidism
- Infectious hepatitis
- Irritable Bowel Syndrome
Liver Qi Invades Spleen Complications
This syndrome does not involve blood complications as this is usually not seen in Liver Qi Invading Spleen. This syndrome involves a Liver Qi stagnation over-controlling Spleen resulting in a Spleen deficiency.
Liver Qi Invading Spleen Sn/Sx
Abdominal Distention and pain
Borborygmus (wind in the abdomen)
Diarrhea or loose stools (possibly with pain)
Flatulence
Irritability, Mental depression
Pain in the costal/hypochondriac regions
Poor appetite
Stool sometimes loose sometimes small and dry
Tongue: White, thin coat. Tongue coat is unremarkable as the damp is directed downward and not upward. Possibly red or pale sides.
Pulse: Wiry, thin. Weak on right, wiry on left
Patterns of Differentiation for Liver Qi Invading Spleen
Liver Qi Invading Spleen may occur with Liver Qi Invading Stomach
Liver Qi Invading Spleen Principle of Treatment
- Soothe Liver
- Invigorate Spleen
- Harmonize LV and SP
Liver Qi Invading Spleen Herbal Formulas
- Xiao Yao San (Rambling Powder)
- Tong Xie Yao Fang (Important Formula for Painful Diarrhea)
Liver Qi Invading Spleen Point Prescription
Method?
LV3 (Taichong Great Rushing) Shu Stream, Earth Pt, Yuan Source, Heavenly Star; Spreads Liver Qi
LV13 (Zhangmen Completion Gate) Front Mu of SP, Meeting Pt of Zang; Harmonize LV and SP, Spreads Liver Qi, Invigorates Spleen
SP6 (Sanyinjiao Three Leg Yin) Spreads Liver Qi (diarrhea). Strengthens spleen (abd pain, borb.)
RN12 (Zhongwan Middle Cavity) Front Mu of ST, Meeting Pt of Fu; Invigorate SP and ST. Harmonize MJ.
ST25 (Tianshu Heaven’s Pivot) Front Mu of LI; Regulates Qi. Regulates SP and ST.
ST36 (Zusanli Three Leg Mile) Heavenly Star, Command Pt of Abdomen, He Sea, Earth, Sea of Water and Grain; Regulate SP & ST
ST37 (Shangjuxu Upper Great Void) Lower He Sea Pt of LI, Sea of Blood; Regulates SP and ST
Method: Reducing for points to harmonize the Liver (LV13, LV14, GB34, LV3) and reinforcing for points to tonify Spleen (SP6, RN6, RN12, ST25, ST36, ST37)
Liver Qi Invades Stomach Etiology
- When Liver Qi stagnates, Liver fails to promote smooth flow of Qi which affects the function of the Stomach.
- Mental depression or irritation
- Irregular food intake
- Overstrain or stress
Liver Qi Invades Stomach Western Conditions
- Chronic gastritis
- Cirrhosis of liver
- Gastric or duodenal ulcer
- Hepatitis
Liver Qi Invades Stomach General Sn/Sx
(Think of LV, ST, hormonal, sn/sx)
Liver:
- Suffocating sensation in chest
- Tendency to sigh
- Melancholy, depression, anxiety
- Irritability, sudden inappropriate anger
Stomach:
- Epigastric pain (worse when emotionally upset)
- Belching with acid regurgitation
- Nausea, vomiting
- Anorexia
- Distension of epigastrium
- Uncomfortable sensation in Stomach
In people with a uterus:
- Irregular menses
- Dysmenorrhea
- Distension and pain in breasts before and during menses
Tongue: Scanty, white coat
Pulse: Wiry
What will you see if there are heat signs accompnay the Liver Qi Invades Stomach pattern?
- Gnawing hunger
- Bitter taste
Tongue: Red body, yellow coat
Pulse: Wiry, rapid
How can you differentiate Liver Qi Invades Stomach from other Stomach disorders?
Look for the presence of sn/sx of Liver Qi Stagnation such as irritiability, depression, suffocating sensation in chest, sighing, wiry pulse
Liver Qi Invades Stomach Principle of Treatment?
- Soothe the Liver
- Harmonize the Stomach
Liver Qi Invades Stomach Herbal Formula
Zuo Jin Wan - Left Metal Pill
- Huang Lian - Coptis Rhizome (Cold, Bitter)
- Wu Zhu Yu - Evodia Fruit (Hot slightly toxic, Bitter)
Liver Qi Invades Stomach Point Px
Primary Points:
LV3 - (Taichong - Great Rushing) Shu Stream, Earth, Yuan Source, Heavenly Star; Smooth flow of Liver Qi
LV13 - (Zhangmen - Completion Gate) Front Mu of SP, Influential Pt of Zang; Courses the Liver and rectifies qi.
LV14 - (Qimen - Cycle Gate) Front Mu of LV; Spreads Liver Qi, Good for acid reflux, benefits St
ST36 - (Zusanli - Leg Three Mile) He Sea, Earth, Heavenly Star, Command of Abdomen, Point of Sea of Water and Grain; Harmonizes Stomach
GB34 (Yanglingquan - Yang Mound Spring) He Sea, Earth, Inf. Pt. of Sinews, Heavenly Star, Lower He Sea of GB; Spread Liver Qi, Course damp and stagnation
Secondary Points:
SP6 - (Sanyinjiao - Three Yin Intersection) Spreads Liver Qi, Tonifies Sp and St
PC6 (Neiguan - Inner Pass) Luo Connecting, Confluent of Yin Wei; Spread Liver Qi, Harmonize ST
ST44 (Neiting - Inner Courtyard) Ying Spring, Water, Heavenly Star; Regulate Qi, Clear Stomach heat, Acid regurgitation
RN10 (Xiawan - Lower Cavity) Harmonize ST and regulate qi, Dispel food stagnation
RN12 (Zhongwan - Middle Cavity) Front Mu of ST, Meeting Point of Fu; Regulates ST Qi, Suppress rebellious qi
RN13 (Shangwan - Upper Cavity) Harmonize ST and regulate qi, Descend rebellion and alleviate vomiting
UB21 (Weishu - Stomach Shu) Harmonize ST, disperse stagnation
Liver Fire Invades Lungs Etiology
- Mental depression and anger –> obstruction of liver qi –> fire –> upward attacking of lung by fire
- Excessive consumption of hot and greasy food
- Prolonged Liver Qi Stagnation
Liver Fire Invades Lungs General Sn/Sx
- Asthma/SOB
- Bitter taste
- Burning pain in costal and hypochondriac region
- Constipation
- Cough - paroxysmal
- Dizziness
- Headache
- Irritability, quick temper
- Red eyes and face
- Restlessness
- Scanty, dark urine
- Yellow or blood tinged sputum, sticky
Tongue: red body, redder on sides, maybe swollen in front, thin white or yellow coating
Pulse: wiry and rapid, maybe slippery
Liver Fire Invades Lungs POT
- Clear Liver fire
- Harmonize Liver
- Stimulate descending of Lung Qi